Dr. Tom’s Top Insole & Orthotic Picks
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases.
Dr. Tom’s Top Pain Relief Picks — Dr. Hoy’s (2026)
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. I personally use Dr. Hoy’s in my practice for patients who need topical relief.
| Product | Best For | Dr. Tom’s Take | Get It |
|---|---|---|---|
| Dr. Hoy’s Natural Pain Relief Gel 3.5oz menthol + arnica |
Plantar fasciitis · Achilles tendonitis · Sore muscles · Joint pain | My go-to topical. Cooling-then-warming sensation. No greasy residue. Non-NSAID alternative. | Buy Now |
| Dr. Hoy’s Arnica Boost 8oz with extra arnica |
Bruising · Post-injury · Sprains · Stress fractures (pain only) | Higher arnica concentration speeds recovery from acute injury. Use 4x daily for first 7 days. | Buy Now |
| Dr. Hoy’s Cooling Pain Relief 8oz extra menthol |
Acute inflammation · Hot/swollen feet · Post-run cooldown | Stronger cooling effect for acute swelling. Pair with ice for first 48 hours after injury. | Buy Now |
| Dr. Hoy’s Roll-On Pain Relief Roller applicator |
Mess-free application · Travel · Office use · No-touch hygiene | My patients love this for travel. Glides on without hand contact — cleanest application available. | Buy Now |
| Dr. Hoy’s Family Size 14oz pump bottle |
Frequent users · Multiple family members · Best value per ounce | If anyone in your home uses pain cream regularly, this is the most economical size. Same formula. | Buy Now |
Why I recommend Dr. Hoy’s over Biofreeze and Bengay: Cleaner ingredient list (no parabens, no synthetic dyes), longer-lasting effect, and the cooling-then-warming dual sensation actually addresses both inflammation and circulation. After 10 years of recommending different topicals, this is the one I keep coming back to.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
MLS Laser Therapy for Foot Pain: How It Works and What It Tr relates to foot pain — typically caused by overuse, footwear, or biomechanics. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM — Board-certified foot & ankle surgeon, 3,000+ surgeries performed. Updated April 2026 with current clinical evidence. This article reflects real practice experience from Balance Foot & Ankle Specialists in Howell and Bloomfield Hills, Michigan.
Quick Answer
Most foot and ankle problems respond to conservative care — proper footwear, supportive inserts, activity modification, and targeted stretching — within 4-8 weeks. Persistent pain beyond that window, or any symptom that prevents walking, warrants a podiatric evaluation to rule out fracture, tendon tear, or systemic cause.
Watch: Dr. Tom Biernacki, DPM
✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Medically reviewed by Dr. Tom Biernacki, DPM | Updated March 2026
Quick Answer
MLS (Multiwave Locked System) laser therapy is a painless, FDA-cleared treatment that uses dual-wavelength laser energy to reduce inflammation and accelerate tissue healing. Each session takes 10-15 minutes with no downtime. Most patients notice improvement within 3-6 sessions. MLS laser is effective for plantar fasciitis, Achilles tendinitis, neuropathy pain, arthritis, and post-surgical healing.
MLS Laser Therapy for Foot Pain: How It Works and What Conditions It Treats
MLS (Multi-wave Locked System) laser therapy is one of the most significant advances in conservative foot and ankle care over the past decade. It delivers measurable anti-inflammatory and tissue-regenerating effects without injections, surgery, or significant downtime. This guide explains the technology, the evidence, and the conditions for which it is most effective.
What Is MLS Laser Therapy?
MLS laser uses two synchronized wavelengths of infrared light — 808nm (continuous wave, anti-edema and analgesic) and 905nm (pulsed, anti-inflammatory and biostimulative) — delivered simultaneously. The synchronization of these two wavelengths produces a synergistic effect that exceeds what either wavelength achieves alone.
The laser energy penetrates tissue to reach the target — whether that is the plantar fascia, a nerve, a tendon, or bone — and triggers cellular processes that accelerate healing. It is FDA-cleared and has a strong evidence base that distinguishes it from earlier, less powerful laser devices.
How MLS Laser Differs from Other Laser Therapies
The MLS system is distinct from cold laser / LLLT (low-level laser therapy) devices. Cold laser devices operate at power levels too low to produce meaningful tissue effects in most clinical studies. The MLS system delivers substantially higher peak power through its pulsed 905nm component, enabling tissue penetration depths of 3–5 cm — sufficient to reach deeper structures in the foot and ankle.
Conditions Treated with MLS Laser
Plantar Fasciitis and Heel Pain
MLS laser reduces the inflammatory cycle at the plantar fascia insertion and promotes tissue healing. Multiple clinical studies show significant pain reduction and improved function in plantar fasciitis patients treated with MLS compared to sham laser. For chronic plantar fasciitis cases that have not responded to stretching, orthotics, or physical therapy alone, MLS is a highly effective next step before considering corticosteroid injection or surgery.
Peripheral Neuropathy
One of the most compelling applications is peripheral neuropathy — particularly diabetic neuropathy. The laser’s 905nm wavelength directly stimulates axonal regeneration and improves microcirculation in the nerves of the foot. Clinical studies show improvements in nerve conduction velocity, reduction in burning and tingling, and improved sensation scores after a series of MLS treatments. For patients who have failed medication-based neuropathy management, laser therapy offers a non-pharmacological option with a low side-effect profile.
Achilles Tendinopathy
Chronic Achilles tendinopathy involves degenerative changes in the tendon that are resistant to simple anti-inflammatory measures. MLS laser promotes collagen synthesis and neovascularization in degenerated tendon tissue, accelerating the remodeling process. Combined with eccentric loading rehabilitation, MLS significantly reduces the treatment timeline for Achilles tendinopathy.
Ankle Sprains and Sports Injuries
Post-injury edema and ligament inflammation respond well to early MLS treatment. Athletes who receive MLS laser within 24–48 hours of acute ankle injury demonstrate faster resolution of swelling and earlier return to activity compared to standard RICE-only management.
Arthritis (Osteoarthritis and Rheumatoid)
MLS laser reduces joint inflammation and provides meaningful pain relief in foot and ankle osteoarthritis. It does not reverse structural joint changes, but it reduces the inflammatory component of arthritis pain — often allowing patients to reduce or eliminate NSAID use.
Post-Surgical Healing
MLS laser applied to surgical incision sites and soft tissue repairs accelerates healing, reduces post-operative swelling, and improves scar quality. Many patients undergoing bunion surgery, hammertoe correction, or tendon repair benefit from post-operative laser treatments.
What to Expect During MLS Laser Treatment
Each treatment session takes 5–10 minutes. The laser handpiece is passed over the treatment area in a specific pattern. There is no pain — most patients feel a gentle warmth at most. No anesthesia is required. You can drive yourself and resume normal activities immediately after the session.
Treatment courses typically involve 6–10 sessions scheduled 2–3 times per week. Most patients notice improvement by sessions 3–4, with maximum benefit at the end of the treatment course. Some conditions (particularly neuropathy) benefit from maintenance sessions every 4–6 weeks to sustain improvement.
Is MLS Laser Covered by Insurance?
Currently, MLS laser therapy is not covered by most insurance plans — it is billed as a self-pay service. At Balance Foot & Ankle, we provide transparent pricing and package options to make laser therapy accessible. Many patients find that the cost compares favorably to ongoing medication costs, physical therapy copays, or the cost of a lost workday from a corticosteroid injection.
MLS Laser Therapy at Balance Foot & Ankle
📧 Get Dr. Tom’s Free Lab Test Guide
Discover the 5 lab tests every person over 35 should ask their doctor about — explained in plain English by a board-certified physician.
We offer MLS laser therapy at both our Howell (4330 E Grand River) and Bloomfield Hills (43494 Woodward Ave #208) locations. Our podiatrists integrate laser therapy into comprehensive treatment plans — not as a standalone service — to ensure you receive the full benefit of combined biomechanical, rehabilitative, and laser-based treatment. Call (810) 206-1402 or book online for a consultation.
More Podiatrist-Recommended Laser Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
OOFOS Recovery Slide
Impact-absorbing recovery sandal — wear after long days on your feet.
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
Laser treatment for toenail fungus has higher clearance rates than topicals alone, particularly for moderate-to-severe cases. Balance Foot & Ankle offers in-office laser fungal treatment — painless, 15-minute sessions, no medication side effects. Most patients see visible improvement in 3-6 months as new clear nail grows in.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Frequently Asked Questions
How many MLS laser sessions do I need?
Most conditions require 6–10 sessions for optimal results. Acute injuries may respond in as few as 3–4 sessions. Chronic conditions like neuropathy typically require the full course and may benefit from maintenance sessions.
Is MLS laser safe?
MLS laser has an excellent safety profile. The primary precaution is eye protection, which is provided for both patient and clinician during treatment. There are no known systemic side effects. It is not used over malignancy, pacemakers, or in pregnant patients.
Is MLS laser the same as shockwave therapy?
No — they are different technologies with different mechanisms and indications. Shockwave therapy delivers mechanical pressure waves to stimulate healing in chronic tendinopathies and calcific conditions. MLS laser uses light energy for anti-inflammatory and nerve/tissue regeneration effects. Both are evidence-based and can be used together for certain conditions.
Related Guides
- MLS Laser Therapy at Balance Foot & Ankle
- Plantar Fasciitis Treatment
- Neuropathy Treatment
- Book a Consultation
- Plantar Fasciitis Treatment Guide: What Works
- Achilles Tendinitis: Symptoms & Treatment
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
Get Directions →
Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentIn-Office Treatment at Balance Foot & Ankle
If home care isn’t resolving your your foot or ankle concern, a visit with a board-certified podiatrist is the fastest path to accurate diagnosis and a personalized plan. At Balance Foot & Ankle Specialists, Dr. Tom Biernacki, Dr. Carl Jay, and Dr. Daria Gutkin offer same-day and next-day appointments at both our Howell and Bloomfield Hills offices. We perform on-site diagnostic ultrasound, digital X-ray, conservative care, advanced regenerative treatments, and minimally invasive surgery when indicated.
Call (810) 206-1402 or request an appointment online. Most insurance plans accepted, including Medicare, Blue Cross Blue Shield, Aetna, Cigna, and United Healthcare.
Most Common Mistake We See
The most common mistake we see is: Waiting too long before seeking care. Fix: any foot pain lasting more than 4 weeks, or any sudden severe symptom, deserves a professional evaluation rather than more rest.
Warning Signs That Need Same-Day Care
Seek immediate evaluation at Balance Foot & Ankle if you experience any of the following:
- Unable to bear weight
- Severe swelling with skin colour change
- Fever with foot pain (possible infection)
- Diabetes plus any new foot symptom
Call (810) 206-1402 — same-day and next-day appointments at our Howell and Bloomfield Hills offices.
Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
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’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA — comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
CURREX RunProDr. Tom’s #1 Brand
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief — 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
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)
Recommended Products from Dr. Tom