Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Balance Foot & Ankle offers same-day appointments for urgent foot and ankle conditions across Southeast Michigan — but the most important factor in outcomes isn’t getting seen quickly. Our podiatrists explain what to do in the first 24-48 hours before your appointment that most patients skip entirely. Call (810) 206-1402 — expert podiatric care across Michigan.

Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan
The most important clinical decision with Green Oak Township Michigan Foot Doctor isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Related Conditions
In This Article

Podiatric Care for Green Oak Township & South Lyon
Green Oak Township — home to much of the South Lyon community and a rapidly growing residential area at the Oakland-Livingston County line — has excellent access to both Balance Foot & Ankle offices. Our Bloomfield Hills location is approximately 15–18 miles east via M-14, and our Howell location is approximately 12–15 miles west via I-96. This geographic position gives Green Oak Township patients the choice of two fully equipped specialist podiatry offices.
Serving Green Oak Township’s Growing Community
Green Oak Township has experienced significant residential growth, attracting active families and professionals who value the area’s combination of suburban amenities and outdoor recreation access. Lyon Oaks County Park, the Huron Valley trail system, and proximity to Brighton and Kensington recreation areas drive an active recreational population with consistent foot and ankle injury presentations.
The township’s substantial youth sports community — soccer, lacrosse, cross-country — generates pediatric foot conditions that Dr. Biernacki’s practice addresses comprehensively: Sever’s disease (calcaneal apophysitis) in adolescent athletes, pediatric ankle sprains, and the early structural deformities that respond well to early orthotic intervention.
Full-Spectrum Podiatric Services
Green Oak Township patients receive comprehensive podiatric care at either office: on-site digital X-ray and diagnostic ultrasound, custom orthotic fabrication from 3D digital scans in 2–3 weeks, laser nail fungus treatment, ultrasound-guided injection therapy, diabetic foot examinations, in-office nail procedures, and surgical consultation. Same-week scheduling is standard for new patients.
Dr. Tom's Product Recommendations

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✅ Pros / Benefits
- Choice of two offices: Bloomfield Hills (east via M-14) or Howell (west via I-96)
- Sports podiatry for Green Oak Township’s active youth and adult community
- Pediatric foot care for South Lyon’s growing youth sports population
- Same-week appointments with board-certified podiatrist
❌ Cons / Risks
- No office in Green Oak Township — travel to Bloomfield Hills or Howell required
Dr. Tom Biernacki’s Recommendation
Green Oak Township and South Lyon are growing communities — I see a lot of new families and young athletes coming in. It’s great to be part of a community that’s expanding and active. Getting kids’ foot problems addressed early is especially rewarding — it sets them up for a lifetime of healthy activity.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
Is there a podiatrist near South Lyon MI?
Balance Foot & Ankle has two offices convenient to Green Oak Township and South Lyon: Bloomfield Hills (~15-18 miles east on M-14) and Howell (~12-15 miles west on I-96). Both offer same-week appointments and comprehensive services.
What is Sever’s disease in kids?
Sever’s disease (calcaneal apophysitis) is the most common cause of heel pain in children ages 8–14 — especially in athletes. It results from traction stress at the heel growth plate during the adolescent growth spurt. Symptoms: activity-related heel pain that resolves with rest, tenderness on squeezing the heel from the sides. Treatment: heel cups, calf stretching, activity modification, and occasionally orthotics. It resolves spontaneously when the growth plate fuses.
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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.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your foot and ankle issues, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Frequently Asked Questions
When should I see a podiatrist?
See a podiatrist if: foot or ankle pain has lasted more than 2–4 weeks without improvement, you’re changing your gait to avoid pain, you have an open wound or sore that isn’t healing, you notice nail discoloration or thickening, you have diabetes and any foot concern, or pain is severe enough to wake you at night. Most foot conditions are easier and cheaper to treat early — what starts as a minor issue can become a surgical problem with months of delay.
What is the difference between a podiatrist and an orthopedic surgeon?
Podiatrists (DPM — Doctor of Podiatric Medicine) specialize exclusively in the foot, ankle, and lower leg. Orthopedic surgeons (MD/DO) have broader musculoskeletal training but variable foot/ankle subspecialization. For foot and ankle-specific problems, a podiatrist often has more focused training and experience. For injuries involving the leg above the ankle, complex pediatric cases, or multi-level reconstruction, orthopedic consultation may be appropriate. We frequently co-manage patients with orthopedic colleagues.
How do I know if my foot pain is serious?
Signs that warrant same-day or next-day evaluation: severe pain that appeared suddenly without clear cause, swelling, redness, and warmth that appeared suddenly (possible gout, infection, or Charcot fracture), an open wound that looks infected (redness spreading, pus, warmth), inability to bear weight, or any foot problem in a diabetic patient. Pain that’s been present for weeks and is stable is important but not an emergency — schedule within 1–2 weeks.
Can foot problems cause back and knee pain?
Yes — this is a kinetic chain effect. Abnormal foot mechanics (overpronation, supination, leg length discrepancy) cause compensatory changes in knee, hip, and lumbar alignment. Roughly 30% of patients presenting to our clinic with knee pain have a treatable foot-level biomechanical cause. Correcting foot mechanics with orthotics or appropriate footwear often provides significant knee and back relief. If you have chronic knee or back pain and haven’t had your foot mechanics evaluated, it’s worth a consult.
Are orthotics worth it?
For the right conditions, yes — custom orthotics are among the most cost-effective interventions in podiatry. They’re most effective for: plantar fasciitis, flat feet with secondary knee/back pain, leg length discrepancy, metatarsalgia, posterior tibial tendon dysfunction, and diabetic foot pressure management. Quality OTC orthotics ($35–60) resolve symptoms for 60% of patients with mild-to-moderate conditions. Custom orthotics are appropriate when OTC options have failed or when the biomechanical problem is complex. We cast custom orthotics in-office.
How do I choose the right running shoes?
Start with your foot type (flat, neutral, high arch) and running pattern (overpronator, neutral, supinator). Flat feet and overpronators do best in stability or motion-control shoes. Neutral feet do well in neutral-cushioned shoes. High arches need maximum cushioning with flexible soles. Always buy running shoes at the end of the day (foot swelling peaks then), get properly fitted by a specialist, and replace every 300–500 miles. If you’ve been injured repeatedly, a gait analysis can identify the mechanical flaw driving your injury pattern.
What is the difference between a sprain and a fracture?
A sprain is a ligament injury (the tissue connecting bones); a fracture is a break in the bone itself. Both can occur with the same trauma (ankle roll, fall). The old test — ‘if you can walk, it’s not broken’ — is wrong; many fractures are initially weight-bearable. Key differences: a fracture typically produces localized bone tenderness along the bone itself, while a sprain is tender over the ligament. X-ray is the standard to differentiate. High-grade sprains without proper treatment can be as disabling as fractures.
How do I prevent foot and ankle injuries?
The four most impactful prevention strategies: (1) Supportive, appropriately fitted footwear for your foot type and activity. (2) Gradual activity progression — the 10% rule (never increase weekly mileage or intensity by more than 10%). (3) Regular calf and ankle mobility work. (4) Strengthening the posterior tibial tendon, peroneals, and intrinsic foot muscles. Most overuse injuries are preventable; most acute injuries are not — but ankle sprain recurrence (60–70% without rehab) is prevented by balance and proprioception training.
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📋 Dr. Tom Biernacki, DPM, FACFAS answers:
No referral is needed to see our podiatrist near Green Oak Township. You can call or book online directly. Most major insurance plans are accepted, including Blue Cross, Medicare, Aetna, Priority Health, and United Healthcare. We treat the full range of foot and ankle conditions including plantar fasciitis, bunions, ingrown toenails, diabetic foot care, neuropathy, and sports injuries. Our board-certified DPM provides both conservative and surgical care. Same-week and urgent appointments are available for residents of the Green Oak Township area.
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.