✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

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Forefoot Pain, Sesamoiditis, and Ball-of-Foot Conditions in Michigan: Balance Foot & Ankle

Michigan patients with forefoot pain — pain in the ball of the foot, under specific metatarsal heads, or at the 1st MTP joint (big toe joint) — benefit from a podiatric evaluation that establishes the specific diagnosis rather than treating generalized metatarsalgia. Sesamoiditis (inflammation of the sesamoid bones beneath the 1st MTP) requires sesamoid-offloading orthotics and, for severe cases, steroid injection or surgical excision. Metatarsalgia from 2nd-4th metatarsal overload responds to metatarsal pad placement and custom orthotics addressing the mechanical overload pattern. Morton’s neuroma causes burning and numbness into the 3rd and 4th toes and responds to steroid injection and surgical decompression when conservative care fails. Plantar plate injuries at the lesser MTP joints require MRI confirmation and specific orthotic modifications. At Balance Foot & Ankle, Michigan patients with forefoot pain receive a thorough diagnosis with weight-bearing X-rays and ultrasound, and targeted treatment based on the confirmed diagnosis. Call (810) 206-1402 for an appointment at our Howell or Bloomfield Hills office.

Expert Podiatric Care in Michigan: Balance Foot & Ankle

Michigan patients with foot or ankle concerns — whether they involve acute injuries, chronic pain patterns, structural deformities, nail problems, or diabetic complications — can access expert fellowship-trained podiatric care at Balance Foot & Ankle. We serve Livingston County patients from our Howell office at 4330 E Grand River and Oakland County patients from our Bloomfield Hills office at 43494 Woodward Ave #208. Same-week new patient appointments are available; we accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. In-office digital X-ray and musculoskeletal ultrasound are available at both locations for same-visit diagnostic imaging. Michigan patients ready for expert foot care can call Balance Foot & Ankle at (810) 206-1402.

Michigan Podiatry for Foot Pain: Getting the Right Diagnosis and Treatment

Michigan patients struggling with ongoing foot pain often find that self-care measures and general advice only go so far without knowing the specific cause. At Balance Foot & Ankle, podiatric evaluation identifies the actual diagnosis — distinguishing plantar fasciitis from Baxter’s nerve entrapment, sesamoiditis from turf toe, hammer toe from claw toe, or metatarsalgia from neuroma — and directs treatment that works for the confirmed diagnosis rather than the most common possible cause. Our fellowship-trained podiatric surgeons provide the full range of conservative and surgical treatment options, and we give honest advice about which approach is most appropriate for each patient’s specific situation. Michigan patients can schedule at Balance Foot & Ankle by calling (810) 206-1402 for our Howell or Bloomfield Hills office — same-week appointments available.

Comprehensive Michigan Foot Care: What to Expect at Balance Foot & Ankle

Michigan patients who choose Balance Foot & Ankle for their podiatric care receive a thorough evaluation that begins with a detailed history of their foot problem — how long it has been present, what makes it better or worse, what treatments have been tried, and how the pain is affecting their daily activity and quality of life. Physical examination includes gait analysis, structural assessment, range of motion testing, neurological screening, and vascular evaluation when indicated. Weight-bearing digital X-rays are obtained at the initial visit when imaging is indicated. Musculoskeletal ultrasound is available for soft tissue characterization. Patients leave their first appointment with a confirmed or strongly suspected diagnosis, a treatment plan, and realistic expectations for recovery. Balance Foot & Ankle accepts Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. New patients can call (810) 206-1402 to schedule at our Howell or Bloomfield Hills Michigan office.

Schedule Your Michigan Podiatric Appointment at Balance Foot & Ankle

Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Foot & Ankle Arthritis Treatment

Michigan patients with any foot or ankle concern are welcome at Balance Foot & Ankle. Our two conveniently located offices — Howell at 4330 E Grand River (serving Livingston County and surrounding areas) and Bloomfield Hills at 43494 Woodward Ave #208 (serving Oakland County and northern Metro Detroit) — offer same-week new patient appointments, in-office digital X-ray for same-visit imaging, and the full range of podiatric services from conservative management to surgical correction. We accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans, and our insurance verification team confirms benefits before every appointment. Fellowship-trained podiatric surgeons are available for both routine and complex cases. Michigan patients ready to schedule can call Balance Foot & Ankle at (810) 206-1402.

Clinical References

1. Espinosa N, Brodsky JW, Maceira E. Metatarsalgia. J Am Acad Orthop Surg. 2010;18(8):474-485.
2. Besse JL. Metatarsalgia. Orthop Traumatol Surg Res. 2017;103(1S):S29-S39.
3. Thomson CE, Gibson JN, Martin D. Interventions for the treatment of Morton’s neuroma. Cochrane Database Syst Rev. 2004;(3):CD003118.

Dr. Tom Biernacki, DPM

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.