Quick answer: Fibularis Peroneus Tertius affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Hills practices. Call (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Expert Podiatric Care in Michigan: Balance Foot & Ankle
Michigan patients with foot or ankle concerns — whether they involve acute injuries, chronic pain patterns, structural deformities, nail problems, or diabetic complications — can access expert fellowship-trained podiatric care at Balance Foot & Ankle. We serve Livingston County patients from our Howell office at 4330 E Grand River and Oakland County patients from our Bloomfield Hills office at 43494 Woodward Ave #208. Same-week new patient appointments are available; we accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. In-office digital X-ray and musculoskeletal ultrasound are available at both locations for same-visit diagnostic imaging. Michigan patients ready for expert foot care can call Balance Foot & Ankle at (810) 206-1402.
Forefoot Pain, Sesamoiditis, and Ball-of-Foot Conditions in Michigan: Balance Foot & Ankle
Michigan patients with forefoot pain — pain in the ball of the foot, under specific metatarsal heads, or at the 1st MTP joint (big toe joint) — benefit from a podiatric evaluation that establishes the specific diagnosis rather than treating generalized metatarsalgia. Sesamoiditis (inflammation of the sesamoid bones beneath the 1st MTP) requires sesamoid-offloading orthotics and, for severe cases, steroid injection or surgical excision. Metatarsalgia from 2nd-4th metatarsal overload responds to metatarsal pad placement and custom orthotics addressing the mechanical overload pattern. Morton’s neuroma causes burning and numbness into the 3rd and 4th toes and responds to steroid injection and surgical decompression when conservative care fails. Plantar plate injuries at the lesser MTP joints require MRI confirmation and specific orthotic modifications. At Balance Foot & Ankle, Michigan patients with forefoot pain receive a thorough diagnosis with weight-bearing X-rays and ultrasound, and targeted treatment based on the confirmed diagnosis. Call (810) 206-1402 for an appointment at our Howell or Bloomfield Hills office.
Michigan Podiatry for Foot Pain: Getting the Right Diagnosis and Treatment
Michigan patients struggling with ongoing foot pain often find that self-care measures and general advice only go so far without knowing the specific cause. At Balance Foot & Ankle, podiatric evaluation identifies the actual diagnosis — distinguishing plantar fasciitis from Baxter’s nerve entrapment, sesamoiditis from turf toe, hammer toe from claw toe, or metatarsalgia from neuroma — and directs treatment that works for the confirmed diagnosis rather than the most common possible cause. Our fellowship-trained podiatric surgeons provide the full range of conservative and surgical treatment options, and we give honest advice about which approach is most appropriate for each patient’s specific situation. Michigan patients can schedule at Balance Foot & Ankle by calling (810) 206-1402 for our Howell or Bloomfield Hills office — same-week appointments available.
Comprehensive Michigan Foot Care: What to Expect at Balance Foot & Ankle
Michigan patients who choose Balance Foot & Ankle for their podiatric care receive a thorough evaluation that begins with a detailed history of their foot problem — how long it has been present, what makes it better or worse, what treatments have been tried, and how the pain is affecting their daily activity and quality of life. Physical examination includes gait analysis, structural assessment, range of motion testing, neurological screening, and vascular evaluation when indicated. Weight-bearing digital X-rays are obtained at the initial visit when imaging is indicated. Musculoskeletal ultrasound is available for soft tissue characterization. Patients leave their first appointment with a confirmed or strongly suspected diagnosis, a treatment plan, and realistic expectations for recovery. Balance Foot & Ankle accepts Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. New patients can call (810) 206-1402 to schedule at our Howell or Bloomfield Hills Michigan office.
Schedule Your Michigan Podiatric Appointment at Balance Foot & Ankle
Related Treatment Guides
Michigan patients with any foot or ankle concern are welcome at Balance Foot & Ankle. Our two conveniently located offices — Howell at 4330 E Grand River (serving Livingston County and surrounding areas) and Bloomfield Hills at 43494 Woodward Ave #208 (serving Oakland County and northern Metro Detroit) — offer same-week new patient appointments, in-office digital X-ray for same-visit imaging, and the full range of podiatric services from conservative management to surgical correction. We accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans, and our insurance verification team confirms benefits before every appointment. Fellowship-trained podiatric surgeons are available for both routine and complex cases. Michigan patients ready to schedule can call Balance Foot & Ankle at (810) 206-1402.
Outer Ankle or Foot Pain?
Our podiatrists diagnose and treat conditions of the peroneal muscles and tendons for complete ankle stability and pain relief.
Clinical References
- Davda K, Malhotra K, O’Donnell P, Singh D, Cullen N. Peroneal tendon disorders. EFORT Open Rev. 2017;2(6):281-292.
- Heckman DS, Reddy S, Pedowitz D, Wapner KL, Parekh SG. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am. 2008;90(2):404-418.
- Saupe N, Mengiardi B, Pfirrmann CW, Vienne P, Seifert B, Zanetti M. Anatomic variants associated with peroneal tendon disorders. AJR Am J Roentgenol. 2007;189(4):W176-W182.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Foot Health Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
PowerStep Pinnacle Insole
- The Pinnacle Full length insoles for men & women provide maximum cushioning, from high activity to moderate support. The PowerStep arch support shape provides stability to the foot and ankle, helping to relieve foot pain.
- When you spend all day on your feet, every step counts. PowerStep insoles are a podiatrist-recommended orthotic to help relieve & prevent foot pain related to athletes, runners, Plantar Fasciitis, heel spurs & other common foot, ankle & knee injuries
- The Pinnacle plantar fasciitis insoles offer superior heel cushioning and arch support. The dual-layer cushioning is designed to reduce stress and fatigue, while PowerStep premium arch support is designed for plantar fasciitis relief.
- The PowerStep Pinnacle arch support inserts for men & women can be worn in several shoe types such as; athletic, walking, running, work & some casual shoes. Orthotic Inserts are ordered by shoe size, no trimming required.
- Made in the USA & backed by a 30-day money-back guarantee. PowerStep orthotic inserts for men & women are designed for shoes where the factory insole can be removed. HSA & FSA Eligible
The podiatrist-recommended over-the-counter orthotic.
OOFOS Recovery Slide
- The Original Recovery Footwear.
- Finding Your Size – For your perfect fit, consult the “size chart” link above. Wear a half size? In general, we recommend that women who wear a ½ size size UP, and men who wear a ½ size size DOWN
- OOahh – An evolution of the OOriginal, the OOahh slide features our proven foundation of OOfoam technology + patented footbed design with a slide-style strap that has become a best-seller in the OOFOS line
- OOfoam Technology – Our revolutionary OOfoam technology absorbs 37% more impact than traditional footwear foams to reduce the stress on your feet, joints & back. Plus, the closed-cell foam is machine washable and designed to minimize odor
- Patented Footbed – Our patented footbed cradles and supports arches to reduce energy exertion in the ankles by up to 47% compared to competitors’ footwear. So walking is easier. Recovery is faster. And yOO feel better
Impact-absorbing recovery sandal — wear after long days on your feet.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.
When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
🩺 Dr. Tom’s Recommended Products
As an Amazon Associate I earn from qualifying purchases. These are products I personally use and recommend to patients.
The OTC orthotic I recommend most. Sub-$50 before custom orthotics.
View on Amazon →
Natural menthol + arnica topical. FSA-eligible — what I switched my family to from Doctor Hoy’s Natural Pain Relief Gel.
View on Amazon →
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your fibularis peroneus tertius, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) 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 made him one of the most-followed foot & ankle educators on YouTube.