Quick answer: Podiatrist Livonia Michigan is a common foot/ankle topic that affects many patients. The 2026 evidence-based approach combines proper diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Hills practices. Call (810) 206-1402.
Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan

The most important clinical decision with Podiatrist Livonia Michigan isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Foot and Ankle Care for Livonia Area Patients
Balance Foot & Ankle PLLC serves patients from Livonia and throughout Wayne County and Southeast Michigan, providing comprehensive podiatric care under the direction of Dr. Tom Biernacki. Livonia is one of Michigan’s largest cities, with a large and active population that includes many active adults, athletes, and seniors who benefit from regular podiatric care. Dr. Biernacki’s practice offers the full spectrum of foot and ankle services — from routine nail care and orthotics to complex reconstructive surgery — in a personalized, patient-focused environment.
Livonia patients frequently present with conditions driven by the combination of active lifestyles and Michigan’s seasonal extremes. Plantar fasciitis, Achilles tendinopathy, and ankle sprains are common among Livonia’s active adult and recreational sports populations. Diabetic foot care is another significant focus — Dr. Biernacki offers comprehensive diabetic foot evaluation, wound care, and preventive orthotics for Livonia’s substantial diabetic population. Ingrown toenails, fungal nails, and bunion management round out the most common concerns brought by Livonia-area patients.
The drive from Livonia to Balance Foot & Ankle’s Howell and Howell locations takes approximately 30–45 minutes via I-96 West — comparable to navigating to a Wayne County specialist during peak traffic hours. Patients who have difficulty getting timely appointments with Detroit-area podiatric practices often find that the slightly longer drive to Balance Foot & Ankle is more than compensated by same-week appointment availability, longer appointment times, and direct access to Dr. Biernacki at every visit.
Services Commonly Used by Livonia Patients
Custom orthotics are among the most requested services from Livonia patients at Balance Foot & Ankle. Dr. Biernacki performs a comprehensive biomechanical evaluation — including gait analysis, weight-bearing foot measurement, and range-of-motion assessment — before fabricating prescription orthotics. Custom orthotics are individually designed for each patient’s specific foot mechanics and primary activity demands, producing results that off-the-shelf products cannot replicate for patients with complex or severe biomechanical issues.
Ingrown toenail treatment — from conservative nail trimming to permanent chemical matrixectomy — is available for same-week appointments for Livonia patients experiencing acute pain. The permanent correction procedure (removal of the offending nail border combined with chemical destruction of the nail matrix to prevent regrowth) is performed in-office under local anesthesia with immediate walking and a 1-week recovery period. This procedure has a 95%+ success rate in eliminating chronic ingrown nail problems permanently.
Diabetic foot evaluations including vascular assessment (ankle-brachial index), protective sensation testing, and wound inspection are available for Livonia diabetic patients. Dr. Biernacki works with primary care physicians and endocrinologists to provide coordinated diabetic foot care that addresses the full spectrum of diabetes-related foot complications, from neuropathic pain management to wound care and ulcer prevention.
Booking Your Livonia-Area Podiatry Appointment
To schedule an appointment at Balance Foot & Ankle from the Livonia area, call our office or use the online booking portal at michiganfootdoctors.com. Same-week appointments are typically available for most new patients, and urgent appointments for acute conditions — sudden severe pain, infected ingrown nail, ankle injury — are generally available within 24–48 hours.
New patients from Livonia should bring their insurance card, any previous foot or ankle imaging (X-rays, MRI), and a list of current medications to their first appointment. Most major Michigan insurance plans are accepted at Balance Foot & Ankle, including Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, and Medicare. Prior authorization requirements for specific procedures are handled by our office team.
Dr. Biernacki believes that Livonia and Southeast Michigan patients deserve the same level of specialized, personalized podiatric care available in major metropolitan centers. By combining university-level clinical expertise with smaller-practice access and attention, Balance Foot & Ankle provides a patient experience that consistently earns five-star reviews from patients throughout the Southeast Michigan region.
Dr. Tom's Product Recommendations
PowerStep Pinnacle Arch Support Insoles
⭐ Highly Rated
Podiatrist-recommended arch support insoles for Livonia patients managing plantar fasciitis, flat feet, or general foot fatigue between clinic visits.
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PowerStep
4.6
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DASS Medical Grade Compression Socks
⭐ Highly Rated
Medical grade compression socks recommended for Livonia patients with edema, varicose veins, diabetic circulation concerns, or post-surgical recovery.
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DASS
4.5
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- Same-week appointments available for most Livonia area patients
- Direct access to Dr. Biernacki at every visit — no physician extenders
- Full range of conservative and surgical treatment available
- Accepts most major Michigan insurance plans including Medicare
❌ Cons / Risks
- 30–45 minute drive from Livonia to Howell/Howell locations
- Not affiliated with Henry Ford or Beaumont health systems
Dr. Tom Biernacki’s Recommendation
Livonia is a community I’m proud to serve. The patients from that area are knowledgeable, motivated, and focused on getting the right answer — not just the fastest answer. I enjoy the relationships we build with Southeast Michigan patients over time, whether it’s managing a runner’s plantar fasciitis, treating a diabetic foot wound, or helping someone recover from bunion surgery. Whatever brings you to our office, I’ll make sure you leave with a clear plan.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
How far is Balance Foot & Ankle from Livonia?
Our Howell location is approximately 30 minutes from Livonia via I-96 West. Our Howell location is approximately 40–45 minutes. Both are easily accessible from I-96.
Does Balance Foot & Ankle accept Blue Cross Blue Shield?
Yes, we accept BCBS and most other major Michigan insurance plans. Please call our office to verify coverage for your specific plan and procedure.
Can I get same-day appointments for an urgent foot problem?
We make every effort to accommodate urgent needs, including same-day or next-day appointments for acute conditions like infected ingrown nails, severe ankle sprains, and diabetic foot wounds. Call our office directly for urgent scheduling.
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 →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.
Same-day appointments available. (810) 206-1402
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.
APMA: Podiatric Medicine — Services, Conditions & Patient Resources
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.
Our podiatrists treat the underlying cause, not just the symptom. Same-week appointments at our Howell and Bloomfield Hills, Michigan offices.
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.
