Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Hills, MI. Last updated April 2026.

Why Your Choice of Podiatrist Matters

Not all foot and ankle care is created equal. A podiatrist who specializes in your specific condition — whether it’s a sports injury, diabetic foot problem, or surgical reconstruction — delivers better outcomes than a generalist treating the same condition occasionally. Research consistently shows that provider experience volume correlates with treatment success rates, lower complication rates, and higher patient satisfaction.

The foot and ankle contain 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments — making this one of the most complex anatomical regions in the body. Accurate diagnosis requires specialized training and experience that goes beyond general medical knowledge. Misdiagnosis leads to delayed treatment, unnecessary procedures, and prolonged suffering.

Your relationship with your podiatrist may span years, particularly for chronic conditions like diabetes, arthritis, or recurring sports injuries. Finding a provider whose communication style, treatment philosophy, and clinical expertise align with your needs creates a foundation for successful long-term foot health management.

Board Certification and Credentials to Verify

Board certification from the American Board of Foot and Ankle Surgery (ABFAS) or the American Board of Podiatric Medicine (ABPM) represents the highest standard of podiatric qualification. Board-certified podiatrists have completed rigorous postgraduate training, passed comprehensive examinations, and demonstrated ongoing commitment to professional development through continuing education requirements.

Verify your podiatrist completed an accredited three-year surgical residency program after earning their Doctor of Podiatric Medicine (DPM) degree. Residency training provides hands-on experience in foot and ankle surgery, biomechanics, wound care, sports medicine, and pediatric podiatry under the supervision of experienced practitioners. Fellowship training in subspecialties like reconstruction or sports medicine indicates additional advanced expertise.

State licensure is mandatory and can be verified through your state’s podiatric medical licensing board. Hospital privileges — the authorization to perform surgery at accredited facilities — provide an additional quality indicator, as hospitals conduct their own credentialing review of each surgeon’s training, experience, and outcomes.

Evaluating Experience With Your Specific Condition

Ask how frequently the podiatrist treats your particular condition. A surgeon who performs fifty bunion corrections annually delivers different outcomes than one who performs five. High-volume practitioners develop refined technique, better complication management skills, and more accurate patient selection criteria that directly benefit your results.

For surgical conditions, ask about the specific techniques the podiatrist uses and why they prefer those approaches. A surgeon who can explain multiple treatment options — and why one is better for your particular situation — demonstrates the depth of knowledge needed for optimal outcomes. At Balance Foot & Ankle, Dr. Tom Biernacki stays current with the latest surgical techniques including Lapiplasty 3D bunion correction and minimally invasive approaches.

For chronic conditions like diabetic foot care, plantar fasciitis, or arthritis, evaluate the podiatrist’s comprehensive management approach. Look for practitioners who integrate multiple treatment modalities — orthotics, physical therapy, injection therapies, shoe gear modification — rather than offering a single treatment for every patient. Personalized care based on your specific condition severity, activity level, and goals produces the best outcomes.

Technology and Treatment Capabilities

Modern podiatric practices use advanced diagnostic technology including digital X-ray, diagnostic ultrasound, and biomechanical gait analysis. In-office imaging capabilities allow immediate diagnosis and treatment planning during your first visit, reducing the need for multiple appointments and external imaging referrals.

Ask whether the practice offers conservative treatment options like custom orthotics (fabricated from molds or 3D scans), extracorporeal shockwave therapy (ESWT), regenerative medicine (PRP injections), and advanced wound care technologies. A practice with comprehensive treatment capabilities can manage your condition from initial diagnosis through resolution without referrals to multiple specialists.

For surgical needs, evaluate where procedures are performed. Office-based procedures, ambulatory surgery centers, and hospital operating rooms each serve different complexity levels. Modern ambulatory surgery centers offer cost savings and convenience while maintaining the safety standards required for foot and ankle procedures.

Patient Reviews and Reputation Indicators

Online reviews on Google, Healthgrades, Zocdoc, and Vitals provide valuable patient perspectives on communication quality, wait times, staff professionalism, and treatment outcomes. Look for patterns across multiple reviews rather than focusing on individual outliers. Consistent themes in positive reviews — thorough explanations, compassionate care, effective treatment — indicate genuine practice strengths.

Word-of-mouth referrals from friends, family, primary care physicians, and other healthcare providers carry significant weight. Physicians who refer their own patients to a specific podiatrist have observed that podiatrist’s work and trust their clinical judgment. Ask your primary care doctor which podiatrist they would choose for their own family.

Professional recognition including published research, teaching appointments, professional society leadership, and media appearances indicate a podiatrist who contributes to advancing the field. Dr. Tom Biernacki’s Michigan Foot Doctors YouTube channel with over 943,000 subscribers demonstrates a commitment to patient education that extends beyond the clinical setting.

Practical Considerations: Insurance, Location, and Access

Confirm insurance participation before scheduling. Most podiatric offices verify benefits and obtain necessary authorizations before your visit. Ask about out-of-pocket costs for common services including office visits, X-rays, orthotics, and procedures. Transparent pricing practices indicate a patient-centered practice.

Location and office hours matter for ongoing care. Convenient access encourages compliance with follow-up appointments, which directly affects treatment outcomes. Multiple office locations — like Balance Foot & Ankle’s Howell and Bloomfield Hills offices — provide flexibility for patients across a wider geographic area.

Evaluate the practice’s responsiveness and accessibility. How quickly can you get an appointment for an urgent problem? Is after-hours communication available? Does the practice offer telehealth options for follow-up visits? These practical factors significantly impact your overall care experience, especially during acute injuries or postoperative recovery.

The Most Common Mistake We See

The most common mistake patients make is choosing a podiatrist based solely on proximity or insurance convenience without evaluating credentials and experience. A fifteen-minute drive to a board-certified specialist with extensive experience in your condition produces far better outcomes than a five-minute drive to an inexperienced provider. Your feet carry you through life — they deserve expert care.

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In-Office Treatment at Balance Foot & Ankle

Our team provides sport-specific evaluation and treatment to get you back to your activity safely. We offer same-day X-ray, in-office ultrasound, and custom orthotic fabrication.

Same-day appointments available. Call (810) 206-1402 or book online.

Frequently Asked Questions

What is the difference between a podiatrist and an orthopedic surgeon?

Podiatrists (DPM) complete four years of podiatric medical school plus three years of foot and ankle surgical residency. Orthopedic surgeons (MD/DO) complete medical school, general surgery residency, then orthopedic residency with optional foot and ankle fellowship. Both are qualified to treat foot and ankle conditions. Podiatrists focus exclusively on the foot and ankle, while orthopedic surgeons treat the entire musculoskeletal system.

Do I need a referral to see a podiatrist?

Most insurance plans allow direct access to podiatrists without a referral from your primary care physician. However, some HMO plans and certain Medicare Advantage plans may require a referral. Check your specific insurance plan’s requirements before scheduling, or call the podiatrist’s office — their staff will verify your benefits and let you know if a referral is needed.

What should I bring to my first podiatrist appointment?

Bring your insurance cards, a list of current medications, relevant medical records or imaging studies, the shoes you wear most frequently, and any orthotics or insoles you currently use. Wear shorts or loose pants that can be rolled above the knee for examination. Prepare a list of questions and a description of when your symptoms started, what makes them better or worse, and any treatments you’ve already tried.

How often should I see a podiatrist?

Frequency depends on your condition. Diabetic patients should have at least annual foot examinations, with more frequent visits for neuropathy or vascular disease. Active treatment for conditions like plantar fasciitis may require visits every two to four weeks initially. Surgical patients follow a structured postoperative schedule. Routine foot care patients may visit every eight to twelve weeks. Your podiatrist will recommend an appropriate schedule.

The Bottom Line

Choosing the right podiatrist is one of the most important healthcare decisions you’ll make for your foot and ankle health. Verify credentials, evaluate experience with your specific condition, read patient reviews, and consider practical factors like location and insurance. The right podiatrist becomes a long-term partner in keeping you mobile and active.

Sources

1. Bowers MT, Sanders AP. Patient Satisfaction and Quality Metrics in Podiatric Practice: A Systematic Review. Journal of Foot and Ankle Surgery. 2024;63(3):301-312.
2. Cichero JA, Butterworth PA. What Patients Value in Podiatric Care: A Qualitative Exploration. Journal of Foot and Ankle Research. 2025;18(1):45-56.
3. American Board of Foot and Ankle Surgery. Board Certification Standards and Maintenance. ABFAS.org. Updated 2025.
4. Halpern JL, Blumberg TJ. Surgeon Volume and Patient Outcomes in Foot and Ankle Surgery: An Updated Analysis. Foot and Ankle International. 2024;45(6):678-687.

Choose the Right Podiatrist in Southeast Michigan

Finding the right podiatrist means looking for board certification, surgical experience, patient reviews, and a practice that offers comprehensive care. At Balance Foot & Ankle, Dr. Tom Biernacki is a board-certified podiatric surgeon with over 1 million YouTube views educating patients — visit our Howell and Bloomfield Hills offices.

Learn About Our Practice & Doctors → | Book Your Appointment | Call (810) 206-1402

Clinical References

1. American Podiatric Medical Association. How to choose a podiatrist. APMA.org. Accessed 2024.
2. Menz HB. Utilisation of podiatry services in Australia under the Medicare Enhanced Primary Care program. J Foot Ankle Res. 2009;2:5.
3. Giannini S, Faldini C, Nanni M, et al. The role of foot and ankle surgery training. Foot Ankle Surg. 2011;17(3):127-130.