Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Peripheral neuropathy near Novi has over 100 different causes — and the specific cause determines whether the nerve damage is reversible or permanent. A nerve conduction study combined with targeted bloodwork identifies the underlying driver and whether treatment can stop further progression. Call (810) 206-1402 — neuropathy evaluation in Novi.
Neuropathy treatment close to Novi
Novi residents dealing with burning, numbness, or tingling that starts in the toes and spreads upward have a close specialist option: Balance Foot & Ankle in Bloomfield Hills, just 15 minutes east via Haggerty Rd to M-5. Peripheral neuropathy is not one diagnosis — it’s a symptom cluster with multiple underlying causes, and each cause needs different treatment. Getting that right at a specialist is the critical first step.
Our Bloomfield Hills office evaluates neuropathy from all major causes: diabetic peripheral neuropathy, tarsal tunnel syndrome (a nerve compression at the inner ankle that frequently mimics systemic neuropathy), idiopathic neuropathy, B12 deficiency, thyroid dysfunction, and medication side effects. We don’t just manage symptoms — we investigate causes. For patients where conservative management isn’t enough, tarsal tunnel decompression surgery provides significant and lasting relief. Learn more about our neuropathy treatment options.
Key takeaway: The most common neuropathy mistake we see in our clinic is patients with tarsal tunnel syndrome — a treatable nerve compression — who have been on gabapentin for years without a structural foot exam. A proper podiatric evaluation can distinguish tarsal tunnel from generalized neuropathy and change the treatment plan entirely.
What to expect at your appointment
Your evaluation at our Bloomfield Hills office takes approximately 45–60 minutes. We perform a thorough sensory exam (monofilament, vibration, sharp/dull), structural assessment of the foot and ankle, vascular screening, and in-office Tinel’s testing for tarsal tunnel syndrome. We review all current medications — many common drugs can cause or worsen neuropathy.
Where nerve conduction studies are indicated, we provide a focused NCS/EMG referral with a specific clinical question to make your results actionable. We coordinate with your primary care physician and endocrinologist on systemic management while we handle the foot and ankle component directly. Same-day appointments are frequently available.
⚠️ When to see a podiatrist promptly:
- A wound on your foot you discovered without pain
- Rapidly worsening numbness over days (not gradual progression)
- Symptoms on one side only — asymmetric neuropathy needs urgent evaluation
- Any foot symptom with active diabetes, even if mild
Why Balance Foot & Ankle for Novi patients
Dr. Tom Biernacki, DPM has performed over 3,000 foot and ankle surgeries including tarsal tunnel releases, and his YouTube channel @MichiganFootDoctors has reached 950,000+ subscribers with patient-focused neuropathy education. For Novi patients, our Bloomfield Hills office is the closest specialist destination with in-house diagnostic capability and same-day availability.
We accept Medicare Part B for diabetic foot care including annual exams, therapeutic shoe fitting (A5500/A5501 diabetic shoes), and custom orthotics with proper documentation. Most commercial insurers we work with cover neuropathy evaluation and orthotics when medically indicated. 4.9★ | 1,100+ reviews.
Insurance & scheduling for Novi patients
We accept Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Priority Health, and Medicare. From Novi: take Haggerty Rd north to M-5 east, continue to Woodward Ave, then south to 43494 Woodward Ave #208, Bloomfield Hills MI 48302 — approximately 15 minutes.
American Podiatric Medical Association: Neuropathy
Ready to Get Relief?
Same-day appointments available in Howell & Bloomfield Hills, MI
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
Doctor Answer
What treatments are available for peripheral neuropathy in the feet?
Peripheral neuropathy treatment focuses on controlling the underlying cause (such as diabetes or nutritional deficiencies), managing symptoms with medications, and protecting the feet from unnoticed injury. Custom orthotics, supportive footwear, and topical agents also help relieve burning and tingling sensations. Dr. Tom Biernacki at Balance Foot & Ankle provides comprehensive neuropathy care in Novi, MI, improving quality of life and preventing serious foot complications.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) 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 made him one of the most-followed foot & ankle educators on YouTube.