Diabetic Wound Care in Nursing Homes — On-Site Treatment That Saves Limbs

Diabetic Wounds Don’t Wait — And Neither Do We

A diabetic foot ulcer in a nursing home is a ticking clock. Without expert management, a wound that begins as a small area of skin breakdown can progress to deep infection, osteomyelitis, and sepsis — often within days. Balance Foot & Ankle provides on-site diabetic wound care to Michigan nursing homes and skilled nursing facilities, bringing expert management directly to your residents’ bedsides.

Why Nursing Home Diabetic Wound Care Is Different

Nursing home residents with diabetic wounds face compounded challenges: immobility that prevents pressure offloading, multiple comorbidities that slow healing (kidney disease, vascular disease, immunosuppression), difficulty communicating pain or wound changes, and the logistical challenge of getting to an outpatient wound center. On-site care solves all of these at once.

What Our On-Site Wound Care Includes

Full wound assessment including staging, measurement, and photography for documentation, sharp debridement when indicated, appropriate wound dressings selected for wound stage and exudate, vascular assessment (circulation to the wound), infection identification and management, pressure offloading strategies and recommendations, and MLS laser therapy — our portable laser unit delivers wound healing acceleration directly at the resident’s bedside.

MLS Laser for Wound Healing at Bedside

Our portable MLS dual-wavelength laser therapy unit is the single most significant differentiator in our mobile wound care program. Laser therapy promotes angiogenesis (new blood vessel growth), reduces wound inflammation, stimulates collagen production, and significantly accelerates wound closure — all without additional medication or systemic treatment. For nursing home residents whose wounds aren’t responding to standard care, bedside MLS laser frequently produces the acceleration needed to close chronic wounds.

Don’t wait for a wound to become an emergency. Call Balance Foot & Ankle: (810) 206-1402

Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services

At Balance Foot & Ankle, Michigan patients receive comprehensive podiatric care across the full spectrum of foot and ankle conditions. Our fellowship-trained podiatrists provide conservative and surgical treatment for all foot and ankle pathology — from plantar fasciitis, bunions, and nail disorders to complex reconstructive surgery, diabetic foot care, and sports injuries. Our clinical approach prioritizes accurate diagnosis, evidence-based treatment selection, and honest communication with patients about realistic outcomes.

We serve patients in Livingston and Oakland counties from two convenient Michigan locations: our Howell office at 4330 E Grand River (serving Brighton, Hartland, Pinckney, Howell, and all of Livingston County) and our Bloomfield Hills office at 43494 Woodward Ave #208 (serving Troy, Birmingham, West Bloomfield, Farmington Hills, and all of Oakland County). Both offices offer in-office X-ray, same-week new patient appointments, and a full range of diagnostic and treatment services. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Medicare, and most Michigan insurance plans. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.

Michigan patients from throughout the region — Livingston County communities including Howell, Brighton, Hartland, Pinckney, and Fowlerville, and Oakland County communities including Bloomfield Hills, Troy, Birmingham, West Bloomfield, Farmington Hills, Pontiac, and Rochester — can access expert podiatric care at Balance Foot & Ankle. Our clinical team is committed to providing the highest standard of foot and ankle care available in Southeast Michigan, from routine preventive care to complex surgical intervention. Call (810) 206-1402 to schedule — we look forward to serving you at our Howell or Bloomfield Hills location.

Related Treatment Guides

• Diabetic Foot Care
• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment

Scheduling with Balance Foot & Ankle is straightforward — call (810) 206-1402 during business hours and our front desk team will find an appointment time that works for your schedule, verify your insurance coverage before the visit, and answer any preliminary questions you have about what to expect. Our Howell office at 4330 E Grand River has convenient parking and is easily accessible from I-96, M-59, and Grand River Avenue. Our Bloomfield Hills office at 43494 Woodward Ave #208 is located on Woodward Avenue with parking adjacent to the building. Both locations are accessible by patients throughout Southeast Michigan, and our team looks forward to providing you with the professional, evidence-based podiatric care that you and your feet deserve.

Medical References & Sources

• American Diabetes Association — Foot Complications
• PubMed Research — Diabetic Foot Care
• American Podiatric Medical Association — Diabetic Foot

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.