✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

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Normal Foot and Ankle X Ray Images

Normal Foot and Ankle X Rays: The human foot has 26 bones and 33 joints. There are more than a hundred muscles, tendons and ligaments. This is a very complex structure due to the need to support your entire body weight. The foot is a very stable composition of bones supported by strong ligaments.        

Normal Foot and Ankle X Ray Anatomy:

The Phalanges (14): Each of the lesser toes are composed of 3 bones each. The big toe is made up of only 2 bones. The great toe is called the hallux. The Metatarsal bones (5): first, second, third, fourth, and fifth metatarsal bone. These are the longest bones in the foot. The tarsal bones (7): the talus, calcaneus, cuneiformes (3), cuboid, and navicular. The tibia and fibula make up just above the ankle.  

Normal Foot and Ankle X Ray Anatomy:

The foot and ankle can be subdivided into 4 different parts: the rear foot, the mid foot, and the forefoot: The Ankle is comprised of the talus, the tibia and the fibula. The rearfoot is is composed of the talus and the calcaneus (heel bone). The two long bones of the lower leg, the tibia and fibula, are connected to the top of the talus to form the ankle. The midfoot is composed of 5 bones: These bones are the cuboid, the navicular, and three cuneiform bones. These 5 bones compose the arch of the foot. These 5 bones connect the rear foot to the forefoot. The forefoot is composed of five toes and 5 metatarsals. The bones of the toes are called phalanges and the big toe has two phalanges while the other four toes have three phalanges each. The joints between the phalanges are called interphalangeal and those between the metatarsus and phalanges are called metatarsophalangeal joints.       Pain in the Feet has many causes and can be localized to different areas (toenails, heels, big toes). In addition, pain in each location can be caused by many conditions and health problems. Scan the list below, and let us help you find the cause of your chronic pain in the feet.  

Michigan Podiatric Care at Balance Foot & Ankle: Comprehensive Foot and Ankle Services

At Balance Foot & Ankle, Michigan patients receive expert podiatric care for the full range of foot and ankle conditions, delivered by fellowship-trained podiatric surgeons at our Howell (4330 E Grand River) and Bloomfield Hills (43494 Woodward Ave #208) offices. Same-week new patient appointments are available; we accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. In-office digital X-ray and musculoskeletal ultrasound allow same-visit diagnostic imaging. Our services include custom orthotics, diabetic foot care, toenail care, wound care, injection therapy, EPAT for tendinopathy, and the full spectrum of foot and ankle surgical procedures. Michigan patients with any foot or ankle concern can call (810) 206-1402 to schedule with Balance Foot & Ankle.

Foot Pain Evaluation and Treatment in Michigan: Balance Foot & Ankle

Michigan patients with foot pain deserve a thorough clinical evaluation that identifies the specific cause and directs effective treatment. At Balance Foot & Ankle, our fellowship-trained podiatric surgeons use weight-bearing digital X-rays, musculoskeletal ultrasound, and detailed clinical examination to establish accurate diagnoses for foot pain conditions — distinguishing plantar fasciitis from Baxter’s nerve entrapment, metatarsalgia from Morton’s neuroma, posterior tibial tendon dysfunction from tarsal tunnel syndrome, and stress fractures from soft tissue injuries. Treatment follows the diagnosis: custom orthotics, injection therapy, EPAT, bracing, physical therapy, or surgical correction depending on the condition and its severity. Michigan foot pain patients can call Balance Foot & Ankle at (810) 206-1402 for a diagnostic evaluation at our Howell or Bloomfield Hills location.

Michigan Foot Doctor: Why Patients Choose Balance Foot & Ankle

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Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Foot & Ankle Arthritis Treatment

Michigan patients choose Balance Foot & Ankle for podiatric care because our fellowship-trained surgeons combine clinical depth with a patient-centered approach — thorough evaluations, clear explanations, and treatment plans designed for the individual patient’s goals and circumstances. We provide same-week new patient appointments at our Howell (4330 E Grand River) and Bloomfield Hills (43494 Woodward Ave #208) offices, with in-office digital X-ray for same-visit imaging. We accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. From conservative care — custom orthotics, injection therapy, EPAT — to surgical correction of foot and ankle conditions, our Michigan patients receive evidence-based care that addresses the root cause of their foot problems. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

References

1. Barg A, et al. Weightbearing computed tomography of the foot and ankle: emerging technology. Foot Ankle Int. 2018;39(3):376-386.
2. Coughlin MJ, et al. Radiographic analysis of hallux valgus deformity. Foot Ankle Int. 2006;27(10):804-811.
3. Saltzman CL, et al. Measurement of the alignment of the hindfoot using weight-bearing radiographs. J Bone Joint Surg Am. 1995;77(12):1791-1802.

Podiatrist-Recommended Products

🏆 Doctor Hoy’s Natural Pain Relief Gel — Top recommendation for reducing foot pain and inflammation naturally.

PowerStep Pinnacle Orthotic Insoles — Physician-grade arch support in an OTC package.

CURREX Support Insoles — Dynamic arch support in multiple profiles.

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.