Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Balance Foot & Ankle offers same-day appointments for urgent foot and ankle conditions across Southeast Michigan — but the most important factor in outcomes isn’t getting seen quickly. Our podiatrists explain what to do in the first 24-48 hours before your appointment that most patients skip entirely. Call (810) 206-1402 — expert podiatric care across Michigan.

Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan

Garden City and Wayne are established western Wayne County communities where residents have long maintained close-knit neighborhoods, active family lives, and a strong tradition of hard work. Balance Foot & Ankle in Howell, Michigan is pleased to serve patients from both communities who are seeking expert podiatric care from a board-certified foot and ankle specialist in a genuinely patient-focused practice environment.
The most important clinical decision with Podiatrist Garden City Wayne Michigan Balance Foot Ankle isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Getting to Balance Foot & Ankle from Garden City and Wayne
From Garden City, the drive to Howell is approximately 40–45 minutes via I-96 West to M-59 East—a direct freeway route that most patients find manageable. Wayne residents follow a similar route: Ford Road (M-153) to I-96 West or I-275 North to M-59. Many of our Garden City and Wayne patients schedule early morning appointments before work or during lunch breaks for shorter-procedure visits like cortisone injections and nail care.
For patients who want to assess their condition before committing to the drive, Dr. Biernacki offers telehealth initial consultations. A brief video visit allows patients to describe their symptoms, show their foot on camera, and receive preliminary guidance—including whether the condition requires urgent in-person evaluation or can be managed initially with at-home measures while scheduling is arranged.
Foot and Ankle Conditions Dr. Biernacki Treats
Garden City and Wayne patients come to Balance Foot & Ankle for the full range of podiatric conditions:
Heel pain and plantar fasciitis: The most common podiatric complaint. Dr. Biernacki evaluates the entire spectrum of heel pain etiologies—plantar fasciitis, heel spur syndrome, Baxter’s nerve entrapment, fat pad atrophy, and stress fracture—with targeted imaging and a conservative treatment plan that emphasizes getting patients back on their feet quickly. Cortisone injection, custom orthotics, and physical therapy resolve most cases without surgery.
Ingrown toenails: Phenol matrixectomy—a 20-minute in-office procedure—provides permanent cure of ingrown toenails with only 1–4% recurrence. Garden City and Wayne patients with recurrently infected or chronically painful ingrown toenails benefit greatly from this definitive treatment rather than repeated temporary nail trimming.
Bunion and hammertoe surgery: Minimally invasive correction techniques allow smaller incisions, faster healing, and earlier return to regular shoes compared to traditional open bunion procedures. Dr. Biernacki offers Lapiplasty 3D bunion correction and minimally invasive chevron osteotomy for appropriately selected patients.
Ankle injuries: Acute ankle sprains, chronic lateral ankle instability, peroneal tendon injuries, and syndesmosis (high ankle sprain) injuries. Dr. Biernacki provides evidence-based acute management and surgical stabilization for patients with recurrent ankle instability.
Diabetic foot care: Comprehensive preventive nail care, callus management, neuropathy monitoring, and wound care for patients with diabetes. Regular podiatric visits are among the highest-value interventions for preventing serious diabetic foot complications.
Private Practice Care for Garden City and Wayne Patients
Garden City and Wayne are served by several large hospital system clinics in the area—but many patients in these communities find that what they most need is a physician who takes the time to listen, explains findings clearly, and remains personally accountable for their care. That’s precisely what Balance Foot & Ankle provides. Dr. Biernacki personally evaluates every patient at every appointment. There are no mid-level substitutions for follow-up visits and no rotating residents managing your case.
Online scheduling is available at MichiganFootDoctors.com 24/7. Most Garden City and Wayne patients are seen within 1–2 weeks, with same-day evaluation available for urgent presentations. For diabetic patients, patients with active wounds, or patients with acute fractures, call (517) 579-1881 directly for priority scheduling.
Dr. Tom's Product Recommendations
Hoka Bondi 8 Walking Shoes
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Maximum cushion walking shoes with rocker sole—excellent for plantar fasciitis and forefoot pain management in western Wayne County patients.
Dr. Tom says: “My podiatrist recommended these after my cortisone injection and they made a huge difference in my daily comfort.”
Plantar fasciitis, heel pain, and forefoot pain patients needing maximum daily cushioning
Patients who need stability or motion-control features rather than maximally cushioned neutral shoes
Disclosure: We earn a commission at no extra cost to you.
Dr. Scholl’s Heel Cushions
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Gel heel cushions for immediate shock absorption—a useful first-aid measure for heel pain while awaiting podiatric evaluation.
Dr. Tom says: “These gave me enough relief to keep working on my feet while I got my appointment scheduled.”
Mild-to-moderate heel pain patients needing immediate over-the-counter relief
Patients with complex biomechanical problems requiring custom orthotics (OTC gel cups won’t address root cause)
Disclosure: We earn a commission at no extra cost to you.
Copper Compression Ankle Sleeve
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Compression ankle sleeve for mild ankle swelling and post-sprain support during daily activities.
Dr. Tom says: “Great for keeping ankle swelling down during a long work shift after my sprain.”
Mild ankle swelling and post-sprain support during daily activity
Patients with moderate-to-severe ankle instability requiring rigid bracing or surgical evaluation
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- 40–45 minute drive from Garden City and Wayne—manageable freeway commute to Howell
- Telehealth initial consultation available to assess urgency before the drive
- Dr. Biernacki personally handles every patient visit—consistent, accountable private practice care
❌ Cons / Risks
- Drive to Howell is longer than locally available clinic options in Garden City and Wayne
- Balance Foot & Ankle is a private practice—patients seeking large health system resources should weigh options
- Surgical cases require multiple visits that add up commute time for western Wayne County patients
Dr. Tom Biernacki’s Recommendation
Garden City and Wayne are communities with great people who deserve great foot care. When patients from these areas make the drive out to Howell, I want to make sure every minute of their time is well spent—so we run efficient, thorough appointments where they leave with a clear diagnosis, a realistic treatment plan, and honest answers to their questions. Whether it’s a straightforward ingrown toenail or a complex ankle reconstruction, I bring the same level of attention and expertise. If you’re in Garden City, Wayne, or anywhere in western Wayne County and you need a podiatrist, I’d be glad to have you come see us.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
How far is Balance Foot & Ankle from Garden City, Michigan?
Balance Foot & Ankle in Howell is approximately 40–45 minutes from Garden City via I-96 West to M-59. The route is a direct freeway drive that most patients find easy to navigate.
Does Dr. Biernacki serve patients from Wayne, Michigan?
Yes—Dr. Biernacki regularly sees patients from Wayne, Garden City, Inkster, Westland, and the broader western Wayne County area at Balance Foot & Ankle in Howell.
What insurance plans are accepted from Garden City and Wayne 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 insurance plan before scheduling.
Is a telehealth consultation available for Wayne County patients?
Yes—Dr. Biernacki offers telehealth initial consultations for patients from Garden City, Wayne, and surrounding areas who want to discuss their symptoms before making the drive to Howell. Schedule online at MichiganFootDoctors.com.
What is the best way to schedule an appointment from Garden City?
Online scheduling at MichiganFootDoctors.com is available 24/7 and is the fastest way to secure an appointment. For urgent needs—acute fractures, infected wounds, ingrown toenail emergencies—call (517) 579-1881 directly for same-day evaluation options.
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 →Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.
Visit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Hills. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.
Find a Board-Certified Podiatrist (American Podiatric Medical Association)
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
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.