Does Dr. Biernacki accept insurance?

Balance Foot & Ankle accepts most major insurance plans including Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Medicare, and many others. Contact our office at 810-206-1402 to verify your specific coverage. We also offer affordable self-pay options.

What should I expect at my first podiatry appointment?

Your first visit includes a comprehensive evaluation with Dr. Biernacki including medical history review, physical examination, biomechanical assessment, and any necessary diagnostic imaging (X-rays are available in-office). You'll receive a diagnosis, treatment plan, and same-day treatment when possible. Most initial visits take approximately 30-45 minutes.

How do I know if a shoe is good for my feet?

A podiatrist-approved shoe has four key features: a rigid midfoot (the shoe should not twist easily in the middle), at least a half-inch of space beyond your longest toe, a heel counter that does not collapse when pressed, and a sole that bends only at the ball of the foot. Avoid completely flat flexible shoes if you have plantar fasciitis, high arches, or pronation issues. Dr. Tom Biernacki at Balance Foot & Ankle evaluates footwear at every patient visit.

Can wearing the wrong shoes cause foot problems?

Yes. Poorly fitting or biomechanically unsupportive shoes are a leading contributor to plantar fasciitis, bunions, Morton's neuroma, Achilles tendinopathy, and stress fractures. In our clinic, we see patients daily who switched to zero-drop shoes without proper transition or wore narrow dress shoes for years. Footwear choices consistently accelerate underlying biomechanical issues over time.

Should I see a podiatrist to get shoe recommendations?

Yes, especially if you have foot pain, a history of plantar fasciitis or bunions, diabetes, or you stand all day at work. A podiatrist evaluates your arch type, gait, and structural issues before recommending specific brands or styles. Balance Foot & Ankle sees patients in Howell and Bloomfield Hills, MI — call (810) 206-1402.

Are expensive running shoes worth it for foot health?

Price correlates with material quality and technology, but not always with fit for your specific foot type. What matters most is adequate cushioning, proper width, correct arch support, and a heel-to-toe drop appropriate for your gait. Our team can assess which features you need before you invest.

Managing Foot Problems with Rheumatoid Arthritis: A Po

Name: Managing Foot Problems with Rheumatoid Arthritis: A Po | DPM
Creator: Dr. Tom Biernacki, DPM
Published: 2026-03-24T09:01:22-04:00

Quick answer: Foot Care Rheumatoid Arthritis 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 Hills 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, 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

4330 E Grand River Ave

Howell, MI 48843

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Bloomfield Hills Office

43494 Woodward Ave, Suite 208

Bloomfield Hills, MI 48302

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Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402

More Podiatrist-Recommended Arthritis Essentials

Cushioned Running Shoe

Reviewed by Dr. Tom Biernacki, DPM, FACFAS

Board-certified foot & ankle surgeon · 3,000+ surgeries · @MichiganFootDoctors (950K+ subscribers)

Last reviewed May 11, 2026 · (810) 206-1402

Watch: How to Regrow Cartilage & Reverse OsteoArthritis? [Can We Do It?] — MichiganFootDoctors YouTube

View on Amazon →

Hoka Clifton 10 — max cushioning reduces joint impact for arthritic feet.

Wide Walking Shoe

New Balance 990v6 — wide toe box accommodates arthritic first-MTP (hallux rigidus).

Orthotic Insole

View on Amazon →

PowerStep Pinnacle — offloads the big toe joint during gait.

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.

Arthritis Header Photo Balance Foot And Ankle - Balance Foot & Ankle

When to See a Podiatrist

Foot and ankle arthritis progresses silently — cartilage doesn’t regrow, but joint fusion, cheilectomy, and biologic injections can restore function at every stage. Balance Foot & Ankle offers the full arthritis spectrum: bracing, injections, and reconstructive surgery. Start with a consult so we can image the joint and give you a realistic 5-year outlook.

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

In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your foot arthritis, 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

Learn about our foot arthritis treatment → | Book online →

Doctor Hoy’s Natural Pain Relief Gel

Natural topical pain relief I use in our clinic. Arnica + camphor formula — apply directly to the area 3–4x daily. ($20–25)

Shop Doctor Hoy’s →

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.

Dr. Tom Biernacki, DPM

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.