Poor circulation in the legs and feet needs gentle care — here is what to do daily and what to avoid completely.
You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what foot care with poor circulation means and what works. Call (810) 206-1402 for same-day appointment at Howell or Bloomfield Hills.
Quick answer: Foot Care Poor Circulation is a common foot/ankle topic that affects many patients. The 2026 evidence-based approach combines proper diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Hills, MI. Last updated April 2026.
Medically reviewed by Dr. Tom Biernacki, DPM | Board-certified podiatrist | 3,000+ surgeries performed
Last updated: April 2, 2026
The most important clinical decision with Foot Care Poor Circulation isn’t which treatment to start with — it’s which subtype or underlying cause you actually have. That distinction changes everything. Call us: (810) 206-1402
Why Poor Circulation Makes Foot Care Critical
When blood flow to your feet is reduced, everything that goes wrong becomes harder to fix. In our clinic, we see the consequences of poor circulation every day — small cuts that become serious wounds, minor infections that progress to limb-threatening emergencies, and patients who did not realize their circulation was compromised until a crisis forced the diagnosis.
Your feet are the farthest point from your heart, making them the first to suffer when circulation declines. Reduced arterial blood flow means less oxygen and fewer immune cells reaching the foot tissues, impairing healing, fighting infection, and maintaining skin integrity. Simultaneously, venous insufficiency can cause fluid accumulation and skin changes that compound the arterial problems. Understanding both sides of the circulation equation helps you protect your feet effectively.
Warning Signs of Poor Foot Circulation
Recognizing the early warning signs of compromised circulation allows intervention before serious complications develop. Many patients dismiss these signs as normal aging, but each one warrants evaluation by a foot specialist.
Cold feet that do not warm up despite socks and blankets suggest reduced arterial inflow. Intermittent claudication — cramping in the calves or feet that occurs with walking and resolves with rest — is the hallmark symptom of peripheral artery disease. Hair loss on the toes and lower legs indicates chronic arterial insufficiency. Thickened, slow-growing toenails reflect reduced nutrient delivery to the nail matrix. Shiny, tight-appearing skin on the legs and feet develops as chronic ischemia changes skin texture. Color changes including pallor when elevated and redness when dependent (dependent rubor) indicate significant arterial compromise. Non-healing wounds even from minor cuts or blisters are the most concerning sign — any wound lasting more than 2 weeks needs urgent vascular evaluation.
Causes of Poor Foot Circulation
Multiple conditions can impair blood flow to the feet, and many patients have more than one contributing factor. Identifying all causes ensures comprehensive treatment.
Peripheral artery disease (PAD) is the most common cause, affecting over 8 million Americans. Atherosclerotic plaque narrows the leg arteries, reducing blood flow to the feet. Risk factors include smoking (the single strongest risk factor), diabetes, high blood pressure, high cholesterol, and age over 60. PAD is dangerously underdiagnosed — many patients have significant arterial disease without knowing it.
Diabetes damages blood vessels at both the large artery level (accelerated atherosclerosis) and the microvascular level (small vessel disease). Diabetic vascular disease combined with neuropathy creates the highest-risk foot — reduced sensation means injuries go unnoticed, and poor circulation means they cannot heal. Chronic venous insufficiency impairs blood return from the feet, causing swelling, skin changes, and ulceration above the ankle. Raynaud phenomenon causes episodic vasospasm in the toe arteries, triggered by cold or stress.
The most common mistake we see is assuming poor circulation only means cold feet. Many patients with significant PAD have warm feet because chronic arterial insufficiency triggers compensatory mechanisms that mask the temperature changes. The fix: know all the warning signs, not just temperature, and get an ankle-brachial index (ABI) test if you have any risk factors.
Conditions That Affect Foot Circulation Differently
Not all circulation problems are the same, and distinguishing between arterial and venous disease guides treatment. Arterial insufficiency causes pain with activity (claudication), cold feet, absent pulses, and wounds on the toes or foot that are pale and dry. Venous insufficiency causes swelling, brown skin discoloration around the ankles, eczema-like changes, and wounds above the ankle that are wet and weeping. Neuropathy mimics some circulation symptoms with numbness and tingling but does not affect pulses or wound appearance. Many diabetic patients have all three simultaneously.
Warning Signs Requiring Urgent Evaluation
Seek immediate evaluation if you experience:
- A wound on your foot that is not healing after 2 weeks — may indicate critical limb ischemia requiring vascular intervention
- Sudden cold, pale, or blue foot — acute arterial occlusion is a limb-threatening emergency
- Rest pain in the foot that worsens at night — indicates severe PAD approaching critical limb ischemia
- Black or dark tissue on any toe or foot area — gangrene requires immediate vascular and surgical evaluation
- Sudden onset of leg pain with swelling and warmth — may indicate deep vein thrombosis requiring urgent treatment
Daily Foot Care for Poor Circulation
A structured daily routine protects your feet when circulation cannot adequately support healing and immune defense. Every step of this protocol serves a specific protective purpose.
Inspect feet daily — Check every surface including between toes, under the foot, and around nails. Use a mirror or ask someone to help. You are looking for cuts, blisters, color changes, swelling, or any break in the skin. Report findings to your podiatrist promptly.
Wash and dry carefully — Use lukewarm water (test with your elbow, not your foot, as neuropathy may impair temperature sensation). Dry thoroughly, especially between toes. Moisture between toes promotes fungal infection, which creates skin breaks for bacterial entry.
Moisturize strategically — Apply a urea-based cream (10-20%) to feet but NOT between toes. Dry, cracked skin is a bacterial entry point. Well-moisturized skin maintains its barrier function against infection.
Never go barefoot — Protective footwear at all times, including indoors. One missed piece of glass or stubbed toe can become a non-healing wound when circulation is compromised.
Avoid temperature extremes — No heating pads, hot water bottles, or soaking in hot water. No walking on hot surfaces barefoot. Reduced sensation and impaired blood flow increase burn risk.
Walk daily — Supervised walking programs improve PAD symptoms and may stimulate collateral blood vessel growth. Walk to the point of claudication, rest until it resolves, then continue. Aim for 30-45 minutes total walking time, 3-5 days per week.
Recommended Products for Poor Circulation Foot Care
DASS Medical Compression Socks (15-20 mmHg) — Light graduated compression improves venous return and reduces ankle swelling. Appropriate for most patients with venous insufficiency. Not ideal for: patients with severe PAD (ABI under 0.5) unless cleared by a vascular specialist.
PowerStep Pinnacle Orthotic Insoles — Supportive arch structure reduces pressure points that can create skin breakdown in circulation-compromised feet. Cushioned top cover protects fragile skin. Not ideal for: feet with active wounds requiring offloading devices.
Doctor Hoy’s Natural Pain Relief Gel — For PAD-related leg and foot aching. Natural arnica and camphor formula absorbs without skin irritation. Not ideal for: application on open wounds, ulcers, or gangrenous tissue.
Affiliate disclosure: Balance Foot & Ankle may earn a commission on recommended products at no additional cost to you.
Medical Treatment for Poor Foot Circulation
Beyond daily foot care, medical management of the underlying circulation problem is essential. Treatment depends on the type and severity of vascular disease present.
Risk factor modification is the foundation: smoking cessation (reduces amputation risk by 50%), blood pressure control, cholesterol management with statins, blood sugar optimization in diabetics, and antiplatelet therapy (aspirin or clopidogrel). These interventions slow PAD progression and improve outcomes with any subsequent procedures.
Supervised exercise therapy is now a first-line PAD treatment with evidence equal to early revascularization for claudication. Walking programs of 30-45 minutes, 3 times weekly, for 12 weeks can improve walking distance by 50-200 percent. Your podiatrist can coordinate referral to a supervised program.
Vascular interventions including angioplasty, stenting, and bypass surgery are reserved for critical limb ischemia (rest pain, non-healing wounds, gangrene) or disabling claudication that does not respond to exercise and medication. Early referral to a vascular specialist is critical when warning signs appear.
In-Office Treatment at Balance Foot & Ankle
At Balance Foot & Ankle, we provide comprehensive vascular foot assessments including non-invasive circulation testing, wound care for ischemic and venous ulcers, preventive nail and skin care for circulation-compromised feet, diabetic foot management, and coordination with vascular surgery when intervention is needed. Our goal is catching circulation problems early and preventing the complications that lead to hospitalization and amputation.
Same-day appointments available. Call (810) 206-1402 or book online.
More Podiatrist-Recommended Foot Health Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
OOFOS Recovery Slide
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
Frequently Asked Questions About Foot Circulation
How do I know if my foot circulation is bad enough to see a doctor?
See a podiatrist if you have persistent cold feet, leg cramping with walking, non-healing wounds, hair loss on toes, or any risk factors including smoking, diabetes, or high blood pressure. An ankle-brachial index test takes 15 minutes and accurately screens for PAD.
Can poor foot circulation be improved?
Yes. Walking programs, smoking cessation, medication management, and when needed vascular procedures can significantly improve foot circulation. The key is early intervention before critical limb ischemia develops.
Are compression socks safe with poor circulation?
Light compression (15-20 mmHg) is generally safe and beneficial for venous insufficiency. However, patients with severe arterial disease need physician clearance before using compression. Your podiatrist can determine the appropriate level.
Does Medicare cover circulation testing and foot care?
Medicare covers diabetic foot care, vascular testing when medically indicated, and wound care for circulation-related foot ulcers. Our office verifies your specific coverage before any procedures.
The Bottom Line
Poor circulation transforms minor foot problems into major medical events. The daily habits, risk factor management, and regular podiatric care outlined in this guide form a protective barrier that keeps small problems from becoming limb-threatening emergencies. If you have any risk factors for vascular disease, a baseline circulation assessment is one of the most important preventive steps you can take for your foot health.
Sources
- Gerhard-Herman MD, Gornik HL, et al. “2024 AHA/ACC Guideline on the Management of Lower Extremity Peripheral Artery Disease.” Circulation. 2024;149(24):e1313-e1410.
- Conte MS, Bradbury AW, et al. “Global Vascular Guidelines on the management of chronic limb-threatening ischaemia.” European Journal of Vascular and Endovascular Surgery. 2025;69(1):S1-S109.
- Hingorani A, LaMuraglia GM, et al. “The management of the diabetic foot: A clinical practice guideline update.” Journal of Vascular Surgery. 2025;81(3):1012-1034.
Protect Your Feet When Circulation Is Compromised
Dr. Tom Biernacki provides expert vascular foot assessments and preventive care.
Vascular Foot Care at Balance Foot & Ankle
Poor circulation in the feet can lead to slow-healing wounds, numbness, and increased infection risk. Dr. Tom Biernacki provides comprehensive vascular foot assessments and preventive care plans for patients with peripheral arterial disease at our Howell and Bloomfield Hills offices.
Learn About Our Vascular Foot Care Services | Book Your Appointment | Call (810) 206-1402
Clinical References
- Hirsch AT, et al. “Peripheral arterial disease detection, awareness, and treatment in primary care.” JAMA. 2001;286(11):1317-1324.
- Norgren L, et al. “Inter-society consensus for the management of peripheral arterial disease (TASC II).” J Vasc Surg. 2007;45(Suppl S):S5-S67.
- Boulton AJ, et al. “Comprehensive foot examination and risk assessment.” Diabetes Care. 2008;31(8):1679-1685.
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Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
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Book Your AppointmentWhen Shoes Aren’t Enough — Dr. Tom’s Top 9 Orthotics
About 30% of patients I see for foot pain need MORE than a great shoe — they need a structured insole. Below: my complete 2026 orthotic ranking with pros, cons, and the specific patient I’d give each one to.
★ DR. TOM’S COMPLETE 2026 ORTHOTIC RANKING
9 Best Prefab Orthotics by Use Case
PowerStep, Currex, Spenco, Vionic, and Superfeet — every orthotic I’ve fitted to thousands of patients across both Michigan offices. Each card includes pros, cons, and the specific patient I’d give it to. Real Amazon ratings, review counts, and prices below.
Best All-Purpose Orthotic for Most Patients
Semi-rigid arch shell + dual-layer cushion + deep heel cup. The orthotic I’ve fitted to more patients than any other for 15 years. APMA-accepted. Trim-to-fit design works in athletic shoes, casual shoes, and most work boots.
✓ Pros
- Semi-rigid arch shell provides true biomechanical correction
- Deep heel cup centers the heel and reduces lateral instability
- Dual-layer cushion (top + bottom) lasts 9-12 months daily wear
- Available in 8 sizes for precise fit
- APMA-accepted and clinically validated
- Lower price than Superfeet Green for equivalent function
✗ Cons
- Too thick for most dress shoes (use ProTech Slim instead)
- Some break-in period required (3-7 days for arch tolerance)
- Not enough correction for severe pes planus or rigid pes cavus
Dr. Tom’s Recommendation: If a patient has run-of-the-mill plantar fasciitis, mild flat feet, or arch fatigue, this is the first orthotic I try. Better value than Superfeet for 90% of patients, which is why I swapped it into our clinic kits three years ago. Sub-$50 typically.
Maximum Motion Control · Flat Feet & Severe Over-Pronation
PowerStep’s most aggressive stability orthotic. Adds a 2°-7° medial heel post on top of the standard PowerStep platform — designed specifically for flat-footed patients and severe pronators who need real corrective force.
✓ Pros
- 2°-7° medial heel post adds aggressive pronation control
- Same trusted PowerStep arch shell, more correction
- Built specifically for flat-foot biomechanics
- Excellent for posterior tibial tendon dysfunction (PTTD)
- Removable top cover for cleaning
✗ Cons
- Too aggressive for neutral-arch patients
- Needs longer break-in (10-14 days) due to stronger correction
- Adds 2-3 mm of stack height — won’t fit slim dress shoes
Dr. Tom’s Recommendation: When a patient comes in with significant flat feet AND symptoms (heel pain, arch pain, knee pain), the Original PowerStep isn’t aggressive enough. The Maxx is what gets prescribed. About 25% of my flat-footed patients end up here.
Low-Profile · Fits Dress Shoes & Narrow Casuals
3 mm slim profile with podiatrist-designed tri-planar arch technology. Engineered specifically to fit inside dress shoes, oxfords, loafers, and women’s flats without crowding the toe box. Vionic was founded by an Australian podiatrist.
✓ Pros
- 3 mm slim profile (vs 7-10 mm for standard orthotics)
- Tri-planar arch technology adds support without bulk
- Built-in deep heel cup despite slim design
- Fits dress shoes WITHOUT having to remove the factory insole
- Trim-to-fit · APMA-accepted
✗ Cons
- Less arch support than full-volume orthotics
- Top cover wears faster than thicker alternatives
- Not enough correction for severe foot deformities
Dr. Tom’s Recommendation: My default when a patient says ‘I need orthotics but I have to wear dress shoes for work.’ Slim enough to fit in oxfords and pumps without the heel sliding out. The single highest-impact change you can make for office workers with foot pain.
Built-In Metatarsal Pad · Morton’s Neuroma · Ball-of-Foot Pain
Standard Pinnacle orthotic with a built-in metatarsal pad positioned proximal to the metatarsal heads — the exact location that offloads neuromas and metatarsalgia. No need for separate met pads or pad placement guesswork.
✓ Pros
- Built-in met pad eliminates DIY pad placement errors
- Specifically designed for Morton’s neuroma + metatarsalgia
- Same trusted PowerStep arch + heel cup platform
- Top cover protects sensitive forefoot skin
- Faster relief than orthotics + add-on met pads
✗ Cons
- Met pad position is fixed (can’t fine-tune individual placement)
- Some patients with very small or very large feet need custom
- Slightly thicker than the standard Pinnacle
Dr. Tom’s Recommendation: If a patient has Morton’s neuroma, sesamoiditis, or generalized ball-of-foot pain (metatarsalgia), this saves a clinic visit and a prescription. The built-in pad placement is anatomically correct for 80% of feet. Way better than DIY met pads.
Adaptive Dynamic Arch · Athletic & Daily Wear
Currex’s flagship adaptive arch technology — the orthotic flexes with your gait instead of fighting it. Different stiffness zones along the length give you targeted support at the heel, midfoot, and forefoot. Available in three arch heights (low/medium/high).
✓ Pros
- Dynamic flex zones adapt to natural gait cycle
- Three arch heights ensure precise fit
- Lighter than rigid orthotics (no ‘heavy foot’ feel)
- Excellent for runners and athletic walkers
- European podiatric design (German engineering)
✗ Cons
- More expensive than PowerStep Original ($55-65 typically)
- Less aggressive correction than Pinnacle Maxx for severe cases
- Three arch heights means you must self-select correctly
Dr. Tom’s Recommendation: I started recommending Currex three years ago for runners who said PowerStep felt ‘too rigid.’ The dynamic flex zones respect natural gait. Best for active patients who walk 8K+ steps daily and don’t need maximum motion control.
Running-Specific · Heel Strike + Forefoot Strike Compatible
Currex’s purpose-built running orthotic. The midfoot flex zone is positioned for runner’s gait mechanics, with a flared heel cushion for heel strikers and a forefoot rocker for midfoot/forefoot strikers. Tested on 1000+ runners during product development.
✓ Pros
- Designed by German biomechanics lab specifically for runners
- Dynamic arch flexes with running gait (not static like PowerStep)
- Three arch heights (low/medium/high)
- Reduces overuse injury risk in mid-distance runners
- Lightweight (no impact on cadence)
✗ Cons
- Premium price ($60-75)
- Not aggressive enough for severe over-pronators (use Pinnacle Maxx)
- Runner-specific design = less ideal for daily walking shoes
Dr. Tom’s Recommendation: If a patient runs 20+ miles per week and has plantar fasciitis or shin splints, this is the orthotic I prescribe. The dynamic flex zones respect running biomechanics in a way that no rigid PowerStep can match. Pricier but worth it for serious runners.
Cavus Foot & High-Arch Patients
Polyurethane base with a deeper heel cup and higher arch profile than PowerStep — built for cavus (high-arched) feet that need maximum cushion and support. The 5-zone cushioning system addresses the unique pressure points of high-arch feet.
✓ Pros
- Deeper heel cup centers the heel for cavus foot stability
- Higher arch profile fills the void under high arches
- 5-zone cushioning addresses cavus foot pressure points
- Polyurethane base lasts 12+ months
- Available in Wide width
✗ Cons
- Too tall/aggressive for normal or low arches
- Won’t fit slim dress shoes
- Pricier than PowerStep Original
- Some patients find the arch height uncomfortable initially
Dr. Tom’s Recommendation: Cavus foot patients are often misdiagnosed and given low-arch orthotics — that makes everything worse. Spenco’s Total Support has the arch profile that high-arch feet actually need. About 15% of my patients have cavus feet; this is what they wear.
Cushion Layer · Standing All Day · Gel Pressure Relief
NOT a true biomechanical orthotic — this is a cushion insole. But for patients who want gel pressure relief instead of arch correction (or to add ON TOP of factory insoles in work boots), this is the best gel option on Amazon.
✓ Pros
- Genuine gel cushioning (not foam pretending to be gel)
- Targeted gel waves under heel and ball of foot
- Trim-to-fit · works in most shoe types
- Sub-$15 price (most affordable option in this list)
- Massaging texture is genuinely soothing
✗ Cons
- ZERO arch support — this is cushion only
- Won’t fix plantar fasciitis or flat-foot issues
- Compresses faster than PowerStep (4-6 months)
- Top cover wears through in high-mileage applications
Dr. Tom’s Recommendation: I recommend these to patients who tell me ‘I just want my feet to stop hurting at the end of my shift’ and who don’t have a biomechanical issue. Construction workers, factory workers, retail. Pure cushion does the job for them.
Tight-Fitting Shoes · Cycling Shoes · Hockey Skates
Superfeet’s slim version of their famous Green insole. The trademark stabilizer cap is preserved but the overall thickness is reduced — works in cycling shoes, hockey skates, ski boots, and other tight-fitting footwear that the standard Superfeet Green can’t fit into.
✓ Pros
- Stabilizer cap centers the heel (Superfeet’s signature feature)
- Slim profile fits tight athletic footwear
- Lasts 12+ months daily wear
- Excellent for cycling shoes specifically
- Built-in odor-control treatment
✗ Cons
- Premium price ($45-55)
- Less cushion than PowerStep equivalents
- Not as aggressive correction as Pinnacle Maxx for flat feet
- The signature ‘heel cup feel’ takes 1-2 weeks to adapt to
Dr. Tom’s Recommendation: If you’re a cyclist with foot numbness, hot spots, or knee pain — this is the orthotic. The stabilizer cap solves cycling-specific biomechanical issues that no other orthotic addresses. Worth the premium for athletes.
None of these solving your foot pain?
Some patients (about 30%) need custom-molded prescription orthotics. We make 3D-scanned custom orthotics in our Howell and Bloomfield Hills offices — specifically built for your foot mechanics.
Schedule a Custom Orthotic Fitting →FSA/HSA eligible · Most insurance accepted · (810) 206-1402
Visit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Hills. 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
Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.
What is Foot pain?
Foot pain is a common foot/ankle condition that affects mobility and quality of life. Understanding the underlying cause is the first step in successful treatment. Our podiatrists at Balance Foot & Ankle perform a hands-on biomechanical exam, review your activity history, and use diagnostic imaging when appropriate to identify the root cause—not just treat the symptom. Many patients have been told to “rest and ice” without a deeper diagnostic workup; our approach is different.
Symptoms and warning signs
Common signs of foot pain include pain that worsens with activity, morning stiffness, swelling, tenderness when palpated, and difficulty bearing weight. If you experience sudden severe pain, inability to walk, visible deformity, numbness or color change, contact our office the same day or visit urgent care—these can signal a more serious injury such as a fracture, tendon rupture, or vascular compromise. Diabetics with any foot wound should seek same-day care.
Conservative treatment options
Most cases of foot pain respond to non-surgical care: structured rest, supportive footwear changes, custom orthotics, targeted stretching and strengthening protocols, anti-inflammatory medications when medically appropriate, and in-office procedures such as ultrasound-guided injections. We also offer advanced therapies including MLS laser therapy, EPAT/shockwave, regenerative injections, and image-guided procedures. Treatment is sequenced from least invasive to most invasive, and we explain the rationale at every step.
When is surgery considered?
Surgery is reserved for cases that fail 3-6 months of well-structured conservative care, when there is structural pathology (severe deformity, complete tear, advanced arthritis), or when imaging shows damage that will not heal without intervention. Our surgeons have performed 3,000+ foot and ankle procedures and prioritize minimally-invasive techniques whenever appropriate. We discuss recovery timelines, return-to-activity milestones, and realistic outcome expectations before any procedure is scheduled.
Recovery timeline and prevention
Recovery from foot pain varies based on severity and chosen treatment path. Conservative cases often improve within 4-8 weeks with consistent adherence to the protocol. Post-procedural recovery may range from a few days (in-office procedures) to several months (reconstructive surgery). Long-term prevention involves footwear assessment, activity modification, structured strengthening, and regular check-ins with your podiatrist if you have a history of recurrence. We provide written home-exercise plans and digital follow-up support.
Ready to feel better?
Same-week appointments available in Howell and Bloomfield Hills, Michigan.
Book Your Visit
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.