Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan
Quick Answer:
Quick Answer: Balance Foot & Ankle is Howell’s local podiatric practice. Dr. Tom Biernacki provides comprehensive foot and ankle care right in Howell, MI — heel pain, ingrown toenails, toenail fungus, sports injuries, bunions, diabetic foot care, and custom orthotics. No long drive required. Most insurance plans accepted including BCBS, Aetna, Medicare, and more.

Your Local Foot & Ankle Specialist in Howell, Michigan
Howell residents no longer need to drive to Detroit-area health systems for expert podiatric care. Dr. Tom Biernacki at Balance Foot & Ankle is Livingston County’s local podiatric specialist — providing fellowship-trained, comprehensive foot and ankle care right here in Howell. From heel pain and ingrown toenails to bunion surgery and diabetic wound care, Dr. Biernacki delivers the expertise of a major medical center with the personal attention only a private practice can offer.
Everything We Treat in Howell
Our Howell patients represent the full spectrum of podiatric conditions: plantar fasciitis, heel spurs, Achilles tendinitis, ingrown and fungal toenails, bunions, hammertoes, neuromas, diabetic foot ulcers and preventive care, ankle sprains and chronic instability, flat feet and custom orthotics, sports injuries, skin and nail infections, and complex surgical reconstruction. If it involves the foot or ankle, Dr. Biernacki manages it — or provides a direct referral to the appropriate specialist if needed.
Why Howell Chooses Balance Foot & Ankle
Livingston County patients choose us because we deliver subspecialty podiatric expertise without the wait times, impersonal care, or geographic inconvenience of larger health systems. Dr. Biernacki takes same-week new patient appointments, performs most procedures and injections during the initial visit, and provides on-site digital X-ray and diagnostic ultrasound. Most major insurance plans are accepted — BCBS, Aetna, Cigna, United Healthcare, Priority Health, Medicare, and several Medicaid managed care plans.
Serving All of Livingston County from Our Howell Location
Our Howell office serves as the podiatric hub for the entire Livingston County community — Brighton, Hamburg Township, Hartland, Pinckney, Fowlerville, and all surrounding townships. Whether you’re a competitive runner, a diabetic patient requiring regular foot monitoring, or a parent concerned about your child’s flat feet, Balance Foot & Ankle in Howell has you covered.
Dr. Tom's Product Recommendations

PowerStep Pinnacle Orthotic Insole
⭐ Highly Rated | Foundation Wellness Partner | 30% Commission
Dr. Biernacki’s most recommended OTC orthotic for Howell patients with flat feet and plantar fasciitis. Provides superior arch support and motion control at a fraction of custom orthotic cost.
Dr. Tom says: “Dr. Biernacki recommended these while my custom orthotics were being made. My heel pain improved so much even with the OTC version.”
Flat feet, plantar fasciitis, overpronation, general arch support
Severe structural conditions requiring prescription custom orthotics
Disclosure: We earn a commission at no extra cost to you.

Silipos Gel Ankle Sleeve
⭐ Highly Rated | Foundation Wellness Partner | 30% Commission
Soft gel ankle sleeve that provides mild medial and lateral support with comfortable compression for daily ankle pain management. Widely used by Howell patients for Achilles and ankle soreness.
Dr. Tom says: “Wear this around the house and to work. Dr. Biernacki approved it for my mild ankle arthritis between my PT visits.”
Mild ankle pain, arthritis, Achilles soreness, post-sprain mild swelling
Structural instability or acute sprains requiring rigid bracing
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- Howell’s local podiatric specialist — no long drive to metro Detroit required
- Fellowship-trained podiatric surgeon with full surgical capability
- Same-week new patient appointments in most cases
- On-site X-ray, ultrasound, and full diagnostic capability
❌ Cons / Risks
- One office location — patients from far western or eastern Livingston County have a short drive
- Surgical cases requiring hospital facilities scheduled at partner facilities
Dr. Tom Biernacki’s Recommendation
Howell is home base for our practice and I’m proud to serve the entire Livingston County community. This is a wonderful area with incredible people and I want every resident to have access to top-quality podiatric care right here — without having to drive an hour each way.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
Where exactly is Balance Foot & Ankle located in Howell?
We’re located in Howell, Michigan — call our office or visit our website for exact address and directions. We’re centrally located for easy access from all parts of Livingston County.
Do you accept walk-ins for urgent foot problems?
We prioritize urgent cases — please call first so we can prepare for your arrival and confirm availability. Same-day appointments for acute problems are a priority.
Do you provide diabetic foot care for Livingston County patients?
Yes — diabetic foot care is one of our core services. We provide regular preventive monitoring, nail care, vascular screening, wound management, and ulcer prevention for diabetic patients throughout Livingston County.
Can I get foot surgery in Howell?
Minor in-office procedures are performed directly at our Howell office. More complex surgeries are performed at partner surgical facilities in the Livingston County and surrounding area.
Michigan Foot Pain? See Dr. Biernacki In Person
4.9★ rated | 1,123 Reviews | 3,000+ Surgeries
Same-week appointments · Howell & Bloomfield Hills
📞 (810) 206-1402 Book Online →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.
- Plantar Fasciitis: Diagnosis and Conservative Management (PubMed)
- Plantar Fasciitis (APMA)
- Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
- Heel Pain (APMA)