Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan
Quick Answer:
Quick Answer: Balance Foot & Ankle in Howell serves patients from Ferndale, Royal Oak, Berkley, Clawson, and the Oakland County communities along Woodward Avenue. The Howell office is approximately 50–60 minutes from Royal Oak via I-696 West to I-96 West to M-59. Dr. Biernacki provides expert podiatric care for active adults, athletes, and patients with complex foot and ankle conditions. Telehealth consultations available at MichiganFootDoctors.com.

Ferndale and Royal Oak are among metro Detroit’s most vibrant and culturally active communities—dense, walkable urban centers along the Woodward Avenue corridor with thriving restaurant and arts scenes, strong cycling and running communities, and a young professional and active-adult population. Balance Foot & Ankle in Howell, Michigan serves patients from both cities who seek expert foot and ankle care at a private practice committed to individual attention and evidence-based treatment.
Getting to Balance Foot & Ankle from Ferndale and Royal Oak
From Royal Oak, the drive to Howell is approximately 50–60 minutes via I-696 West to I-96 West to M-59—a direct freeway route through western Oakland County. From Ferndale, the same route via I-696 West is equally direct. Many Royal Oak and Ferndale patients find that scheduling late morning or early afternoon appointments avoids the worst rush hour traffic on the I-696 corridor.
For patients who prefer to start with a remote evaluation, Dr. Biernacki offers telehealth initial consultations at MichiganFootDoctors.com—available 24/7. The tech-forward culture of Ferndale and Royal Oak makes telehealth a natural fit for patients who want efficient, no-commute initial assessment before deciding on an in-person visit.
Active Community Foot and Ankle Needs Along the Woodward Corridor
Ferndale and Royal Oak have some of metro Detroit’s highest rates of cycling, running, and walkable-neighborhood foot traffic. The Ferndale and Royal Oak communities support active lifestyles: the Royal Oak Farmers Market running scene, the Woodward Dream Cruise crowd’s long days of walking, the Arts and Beer festivals, and the dense network of sidewalks and parks that keep residents on their feet year-round. This active, on-your-feet culture produces a consistent demand for sports podiatry:
Running injuries including plantar fasciitis, stress fractures, and peroneal tendinopathy are common in the Royal Oak and Ferndale running communities. Dr. Biernacki works with runners on biomechanical analysis, custom orthotics, and return-to-run protocols that get patients back on their preferred routes without simply telling them to rest for six weeks.
Cycling-related foot conditions—including metatarsal pain from clipless pedal pressure, cyclist’s neuroma (numbness and tingling under the forefoot from nerve compression in cycling shoes), and saddle-position-related knee overuse that transfers stress to the foot—are conditions Dr. Biernacki sees frequently from the Woodward cycling community.
Dress and fashion footwear conditions are also prevalent in Royal Oak’s active social scene—bunion aggravation from pointed dress shoes, Morton’s neuroma from high heels, and hammertoe pain from narrow stylish footwear. Dr. Biernacki addresses these conditions with realistic, lifestyle-compatible treatment plans.
Expert Services for Royal Oak and Ferndale Patients
Dr. Biernacki provides comprehensive foot and ankle services for patients from the Woodward corridor communities:
Sports and running injury management: Biomechanical assessment, custom orthotics, cortisone and PRP injections, and sport-specific rehabilitation. Bunion and hammertoe correction: Minimally invasive techniques with 4–6 week return to regular footwear—compatible with the active social and professional lives of Royal Oak and Ferndale patients. Morton’s neuroma management: Ultrasound-guided alcohol sclerosing injection series (an alternative to surgery with 60–80% success rates), cortisone injection, and surgical excision when conservative measures fail. Ankle instability: Bracing protocols and surgical stabilization for athletes with recurrent sprains.
Balance Foot & Ankle accepts Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Priority Health, Medicare, and Medicaid. Schedule online at MichiganFootDoctors.com or call (517) 579-1881 for same-day urgent evaluation when needed.
Dr. Tom's Product Recommendations
Altra Paradigm Wide Toe Box Running Shoes
⭐ Highly Rated | Foundation Wellness Partner | 30% Commission
Zero-drop, foot-shaped running shoes for Royal Oak and Ferndale runners—natural toe splay reduces metatarsal pressure and bunion aggravation.
Dr. Tom says: “Best shoes for my foot since I started having bunion issues—no more forefoot cramping on my Woodward runs.”
Runners and active walkers with bunions, metatarsalgia, or hammertoes needing wider toe-box
Runners who need significant heel-to-toe drop for Achilles or plantar fascia management
Disclosure: We earn a commission at no extra cost to you.
Metatarsal Gel Pads for Forefoot Pain
⭐ Highly Rated | Foundation Wellness Partner | 30% Commission
Gel metatarsal pads that redistribute forefoot pressure—useful for Morton’s neuroma and metatarsalgia from dress shoes and high heels.
Dr. Tom says: “These let me wear my favorite boots to events in Royal Oak without the burning ball-of-foot pain.”
Morton’s neuroma and metatarsalgia patients needing forefoot pressure relief in dress footwear
Patients with confirmed Morton’s neuroma requiring injection or surgical treatment for definitive management
Disclosure: We earn a commission at no extra cost to you.
PowerStep Pinnacle CARBON Thin Insoles for Cycling Shoes
⭐ Highly Rated | Foundation Wellness Partner | 30% Commission
Ultra-thin carbon fiber insoles for cycling shoes—reduces metatarsal pressure at the clipless pedal contact point for Woodward corridor cyclists.
Dr. Tom says: “Eliminated the forefoot numbness I was getting during longer rides in Royal Oak.”
Cyclists with forefoot pain and cyclist’s neuroma from clipless pedal pressure
Runners or walkers who need cushioning rather than structural support insoles
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- 50–60 minute drive from Royal Oak and Ferndale via I-696 West—manageable from the Woodward corridor
- Telehealth initial consultations ideal for Ferndale and Royal Oak’s tech-forward patient population
- Experience treating running, cycling, and active lifestyle foot conditions specific to this community
❌ Cons / Risks
- 50–60 minute drive is significant for routine follow-up visits from Royal Oak and Ferndale
- Both communities have local podiatric options at Beaumont and Henry Ford system clinics
- Post-surgical follow-up visits require multiple drives west for Woodward corridor patients
Dr. Tom Biernacki’s Recommendation
Royal Oak and Ferndale patients tend to be active, health-conscious, and well-researched about their conditions—they’ve often already read about their diagnosis online before they arrive. I appreciate that engagement. The Woodward corridor running and cycling community produces some interesting presentations: cyclist’s forefoot numbness from saddle and cleat setup issues, running-related stress fractures, and Morton’s neuromas from pointed fashion footwear that doubles as walking shoes on Royal Oak’s restaurant strip. We have solutions for all of it—and the drive out to Howell is worth it for the level of care and personal attention we provide.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
How far is Balance Foot & Ankle from Royal Oak, Michigan?
Balance Foot & Ankle in Howell is approximately 50–60 minutes from Royal Oak via I-696 West to I-96 West to M-59. Telehealth initial consultations are available for Royal Oak patients who want preliminary assessment before the drive.
Does Dr. Biernacki see patients from Ferndale?
Yes—Dr. Biernacki welcomes patients from Ferndale, Royal Oak, Berkley, Clawson, and the broader Woodward Avenue corridor Oakland County communities at Balance Foot & Ankle in Howell.
What insurance is accepted from Royal Oak and Ferndale patients?
Balance Foot & Ankle accepts Blue Cross Blue Shield of Michigan, Aetna, Cigna, United Healthcare, Priority Health, Medicare, and Medicaid. Call (517) 579-1881 to verify your specific plan.
Can I start with a telehealth consultation from Ferndale?
Yes—Dr. Biernacki offers telehealth initial consultations for patients from Ferndale, Royal Oak, and the Woodward corridor. Schedule at MichiganFootDoctors.com—available 24/7.
Does Dr. Biernacki treat cycling-related foot conditions?
Yes—Dr. Biernacki evaluates and treats cycling-related foot conditions including forefoot numbness from clipless pedal pressure, metatarsalgia, and cyclist’s neuroma. He works with cyclists on cleat position evaluation, cycling-specific orthotic fabrication, and conservative management strategies compatible with continued riding during treatment.
Michigan Foot Pain? See Dr. Biernacki In Person
4.9★ rated | 1,123 Reviews | 3,000+ Surgeries
Same-week appointments · Howell & Bloomfield Hills
📞 (810) 206-1402 Book Online →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)