Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Hills, MI. Last updated April 2026.
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Medically Reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist, Balance Foot & Ankle Specialists, Michigan. Last updated April 2026.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
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Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentWatch: Flat Feet in Adults: Non-Surgical Treatment
Dr. Tom on adult flat feet — PTTD staging, custom orthotics, AFO decisions, tendon protection, which cases can avoid surgery entirely, activity modifications.
Adult Flat Feet Starter Kit
Most adult flat feet don’t need surgery. Dr. Tom’s kit:
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Arch support first-line.
PTTD protection.
PT tendon flare.
Topical arch/ankle relief.
Related: Flat Feet Care · Best Orthotics · Book Same-Week Appointment
In Our Clinic
In our clinic, the flat-footed patient who actually needs intervention is the one whose arch is collapsing progressively in adulthood — not the person who was born flat-footed and has been running 5Ks pain-free for 20 years. We evaluate for posterior tibial tendon dysfunction (PTTD) with single-heel-rise testing, check for the “too many toes” sign from behind, and get weight-bearing X-rays. Early PTTD responds well to a custom orthotic with a medial heel skive + short course of boot immobilization. Stage 2+ PTTD is a different conversation — we discuss tendon transfers and calcaneal osteotomy candidates.
More Podiatrist-Recommended Flat Feet Essentials
PowerStep Pinnacle Insole
Top orthotic for flat feet — lifts the collapsed arch and controls pronation.
Stability Running Shoe
New Balance Fresh Foam X 860 — designed for overpronators with flat feet.
Supportive Stability Shoe
Brooks Adrenaline GTS 25 — gold-standard stability shoe for flat 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
Painful flat feet in adults can signal posterior tibial tendon dysfunction — a progressive condition that needs early intervention to avoid surgery. Balance Foot & Ankle evaluates adult flatfoot with weight-bearing imaging and custom orthotic prescriptions. Catching PTTD at stage 1-2 makes the difference between a brace and a reconstruction.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Flat Feet Treatment Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
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.
Frequently Asked Questions
Do flat feet need to be treated?
What is the best insole for flat feet?
- Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
- Heel Pain (APMA)
- Hallux Valgus (Bunions): Evaluation and Management (PubMed)
- Bunions (Mayo Clinic)
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