What does a podiatrist treat?

Podiatrists specialize in the foot, ankle, and lower leg. They diagnose and treat heel pain, bunions and hammertoes, tendon injuries, nerve conditions (Morton's neuroma, neuropathy), toenail disorders, skin conditions (warts, calluses, ulcers), fractures, sports injuries, diabetic foot complications, ankle instability, and perform foot and ankle surgery. At Balance Foot & Ankle, Dr. Tom Biernacki DPM, Dr. Carl Jay DPM, and Dr. Daria Gutkin DPM AACFAS serve Howell, Bloomfield Hills, and surrounding Michigan communities.

How often should a healthy person see a podiatrist?

Annual foot exams are beneficial if you are over 60, are an active runner or athlete, have diabetes, have a family history of foot problems, or notice any changes in foot shape, nail appearance, or skin texture. Preventive visits catch problems early — before bunions require surgery or a small nail issue becomes an infection.

Can foot problems cause knee, hip, or back pain?

Yes — the foot is the foundation of the kinetic chain. Overpronation causes the tibia to internally rotate, increasing stress on the knee and altering hip alignment. High arches transmit shock poorly, overloading the ankle and knee. Custom orthotics that correct foot mechanics frequently improve knee, hip, and back symptoms — one of the most underappreciated benefits of podiatric care.

When should I see a podiatrist versus an orthopedic surgeon?

Podiatrists specialize exclusively in the foot, ankle, and lower leg — making them the most experienced providers for most foot and ankle conditions. For foot and ankle surgery, a DPM with high case volume is appropriate. Dr. Tom Biernacki at Balance Foot & Ankle has performed over 3,000 foot and ankle procedures. Call (810) 206-1402.

How to Clean Custom Orthotics 2026 | Podiatrist

how-to-clean-custom-orthotics - Balance Foot & Ankle Michigan

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: Best Insoles & Orthotics 2026 [Flat Feet, Plantar Fasciitis, Bunions] — MichiganFootDoctors YouTube

How to Clean Custom Orthotics: Step by Step

Quick answer: Dr. Tom Biernacki, DPM has fitted thousands of patients with custom orthotics. Here’s what you need to know.

Watch: Finding the right orthotics & shoes

The Bottom Line

Properly fitted custom orthotics last 5+ years and significantly outperform OTC options for foot conditions.

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at Balance Foot & Ankle

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

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