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.
Podiatrist in Livingston County, Michigan
Balance Foot & Ankle is the leading podiatry practice serving Livingston County, Michigan, with its primary Livingston County office located at 4330 E Grand River Ave, Howell, MI 48843 — the county seat of Livingston County and its largest city. Dr. Tom Biernacki, DPM and Dr. Carl Jay, DPM provide comprehensive foot and ankle care to patients throughout Livingston County including Howell, Brighton, Hartland, Fenton, Fowlerville, Pinckney, and surrounding communities.
Services at Our Howell (Livingston County) Office
- Plantar fasciitis treatment including EPAT shockwave therapy, cortisone injections, and custom orthotics
- Toenail fungus treatment with prescription antifungals and Nd:YAG laser
- Ingrown toenail removal (partial nail avulsion with permanent phenol matrixectomy)
- Bunion and hammertoe evaluation and surgical correction
- Diabetic foot care, wound management, and Medicare Therapeutic Shoes program
- Ankle sprain, fracture, and tendon injury diagnosis and treatment
- Custom orthotics with computerized gait analysis and 3D casting
- Morton’s neuroma treatment including corticosteroid injections and neurectomy
- Heel spur treatment and posterior heel (Haglund’s, insertional Achilles) care
- Skin conditions: athlete’s foot, plantar warts (Swift microwave therapy), corns and calluses
Insurance Accepted at Our Livingston County Office
Balance Foot & Ankle accepts Medicare, Medicaid, Blue Cross Blue Shield Michigan, Blue Care Network, United Healthcare, Aetna, Cigna, Priority Health, HAP, Molina, McLaren, Meridian, and most major commercial insurance plans at our Howell location. Most patients with insurance pay only a specialist copay. New patients are welcome and same-week appointments are typically available for most conditions.
Communities We Serve in Livingston County
Our Howell office is centrally located in Livingston County and convenient to patients from Howell, Brighton, Hartland Township, Green Oak Township, Hamburg Township, Fowlerville, Pinckney, Cohoctah, Conway, and surrounding Livingston County communities. The office is located on E Grand River Ave with convenient parking and same-level access.
Call (810) 206-1402 to schedule at our Howell office, or visit our Howell podiatrist page for more information. We also have a second office in Bloomfield Hills for patients in Oakland County.
About Our Livingston County Podiatrists
Dr. Tom Biernacki, DPM is a board-certified podiatric physician and surgeon with extensive training in foot and ankle surgery, sports medicine, and diabetic foot care. He completed his podiatric medical education and surgical residency and has performed over 3,000 surgical procedures. Dr. Biernacki is known for his commitment to patient education and for taking time to explain diagnoses and treatment options thoroughly. Balance Foot & Ankle has a 4.9-star rating across more than 1,100 patient reviews.
Call (810) 206-1402 to schedule your Livingston County podiatry appointment at 4330 E Grand River Ave, Howell, MI 48843.
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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.