Quick answer: Nursing Home Podiatry Michigan affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
- Every Resident Deserves Expert Foot Care
- On-Site Services We Provide at Nursing Facilities
- Why Facilities Choose Balance Foot & Ankle
- The Wellbridge Connection
- For Facility Administrators
- Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
- Your Board-Certified Podiatrists
- More Podiatrist-Recommended Foot Health Essentials
- Pros & Cons of Conservative Care for foot care
- Dr. Tom’s Recommended Products for foot care
The most important clinical decision with Nursing Home Podiatry Michigan isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Related Conditions
Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026
Nursing Home Podiatry in Michigan — Bringing Expert Foot Care to Your Facility
Every Resident Deserves Expert Foot Care
Residents in nursing homes and assisted living facilities deserve the same quality foot care as anyone else — and Balance Foot & Ankle delivers it. We provide on-site podiatric services to long-term care facilities across Livingston and Oakland Counties, bringing our expertise directly to your residents without requiring transport.
On-Site Services We Provide at Nursing Facilities
Regular nail care (trimming, filing, debriding thick nails), callus and corn debridement, comprehensive diabetic foot assessments, wound evaluation and treatment, fungal nail assessment and treatment, custom orthotic fitting and diabetic shoe fitting, MLS laser therapy (portable unit for on-site treatment), fall risk foot assessment, and coordination with facility medical directors and nursing staff.
Why Facilities Choose Balance Foot & Ankle
Board-certified podiatrists — not technicians. Advanced technology including portable laser therapy. Medicare and Medicaid billing handled by our office. Flexible scheduling accommodating facility routines. Direct coordination with residents’ PCPs, including Vassallo Medical Group which directs the Wellbridge facilities in Brighton, Pinckney, and Fenton.
The Wellbridge Connection
Dr. Vassallo serves as medical director for Wellbridge Rehabilitation Centers in Brighton, Pinckney, and Fenton. We coordinate closely with Wellbridge medical teams to ensure continuity of foot care for patients transitioning between rehabilitation and long-term residence.
For Facility Administrators
If you’re a nursing home administrator, assisted living director, or rehabilitation facility manager in Livingston or Oakland County, we’d welcome the opportunity to discuss bringing expert podiatric services to your residents. Call us directly at (810) 206-1402.
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success rate
✅ Magnetotransduction (EMTT) — Deep electromagnetic healing
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
✅ In-Office X-Ray & Ultrasound
✅ Diabetic Shoe Program — Medicare-covered
📞 (810) 206-1402 | Howell & Bloomfield Township
Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
At Balance Foot & Ankle, Michigan patients receive comprehensive podiatric care across the full spectrum of foot and ankle conditions. Our fellowship-trained podiatrists provide conservative and surgical treatment for all foot and ankle pathology — from plantar fasciitis, bunions, and nail disorders to complex reconstructive surgery, diabetic foot care, and sports injuries. Our clinical approach prioritizes accurate diagnosis, evidence-based treatment selection, and honest communication with patients about realistic outcomes.
We serve patients in Livingston and Oakland counties from two convenient Michigan locations: our Howell office at 4330 E Grand River (serving Brighton, Hartland, Pinckney, Howell, and all of Livingston County) and our Bloomfield Township office at 43494 Woodward Ave #208 (serving Troy, Birmingham, West Bloomfield, Farmington Hills, and all of Oakland County). Both offices offer in-office X-ray, same-week new patient appointments, and a full range of diagnostic and treatment services. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Medicare, and most Michigan insurance plans. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.
Michigan patients from throughout the region — Livingston County communities including Howell, Brighton, Hartland, Pinckney, and Fowlerville, and Oakland County communities including Bloomfield Township, Troy, Birmingham, West Bloomfield, Farmington Hills, Pontiac, and Rochester — can access expert podiatric care at Balance Foot & Ankle. Our clinical team is committed to providing the highest standard of foot and ankle care available in Southeast Michigan, from routine preventive care to complex surgical intervention. Call (810) 206-1402 to schedule — we look forward to serving you at our Howell or Bloomfield Township location.
Scheduling with Balance Foot & Ankle is straightforward — call (810) 206-1402 during business hours and our front desk team will find an appointment time that works for your schedule, verify your insurance coverage before the visit, and answer any preliminary questions you have about what to expect. Our Howell office at 4330 E Grand River has convenient parking and is easily accessible from I-96, M-59, and Grand River Avenue. Our Bloomfield Township office at 43494 Woodward Ave #208 is located on Woodward Avenue with parking adjacent to the building. Both locations are accessible by patients throughout Southeast Michigan, and our team looks forward to providing you with the professional, evidence-based podiatric care that you and your feet deserve.
Related Treatment Guides
- Diabetic Foot Care
- Corn & Callus Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
Michigan patients are welcome to call Balance Foot & Ankle at (810) 206-1402 to learn more about the specific services available at our practice, confirm insurance coverage, or schedule a new patient appointment. Our Howell office serves Livingston County patients with convenient access from the Howell, Brighton, Hartland, and Pinckney communities. Our Bloomfield Township office serves Oakland County patients with convenient access from the Birmingham, Troy, West Bloomfield, and Farmington Hills communities. Both offices welcome new patients and provide the same high standard of podiatric care that Livingston and Oakland county residents have come to expect from Balance Foot & Ankle.
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
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📍 Located in Michigan?
Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
More Podiatrist-Recommended Foot Health Essentials
Hoka Clifton 10
Hoka Men’s Clifton 10 Black/White 10 Medium
- JACQUARD KNIT UPPER
- Lining Textile
Max-cushion everyday shoe — podiatrist favorite for walking and running.
PowerStep Pinnacle Insole
PowerStep Pinnacle Insoles, Orthotics for Plantar Fasciitis Relief, Made in USA Orthotic Insoles, Arch Support Inserts with Moderate Pronation, #1 Podiatrist Recommended (M 14-15)
- The Pinnacle Full length insoles for men & women provide maximum cushioning, from high activity to moderate support. The PowerStep arch support shape provides stability to the foot and ankle, helping to relieve foot pain.
- When you spend all day on your feet, every step counts. PowerStep insoles are a podiatrist-recommended orthotic to help relieve & prevent foot pain related to athletes, runners, Plantar Fasciitis, heel spurs & other common foot, ankle & knee injuries
- The Pinnacle plantar fasciitis insoles offer superior heel cushioning and arch support. The dual-layer cushioning is designed to reduce stress and fatigue, while PowerStep premium arch support is designed for plantar fasciitis relief.
- The PowerStep Pinnacle arch support inserts for men & women can be worn in a variety of shoe types such as; athletic, walking, running, work & some casual shoes. Orthotic Inserts are ordered by shoe size, no trimming required.
- Made in the USA & backed by a 30-day money-back guarantee. PowerStep orthotic inserts for men & women are designed for shoes where the factory insole can be removed. HSA & FSA Eligible
The podiatrist-recommended over-the-counter orthotic.
OOFOS Recovery Slide
OOFOS OOahh Recovery Slide, Black – Women’s Size 14, Men’s Size 12
- The Original Recovery Footwear.
- Finding Your Size – For your perfect fit, consult the “size chart” link above. Wear a half size? In general, we recommend that women who wear a ½ size size UP, and men who wear a ½ size size DOWN
- OOahh – An evolution of the OOriginal, the OOahh slide features our proven foundation of OOfoam technology + patented footbed design with a slide-style strap that has become a best-seller in the OOFOS line
- OOfoam Technology – Our revolutionary OOfoam technology absorbs 37% more impact than traditional footwear foams to reduce the stress on your feet, joints & back. Plus, the closed-cell foam is machine washable and designed to minimize odor
- Patented Footbed – Our patented footbed cradles and supports arches to reduce energy exertion in the ankles by up to 47% compared to competitors’ footwear. So walking is easier. Recovery is faster. And yOO feel better
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
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Township clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Township
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 Township. 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 Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Visit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.
Same-day appointments available. (810) 206-1402
Doctor Hoy’s Natural Pain Relief Gel
Natural topical pain relief I use in our clinic. Arnica + camphor formula — apply directly to the area 3–4x daily. ($20–25)
Related Care at Balance Foot & Ankle
Clinical foot and ankle services at our Howell and Bloomfield Township offices.
Get Expert Care at Balance Foot & Ankle
Same-week appointments at our Howell and Bloomfield Township offices. Board-certified podiatric surgeons. Most insurance accepted.
Ready for Expert Care?
Same-day appointments in Howell & Bloomfield Township, MI.
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
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.
More questions patients ask
Does Medicare cover podiatry visits in nursing homes?
Yes — Medicare Part B covers medically necessary podiatry services in nursing home and skilled nursing facility settings. Coverage includes: treatment of infected nails or ingrown toenails, wound care for foot ulcers, diabetic foot exams, callus and corn removal when clinically significant, and evaluation of foot conditions related to systemic diseases. Balance Foot & Ankle provides Medicare-covered podiatry to nursing facilities in Livingston and Oakland Counties.
How often should nursing home residents see a podiatrist?
Nursing home residents with diabetes, neuropathy, poor circulation, or history of foot ulcers should have podiatric evaluation every 6-8 weeks. Residents without significant foot health risk factors benefit from quarterly visits. Facilities that implement regular podiatric care see significantly reduced foot ulcers, infections, and hospitalizations. Balance Foot & Ankle offers routine nursing home visit schedules. Call (810) 206-1402.
What foot problems are common in nursing home residents?
Common foot problems in nursing home residents include: thick fungal toenails (difficult for residents to manage independently), ingrown toenails, pressure ulcers on heels and ankles from bed rest, diabetic foot complications, calluses and corns, peripheral neuropathy complications, venous stasis wounds, hallux valgus, and general deconditioning of foot musculature. Regular podiatric visits prevent many of these from becoming serious.
Can a podiatrist come to our nursing facility in Michigan?
Yes — Balance Foot & Ankle provides on-site podiatry services to nursing homes, assisted living facilities, memory care units, and rehabilitation centers throughout Livingston County and Oakland County, Michigan. Dr. Biernacki and our team bring professional equipment for complete foot care. We work with facility nursing staff and coordinate with patients' medical teams. Contact (810) 206-1402 to establish a visiting podiatry schedule for your facility.
Why is podiatry important in nursing homes?
Nursing home residents have extremely high rates of foot problems: over 80% have significant foot pathology; common issues include thickened fungal nails, ingrown toenails, pressure wounds, neuropathy, and diabetic complications. Poor foot health leads to: falls (leading cause of nursing home injury); reduced mobility and activity; pain that impairs quality of life and cognitive function; and preventable infections that require hospitalization. Regular on-site podiatric care significantly reduces these complications and hospitalizations. Balance Foot & Ankle provides on-site nursing home podiatry services in Michigan — call (810) 206-1402.
Does Medicare cover podiatry in nursing homes?
Yes — Medicare Part B covers medically necessary podiatric services for nursing home residents with qualifying conditions. Covered care includes: treatment of foot conditions (wounds, infections, painful nails); nail debridement for mycotic nails; diabetic foot exams; and surgical procedures. The Medicare 'routine foot care' exclusion applies to nursing home residents the same as other beneficiaries — coverage for nail trimming requires documented systemic conditions (diabetes, neuropathy, PAD). Balance Foot & Ankle's on-site podiatrist handles Medicare documentation and billing.
How does an on-site nursing home podiatry program work?
Balance Foot & Ankle's on-site nursing home podiatry program: we schedule regular visits (typically monthly or bi-monthly) to your facility; a podiatrist evaluates and treats all residents on the schedule and any urgent cases; we provide all necessary equipment and supplies; documentation is completed in the facility's EMR system; we coordinate with nursing staff and facility medical directors; billing is handled directly with Medicare/Medicaid and secondary insurance; and we provide staff education on foot care and early problem identification. Call (810) 206-1402 to discuss establishing a program.
Does Balance Foot & Ankle provide podiatry services to Michigan nursing homes?
Yes, Balance Foot & Ankle provides comprehensive on-site podiatry to nursing homes throughout Livingston County (Howell, Brighton area) and Oakland County (Bloomfield Township area). Our licensed podiatrists make regular facility visits and handle all Medicare and Medicaid billing. Call (810) 206-1402.
What podiatry services does Balance Foot & Ankle offer at Michigan nursing homes?
Balance Foot & Ankle provides complete podiatric care at Michigan nursing homes including diabetic foot exams, nail debridement, wound care, callus removal, infection assessment, fall risk evaluation, orthotic review, footwear recommendations, Medicare/Medicaid billing, and CMS compliance documentation.
How do Michigan nursing homes benefit from a regular podiatry program?
Regular podiatry from Balance Foot & Ankle improves wound care outcomes, reduces preventable complications, supports CMS survey compliance, improves resident comfort and quality of life, reduces ER visits from foot infections, and provides revenue-generating services for eligible residents. Call (810) 206-1402.
How often does Balance Foot & Ankle visit Michigan nursing homes?
Balance Foot & Ankle typically visits Michigan nursing homes every 6–8 weeks, though facilities with higher resident complexity may arrange monthly visits. We establish a recurring schedule that balances resident needs with facility workflow. Call (810) 206-1402 to discuss scheduling.
How does Balance Foot & Ankle's nursing home podiatry program support CMS quality measures?
Balance Foot & Ankle's thorough documentation, wound measurement, diabetic foot protocols, and fall prevention foot assessments directly support Michigan nursing homes' performance on CMS quality measures related to wound care, diabetic care, and fall prevention. Call (810) 206-1402 to establish a partnership.
Still have a question about coverage or cost? Call (810) 206-1402 and we will check your benefits before you come in — or book online: Book in Howell · Book in Bloomfield Township