Foot Care for Kidney Disease and Dialysis Patients: A Comprehensive Guide

You are in the right place. Dr. Tom Biernacki, DPM, FACFAS β€” board-certified foot & ankle surgeon with 3,000+ surgeries β€” explains exactly what foot care for kidney disease / dialysis means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Township office.

Quick answer: Foot Care Kidney Disease Dialysis Patients is a clinical condition that responds to evidence-based treatment when caught early. Symptoms include pain, swelling, and altered function. Diagnosis requires clinical exam, often imaging. Treatment ladder: conservative care first (4-6 weeks), then targeted interventions if needed. Call (810) 206-1402.

Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Township, 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 →

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Same-week appointments available at both locations.

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(810) 206-1402

More Podiatrist-Recommended Foot Health Essentials

Hoka Clifton 10

Hoka Men's Clifton 10
Watch: Foot & ankle health tips from Dr. Biernacki

Max-cushion everyday shoe β€” podiatrist favorite for walking and running.

PowerStep Pinnacle Insole

The podiatrist-recommended over-the-counter orthotic.

OOFOS Recovery Slide

Impact-absorbing recovery sandal β€” 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.

Pediatric Foot - Balance Foot & Ankle

When to See a Podiatrist

Foot problems in kidney disease are rarely “just dry skin.” Reduced circulation, neuropathy, and the fluid shifts around dialysis make small cracks, blisters, and nail injuries far more likely to turn into an ulcer — and far slower to heal. Balance Foot & Ankle checks dialysis and CKD patients’ feet on a schedule that works around treatment days, and coordinates findings with your nephrology team. Most of these problems are preventable when they are caught at the skin-and-nail stage.

Call Balance Foot & Ankle: (810) 206-1402  ·  Book online  ·  Offices in Howell & Bloomfield Township

Watch: Dr. Tom explains

Podiatrist-recommended products

As an Amazon Associate, Dr. Tom earns from qualifying purchases.

Soft Cushioning Pads

Pressure relief for dialysis patients’ feet.

View on Amazon →
PowerStep Pinnacle Orthotic Insoles

Supportive insoles for CKD-related foot strain.

View on Amazon →
NervaCore Neuropathy Support Supplement

B-complex for CKD-related neuropathy.

View on Amazon →
Doctor Hoy’s Pain Relief Gel

Menthol topical for aching CKD feet.

View on Amazon →

Ready to solve this? Book today.

Same-week appointments · Howell & Bloomfield Township · 4.9★ (1,123+ reviews)

☎ (810) 206-1402Book Online →

Dr. Tom’s Top 3 β€” The Premium Foot Pain Stack (2026)

If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one β€” over 10,000 patients have used this exact combination.

πŸ“‹ Affiliate Disclosure + Trust Statement:
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
#1
⭐ Editor’s Pick β€” #1 Orthotic

PowerStep Pinnacle MaxxDr. Tom’s #1 Brand

Best For: #1 OTC Orthotic β€” Plantar Fasciitis + Overpronation
β˜…β˜…β˜…β˜…β˜… 4.5 (19,234 reviews)
Amazon’s ChoicePrimeAPMA-Accepted

Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.

βœ“ PROS
  • Lateral wedge corrects pronation
  • Deep heel cradle stabilizes ankle
  • Dual-density EVA β€” comfort + support
  • Trim-to-fit any shoe
  • Used by 10,000+ podiatrists
βœ— CONS
  • Trim-to-size required
  • 5-7 day break-in for some
πŸ‘¨β€βš•οΈ Dr. Tom’s Verdict: This single insole eliminates plantar fasciitis pain in 60% of patients within 2 weeks. The lateral wedge is the active ingredient β€” it stops the overpronation that causes the fascia to overstretch with every step. Pair with a max-cushion shoe for compound effect.
πŸ›’ Check Latest Price on Amazon β€” Free Returns β†’
#2
⭐ Best Premium Orthotic

CURREX RunProDr. Tom’s #1 Brand

Best For: Premium German-Engineered Orthotic
β˜…β˜…β˜…β˜…β˜… 4.4 (6,597 reviews)
Prime

3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot β€” the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.

βœ“ PROS
  • 3 arch heights for custom fit
  • Carbon-reinforced heel cup
  • Dynamic forefoot zone
  • Premium German engineering
  • Sport-specific support
βœ— CONS
  • Pricier than PowerStep
  • 7-10 day break-in
πŸ‘¨β€βš•οΈ Dr. Tom’s Verdict: Choose your arch height from a wet-foot test (low/med/high). Wrong arch = re-injury. For runners, athletes, or anyone who failed standard insoles β€” this is the closest you can get to custom orthotics without paying $500. The carbon heel is what professional athletes use.
πŸ›’ Check Latest Price on Amazon β€” Free Returns β†’
#3
⭐ Best Topical Pain Relief

Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand

Best For: Topical Pain Relief β€” Plantar Fasciitis + Tendonitis
β˜…β˜…β˜…β˜…β˜… 4.5 (416 reviews)
Prime

Menthol-based natural pain relief β€” Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.

βœ“ PROS
  • Menthol-based natural formula
  • No greasy residue
  • Safe for diabetics
  • Fast cooling relief β€” 5-10 minutes
  • Cleaner ingredient list than Biofreeze
βœ— CONS
  • Pricier than Biofreeze
  • Strong menthol scent at first
πŸ‘¨β€βš•οΈ Dr. Tom’s Verdict: Apply to plantar fascia + calves before bed. Combined with stretching, eliminates morning fascia pain. The clean formula means you can use it daily long-term β€” Voltaren has 30-day limits, Dr. Hoy’s doesn’t.
πŸ›’ Check Latest Price on Amazon β€” Free Returns β†’

βš• Doctor Recommended

PowerStep Pinnacle Insoles

Podiatrist-recommended arch support

View Product β†’

Visit Balance Foot & Ankle β€” Same-Day Appointments Available

Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.

Same-day appointments available. (810) 206-1402

Book online →  |  Meet Dr. Tom Biernacki →

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.