Resting foot pain, non-healing wounds, blue toes — PAD warning signs that mean urgent vascular evaluation.
You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what peripheral arterial disease — limb-threatening symptoms means and what works. Call (810) 206-1402 for same-day appointment at Howell or Bloomfield Hills.
Quick answer: Peripheral Arterial Disease Feet Limb Threatening Symptoms is a clinical condition that responds to evidence-based treatment when caught early. Symptoms include pain, swelling, and altered function. Diagnosis requires clinical exam, often imaging. Treatment ladder: conservative care first (4-6 weeks), then targeted interventions if needed. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Hills, MI. Last updated April 2026.
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Medically Reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist, Balance Foot & Ankle Specialists, Michigan. Last updated April 2026.
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Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Hills Office
43494 Woodward Ave, Suite 208
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentWatch: Peripheral Arterial Disease
Dr. Tom covers peripheral arterial disease (PAD) in feet — limb-threatening symptoms, screening, and urgency.
PAD Foot Care Kit
PAD feet need gentle, daily care — ulceration risk is real. Dr. Tom’s kit:
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Improves venous return without compromising arterial flow.
Prevents cracking without between-toes application.
Daily foot inspection is non-negotiable with PAD.
Prevents friction in compromised-circulation feet.
Related: Diabetic Foot Care · Foot Pain Treatment · Book Same-Week Appointment
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Peripheral Arterial Disease (PAD) Foot Care in Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Dr. Tom’s Vascular & Neurological Condition Picks
DASS Medical Compression Socks — Graduated medical compression for vascular and neurological conditions. Diabetic-friendly knit. Multiple mmHg levels (15–20, 20–30). Unlike most OTC socks, DASS is truly graduated.
PowerStep Pinnacle Insoles — Reduces mechanical stress on compromised limbs. The OTC I recommend for patients who can’t tolerate full custom orthotic load.
Disclosure: We earn a commission if you purchase — at no extra cost to you. We only recommend what we use in our clinic.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your foot and ankle conditions, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
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)
Shop Doctor Hoy’s →
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.