Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
How to Treat a Diabetic Foot Ulcer [Early Signs, Causes  relates to diabetic foot care — typically caused by reduced circulation + neuropathy. Most patients improve in ongoing daily inspection with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Treatment at Balance Foot & Ankle: Diabetic Foot & Circulation Screening →
How to Treat a Diabetic Foot Ulcer [Early Signs, Causes & Treatment]
🦶Do you have Diabetic foot pain? This may be the start of a Diabetic Foot Ulcer. We go over the Diabetic Foot Ulcer Early Signs, Causes & BEST Home Treatments🦶 How to treat a diabetic foot ulcer: 0:00 What is a diabetic foot ulcer? 0:53 Diabetic foot ulcer causes 1:08 Diabetic foot ulcer beginnings 2:55 Diabetic foot ulcer infection treatment 3:17 Diabetic foot ulcer stages 3:47 Diabetic foot ulcer podiatrist and diabetic foot ulcer doctors 4:27 Diabetic foot ulcer early signs 4:44 Infected diabetic foot ulcer treatment 5:10 Diabetic foot ulcer treatment at home 5:45 Diabetic foot ulcer total contact cast 6:30 Diabetic foot ulcer shoes 6:45 Diabetic foot ulcer orthotics 7:20 Diabetic foot ulcer exercises and Diabetic foot ulcer stretches 9:08 Early stage diabetic foot ulcer 9:53 Diabetic foot ulcer Home Treatment 10:10 Diabetic foot ulcer Peripheral Neuropathy 👉– Shoes –👈 Our Recommended Shoes:Podiatrist Recommended ShoesOur Recommended Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢See a Podiatrist!📢 If you have a specific foot, ankle or health problem see a podiatrist, this information is NOT specific for your medical problem. If in Michigan consider seeing us at our clinic: https://www.michiganfootdoctors.com/ 📕Free Books📕: We publish free reports and books about specific foot conditions, stretches, massages and products that might help! https://wp.me/p9imRX-6SV 👉– LINKS –👈 (With some links, we use affiliate links and may earn a commission. Check with your doctor prior to using any product!) Best Diabetic Foot Ulcer Offloading Gear & Scooters: Best Tall Aircast Boot: https://geni.us/AircastBoot (Amazon) Best Short Aircast Boot: https://geni.us/ShortAircast (Amazon) Aircast Sock: https://geni.us/AircastSock (Amazon) Best Shoe Level (Opposite Foot): https://geni.us/ShoeLevel (Amazon) Shoe Cover (For Walking): https://geni.us/BootCover (Amazon) Shower Cover for Cast: https://geni.us/ShowerCover (Amazon) Best Knee Scooter: https://geni.us/zA2A2uo (Amazon) Best Budget Knee Scooter: https://geni.us/KneeScooter (Amazon) Peripheral Neuropathy Treatment – Orthotics: Best Overall Orthotic: https://geni.us/PowerStepOrthotics (Amazon) Best Heavy Duty Orthotic: https://geni.us/HeavyDutyOrthotics (Amazon) Best Women’s Orthotic: https://geni.us/BestWomensOrthotic (Amazon) Best Affordable 3/4 Orthotic: https://geni.us/ShortLengthOrthotics (Amazon) Best sub $25 Soft Orthotic: https://geni.us/BudgetSoftOrthotic (Amazon) Best sub $25 Budget Orthotic: https://geni.us/BudgetOrthotic (Amazon) Peripheral Neuropathy Massage & Peripheral Neuropathy Pain Relief: Best Compression Sleeves: https://geni.us/PlantarFasciitisSock (Amazon) Best Affordable Cold Therapy Wrap: https://geni.us/FootIceSock (Amazon) Full Length Compression Socks: https://geni.us/CompressionSock (Amazon) Best Foot Massage Roller: https://geni.us/FasciitisMassage (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) Best Muscle Massage Stick: https://geni.us/MuscleStick (Amazon) Peripheral Neuropathy Exercises & Stretches: Best Ankle Stretch Incline Board: https://geni.us/z7bq (Amazon) Best Budget Stretching Device: https://geni.us/BudgetFasciitisStretch (Amazon) Good Ankle & Calf Stretching Device: https://geni.us/AnkleStretchingBoard (Amazon) Best Hamstring & Knee Stretch Device: https://geni.us/BestHamstringStretch (Amazon) Good Soft Stretch Splint: https://geni.us/SoftStretchSplint (Amazon) 📢Disclaimer:📢 This video and description contain affiliate links, which means that if you click on one of the product links, we may receive a commission. We will specifically indicate if we have received any sponsorship. This is opinion only: For the viewer or reader: Do not consider this video as a substitute for professional medical advice, diagnosis or treatment. We strongly urge you to contact your own physician with any questions you may have regarding your medical condition. If you are having an emergency, call 911 immediately or see your physician. Do not allow this information to let you disregard your professionals medical advice or delay seeking based on information from this content. Do not rely on information provided by this general education video. Healthcare practitioners: The content here is for education purposes only. The authors have done their best to provide the most up to date evidence-based information, but this content should definitely not be considered any type of medical standard. It does not reflect individual practices in other geographic areas. This is strictly for medical education purposes only, it is not intended for diagnosis or treatment. The information in these videos is the opinion of the author only and is not an official opinion of any organizations that the authors may be a part of. The authors or speakers are not associated with any of the above products.
Diabetic Foot Care in Michigan: Wound Treatment and Ulcer Prevention at Balance Foot & Ankle
Related Treatment Guides
Michigan diabetic patients who develop foot wounds or ulcers require prompt, expert podiatric wound care — early aggressive treatment of diabetic foot ulcers is the single most effective intervention for preventing the cascade of infection, osteomyelitis, and amputation that makes diabetes the leading cause of non-traumatic lower extremity amputation in the United States. At Balance Foot & Ankle, diabetic foot ulcer management includes debridement of devitalized tissue, appropriate wound dressing selection, total contact casting or CAM boot offloading when indicated, coordination with vascular surgery for revascularization evaluation in patients with significant arterial disease, and culture-directed antibiotic management when infection is present. Diabetic patients who have not yet developed ulcers but want to reduce their risk receive a structured preventive care program including diabetic foot examination, protective footwear assessment, nail care, and callus management — because calluses over pressure points are the most common precursor to ulcer formation in diabetic patients. Michigan diabetic patients can call Balance Foot & Ankle at (810) 206-1402 to schedule diabetic foot care at our Howell or Bloomfield Hills location.
Medical References & Sources
- American Diabetes Association — Foot Complications
- PubMed Research — Diabetic Foot Care
- American Podiatric Medical Association — Diabetic Foot
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Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
Diabetic Foot Ulcer? Act Fast.
Early treatment of diabetic foot ulcers prevents serious complications. Our wound care specialists provide advanced ulcer treatment and healing protocols.
Clinical References
- Armstrong DG, et al. “Diabetic foot ulcers and their recurrence.” New England Journal of Medicine. 2017;376(24):2367-2375.
- Lavery LA, et al. “Diabetic foot prevention: a neglected opportunity in high-risk patients.” Diabetes Care. 2010;33(7):1460-1462.
- Lipsky BA, et al. “Treating diabetic foot infections with sequential intravenous-to-oral moxifloxacin.” Diabetes, Obesity and Metabolism. 2007;9(4):542-549.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
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Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Diabetic Essentials
Diabetic-Approved Walking Shoe
Orthofeet Sprint — seamless, extra-depth, designed for neuropathic feet.
Seamless Diabetic Sock
OS1st FS4 — non-binding, moisture-wicking, protects fragile diabetic skin.
Recovery Slide for Indoor Wear
HOKA Ora 3 — protects diabetic feet from barefoot injury at home.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

When to See a Podiatrist
One unnoticed blister on a neuropathic foot can become a limb-threatening ulcer in under 14 days. Medicare covers diabetic shoes (A5500) and comprehensive foot exams annually for most diabetic patients with neuropathy or circulation concerns. Balance Foot & Ankle runs a dedicated diabetic limb-preservation program — vascular screening, offloading, ulcer care, and shoe fitting — all in one visit. Schedule your annual diabetic foot exam today.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Diabetic Foot Care Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for diabetic foot care
Advantages
- ✓ Daily inspection prevents amputation
- ✓ Most insurance covers DME
- ✓ Custom orthotics help
Considerations
- ✗ Daily commitment required
- ✗ Slow wound healing
- ✗ Charcot risk if neuropathy
Dr. Tom’s Recommended Products for diabetic foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Drew Moonwalker Diabetic Shoe Dr. Tom’s Pick
Best for: Medicare-covered diabetic footwear
Diabetic Compression Socks Dr. Tom’s Pick
Best for: Daily protection + circulation
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
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.
Frequently Asked Questions
Can a podiatrist help with neuropathy?
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