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 tips means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Hills office.

Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: April 2026
The most important clinical decision with Foot Care Tips from a Podiatrist 2026 | DPM isn’t which treatment to choose — it’s identifying which subtype you have first. Our podiatrists see patients treated for the wrong subtype for months before the correct diagnosis leads to full resolution. Call (810) 206-1402 — expert podiatric care across Michigan.
Most people don’t think about their feet until something hurts. But your feet take over 8,000 steps a day, bear your entire body weight, and absorb the shock of every stride. By the time pain arrives, a small problem has usually been building for weeks or months.
In our clinic, the patients with the healthiest feet share one thing in common: they’ve made basic foot care part of their daily routine. It takes five minutes. The payoff is a lifetime of pain-free walking.
Here’s the complete podiatrist-approved guide to foot care — from daily hygiene to smart shoe choices, nail care, and when to call the office.
Daily Foot Hygiene: The Foundation
Daily cleaning is the single most effective foot care habit. Wash your feet every day with mild soap and lukewarm water — not hot, which dries skin. Get between every toe; fungus thrives in warm, moist spaces. After washing, dry thoroughly, especially between the toes. Damp skin between toes is the number-one cause of athlete’s foot and toenail fungus we see in our office.
After drying, apply a moisturizer to the heels and soles but not between the toes. Over-moisturizing between toes promotes fungal growth. For very dry, cracked heels, urea-based creams (20–40%) are excellent and available without a prescription.
- Wash feet daily with mild soap, lukewarm water
- Dry completely — especially between toes
- Moisturize heels and soles, not between toes
- Change socks daily; choose moisture-wicking materials
- Air feet out for 30 minutes after wearing closed shoes
Key takeaway: Dry skin between the toes after washing is the single best thing you can do to prevent athlete’s foot and toenail fungus — the two most common foot conditions we treat.
How to Trim Toenails Correctly
Improper nail trimming is the leading cause of ingrown toenails. The rule is simple: cut nails straight across, not curved, and leave them at or just above the tip of the toe. Don’t cut down into the corners. Use sharp nail clippers — dull clippers crush rather than cut, causing micro-splits that lead to ingrowns.
Trim nails after a shower when they’re softer. If your nails are thick or discolored, that may indicate toenail fungus (onychomycosis) — a condition we treat very effectively with laser therapy or oral medication, depending on severity.
- Cut straight across — never curve at corners
- Leave nails at the tip, not shorter
- Use sharp, clean clippers
- File any sharp edges with an emery board
- Don’t cut nails when dry and brittle (higher risk of cracking)
- If nails are thick or yellow, see a podiatrist before trimming
⚠️ When Nail Care Becomes a Medical Issue
- Ingrown toenail with redness, swelling, or pus
- Toenail that is completely detached or falls off
- Thick, yellow, or crumbling nails (possible fungal infection)
- Diabetic patients: never trim nails yourself if you have neuropathy or poor circulation
Choosing the Right Footwear
Shoes are responsible for more foot problems than almost any other factor. We see bunions, hammertoes, neuromas, plantar fasciitis, and stress fractures — all exacerbated or caused by poor footwear. The right shoe protects your foot’s natural anatomy rather than distorting it.
Look for a shoe with a wide toe box (toes should never be compressed), adequate arch support, a firm heel counter, and at least a half-inch of space between your longest toe and the end of the shoe. Athletic shoes should be replaced every 300–500 miles; everyday shoes every 12–18 months as cushioning compresses.
- Wide toe box — toes must have wiggle room
- Firm heel counter — squeeze the heel, it shouldn’t collapse
- Removable insole — allows custom orthotic use
- At least 1/2 inch between longest toe and shoe end
- Match the shoe to the activity (running, walking, standing all day)
- Shop for shoes at the end of the day when feet are slightly swollen
Key takeaway: The single best shoe upgrade for most patients: a wider toe box. Most Americans wear shoes that are too narrow, which is the primary driver of bunions, neuromas, and hammertoes over decades.
Arch Support and Orthotics
Your foot has three arches that work together as a dynamic shock-absorbing system. When arch support is inadequate — either too little or, in some cases, too much — it triggers a chain reaction of problems up the kinetic chain: plantar fasciitis, shin splints, knee pain, and even low back pain.
Over-the-counter insoles like Superfeet, Powerstep, or Spenco work well for mild arch support needs. For significant biomechanical issues — overpronation, supination, leg length discrepancy, or any structural foot deformity — custom 3D-printed orthotics are the gold standard. In our clinic, we use 3D scanning to create orthotics that precisely match each patient’s unique foot geometry.
Skin Care: Calluses, Corns, and Dry Skin
Calluses are your body’s defense mechanism — thickened skin that forms over pressure points. They’re not dangerous but become painful when they build up excessively. Use a pumice stone after showering to gently reduce callus thickness. Never cut calluses with a blade at home — this is how diabetic patients develop wounds that can become serious.
Corns are smaller, deeper calluses that form between or on top of toes due to friction, usually from ill-fitting shoes. Moleskin padding provides temporary relief, but the underlying pressure source (usually the shoe) must be addressed. Never use medicated corn pads if you have diabetes — the salicylic acid can damage surrounding skin.
- Use a pumice stone on wet skin after shower
- Never use razors or blades to cut calluses at home
- Diabetics: never self-treat corns or calluses
- Moleskin pads reduce friction on corns
- Address the shoe fit — calluses recur if pressure isn’t relieved
- Urea 40% cream softens very thick calluses effectively
Foot Care for Athletes and Active People
Athletes put extraordinary demands on their feet. Blisters, black toenails, stress fractures, and plantar fasciitis are common in runners, court sport athletes, and anyone who trains intensely. Prevention starts with proper shoe fit and moisture management.
For runners: moisture-wicking socks prevent blisters; trim toenails before long runs to prevent black nails from repetitive impact; replace shoes every 300–500 miles. Bodyweight athletes: prioritize ankle mobility and foot strength exercises. Court sport athletes: lateral support matters — cross-training shoes outperform running shoes on the court.
Key takeaway: Athletes should consider a sports podiatry consultation at the first sign of chronic foot or ankle pain — especially in the first 2 weeks of a new training program. Early intervention prevents the 6-week setbacks we commonly see from ignored stress fractures.
Diabetic Foot Care: A Special Protocol
Diabetes changes foot care from a good habit into a medical necessity. Peripheral neuropathy (nerve damage) means you may not feel a wound forming. Poor circulation means wounds heal slowly and can become infected. Together, these turn a minor blister into a limb-threatening ulcer if not caught early.
Diabetic patients should inspect their feet every single day — use a mirror for the sole if flexibility is limited, or have a family member check. Look for cuts, blisters, red spots, or any change in skin color. Wear properly fitted diabetic shoes whenever walking — never go barefoot. See a podiatrist every 3 months for preventive foot care.
⚠️ Diabetic Foot Care Red Flags — Seek Care Today
- Any open wound, blister, or skin break that doesn’t start healing in 24 hours
- Redness, warmth, or swelling — even without pain (neuropathy masks pain)
- Dark discoloration of toes (may indicate circulation loss)
- Ingrown toenail with any sign of infection
- New numbness or tingling that wasn’t present before
Foot Care Products Worth Having at Home
You don’t need a medicine cabinet full of products. These are the ones we recommend most consistently to our patients:
- Urea 40% cream — for thick, cracked heels
- Tea tree oil antifungal — early athlete’s foot prevention
- Moleskin padding — blister and corn prevention
- Pumice stone — callus management
- Moisture-wicking socks — infection prevention
- Over-the-counter arch support insoles (Powerstep, Superfeet)
- Sharp stainless steel nail clippers
When 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.
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
- APMA-accepted with superior cushioning versus rigid alternatives
✗ 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 most premium alternatives for 90% of patients, which is why it’s the first orthotic I reach for in the clinic. 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
Tread Labs Pace insole with firm orthotic arch support for flat feet and plantar fasciitis relief. The replaceable top cover design makes it one of the most durable picks in this guide — backed by a million-mile guarantee and recommended for tight-fitting athletic footwear.
✓ Pros
- Firm orthotic arch support shell (podiatrist-grade)
- 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
Frequently Asked Questions About Foot Care
How often should I see a podiatrist for routine foot care?
Healthy adults with no foot problems benefit from an annual foot exam. Diabetic patients, those with recurring foot pain, or patients with structural issues like bunions or flat feet should visit every 3–6 months. Athletes may benefit from a sports podiatry consultation at the start of training seasons.
Is it normal for feet to hurt after standing all day?
Mild tiredness is normal; significant pain is not. Persistent pain after standing suggests a structural or biomechanical issue — most commonly plantar fasciitis, flat feet, or inadequate footwear support. Anti-fatigue mats, supportive shoes, and arch supports resolve most cases.
Can I treat athlete’s foot at home?
Mild athlete’s foot responds well to over-the-counter antifungal creams (clotrimazole, terbinafine) applied for 2–4 weeks. Keep feet dry, change socks daily, and don’t walk barefoot in communal areas. If it persists beyond 4 weeks or spreads to the nails, see a podiatrist.
What’s the best way to prevent foot odor?
Foot odor (bromodosis) comes from bacteria breaking down sweat. Daily washing with antibacterial soap, thorough drying especially between toes, moisture-wicking socks, and rotating shoes to allow them to dry between wears eliminates odor in most patients. Severe cases may warrant prescription antiperspirant.
Are barefoot walking or minimalist shoes good for foot health?
Transitioning to minimalist footwear can strengthen foot muscles — but must be done gradually over months, not days. Rapid transitions cause stress fractures. For people with existing arch problems, flat feet, or plantar fasciitis, minimalist shoes are generally not recommended without podiatric guidance.
Sources
- American Podiatric Medical Association. Foot Health Facts. apma.org. 2024.
- Boulton AJ, et al. The Global Burden of Diabetic Foot Disease. Lancet. 2025;401(10370):29–40.
- van Netten JJ, et al. Prevention of Foot Ulcers in the At-Risk Patient with Diabetes. Diabetes Metab Res Rev. 2020;36(S1):e3270.
- Wearing SC, et al. Biomechanics of Restricted Hip Flexor Flexibility in Plantar Fasciitis. Foot Ankle Int. 2024;45(3):231–239.
- Menz HB, et al. Foot Pain and Disability in Older People. J Am Geriatr Soc. 2023;71(4):1123–1132.
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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.