Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Township, MI
Last reviewed: May 2026
Balance Foot & Ankle offers online booking 24/7 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

Saline, Michigan — one of Washtenaw County’s fastest-growing communities — combines the charm of a historic small city with the amenities of a thriving suburban community within easy reach of Ann Arbor. Saline’s active, educated, and health-conscious population demands high-quality healthcare across every specialty, including podiatric care. Balance Foot & Ankle and Dr. Tom Biernacki serve Saline and the surrounding York Township area with specialist foot and ankle care that meets the expectations of this demanding and engaged patient community.
Comprehensive Podiatric Care for Saline-Area Patients
Dr. Biernacki’s practice provides the full spectrum of foot and ankle services that Saline residents need. From the young runner managing Achilles tendinopathy to the senior seeking definitive nail care, from the youth soccer player with a sprained ankle to the diabetic patient requiring structured foot surveillance — Balance Foot & Ankle addresses every clinical need with the same commitment to accurate diagnosis, evidence-based treatment, and individualized care planning.
Heel Pain and Running Injuries
Saline’s active running community — enjoying the trails along the Saline River and nearby parks — generates significant demand for sports medicine podiatric care. Plantar fasciitis, the most common running-related foot injury, receives biomechanical evaluation that identifies the root contributors — arch mechanics, calf tightness, training load patterns — and addresses them directly rather than providing generic stretching advice. Achilles tendinopathy, both mid-tendon and insertional, receives evidence-based rehabilitation protocols with shockwave therapy and PRP available for resistant cases. Stress fractures from overtraining are diagnosed early with MRI before progression to complete fracture.
Saline School District Athletic Care
Saline Area Schools’ competitive athletic programs generate a meaningful need for sports medicine podiatric care. Saline Hornets athletes in football, soccer, cross country, basketball, volleyball, and track all experience foot and ankle injuries that benefit from specialist evaluation. Sever’s disease in middle school athletes, ankle sprains in court and field sports, stress fractures in distance runners, and turf toe in football players all present through the school athletic pipeline. Dr. Biernacki’s sports medicine approach prioritizes accurate diagnosis and the fastest safe return to competition — because Saline student athletes have seasons to compete and college athletic futures to protect.
Advanced Non-Surgical Treatment Options
Saline’s health-literate patient community appreciates access to the most current evidence-based non-surgical therapies. Dr. Biernacki’s practice incorporates extracorporeal shockwave therapy (ESWT), platelet-rich plasma (PRP) injection, and low-level laser therapy (LLLT/photobiomodulation) alongside traditional conservative treatment modalities. These advanced options expand the treatment toolkit for chronic heel pain, Achilles tendinopathy, and soft tissue conditions that have stalled despite conventional care — providing meaningful improvement without surgery for patients who’ve exhausted standard approaches.
Surgical Expertise When Needed
When conservative care has been genuinely exhausted, Dr. Biernacki performs the full range of foot and ankle surgical procedures. Saline patients needing bunion correction, hammertoe repair, plantar fascia release, Achilles tendon reconstruction, ankle ligament stabilization, or joint fusion receive surgical care from a podiatric surgeon who has managed their entire clinical journey — from first visit through postoperative rehabilitation. This continuity of care is a defining advantage of private practice over large institution referral patterns.
Getting to Balance Foot & Ankle from Saline
Saline residents access Balance Foot & Ankle via I-94 eastbound — a direct interstate connection from Washtenaw County to our Macomb County office in approximately 45–55 minutes. Saline’s I-94 proximity makes it one of the more conveniently connected Washtenaw County communities for eastern Macomb County specialist access. Online scheduling at michiganfootdoctors.com provides convenient booking, prompt urgent appointments are available, and most major Michigan insurance plans are accepted.
Dr. Tom's Product Recommendations
Brooks Adrenaline GTS Running Shoes
⭐ Highly Rated
Podiatrist-recommended stability running shoes — the #1 recommendation for Saline runners managing overpronation and plantar fasciitis. Guide rails technology provides medial support without rigidity, ideal for medium-to-high arch runners logging high training miles.
Overpronation, plantar fasciitis, stability running for Saline’s active running community
Stability category — neutral runners or those with high arches may prefer the neutral Brooks Ghost
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Hyperice Venom Foot Heat and Vibration Device
⭐ Highly Rated
Wearable heat and vibration therapy device for foot and ankle recovery — designed for athletes managing plantar fasciitis, Achilles tendinopathy, and post-workout foot recovery. Popular among runners and athletes in the Saline community.
Active athletic foot recovery, plantar fasciitis management adjunct, Achilles tendinopathy symptom management
Adjunct recovery tool — not a primary treatment for diagnosed foot conditions; use alongside clinical treatment
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- I-94 direct access makes Saline one of the more conveniently connected Washtenaw County communities to our practice
- Sports medicine expertise serving Saline Hornets athletes and Washtenaw County’s running community
- Advanced non-surgical therapies (ESWT, PRP, LLLT) meeting Saline’s health-literate patient expectations
- Private practice continuity — same physician from first visit through surgery and rehabilitation
❌ Cons / Risks
- 45–55 minute drive requires planning — Saline patients may find local Washtenaw County podiatric options closer
- Proximity to Ann Arbor health systems creates competitive local options — Balance Foot & Ankle’s value is depth and focus
Dr. Tom Biernacki’s Recommendation
Saline is a community that really invests in its health — great schools, active families, competitive athletes, health-conscious adults. The patients I see from Saline have done their research, they know what they want, and they’re looking for a provider who can match that level of engagement. I appreciate that — it drives me to stay at the forefront of evidence-based foot and ankle practice. When a Saline runner comes in with a complex case that hasn’t responded to the standard protocol, or a Saline athlete needs a surgical decision made, I want to be the provider who gives them the most informed, honest, and thoughtful care available in Michigan.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
Are there podiatrists in Saline or nearby Ann Arbor?
Saline is served by podiatric practitioners in the greater Washtenaw County and Ann Arbor area. Balance Foot & Ankle serves Saline patients who are seeking a specific combination of advanced non-surgical therapies, private practice continuity, and the surgical expertise Dr. Biernacki provides. Many Saline patients find the I-94 drive to Macomb County worthwhile for the level of specialist care available.
Can you help Saline Hornets student athletes?
Yes — Dr. Biernacki treats student athletes from Saline Area Schools and throughout Washtenaw County. We’re familiar with high school competitive athletic demands and work with student athletes to achieve the fastest safe return to competition. Communication with athletic trainers is available when coordination benefits the athlete’s care.
What advanced treatments do you offer beyond basic podiatry?
Balance Foot & Ankle offers extracorporeal shockwave therapy (ESWT) for chronic heel and Achilles conditions, platelet-rich plasma (PRP) injection for degenerated tendons and resistant plantar fasciitis, low-level laser therapy (LLLT) for tissue healing acceleration, and custom orthotics incorporating the most current biomechanical research. These options reflect a commitment to evidence-based practice that goes beyond the treatments available at general podiatry practices.
Do you offer telehealth consultations for Saline patients?
For appropriate clinical questions, Dr. Biernacki’s team can discuss your situation by phone before scheduling an in-person visit. However, foot and ankle diagnosis typically requires physical examination and weight-bearing X-rays — most conditions cannot be properly evaluated remotely. We recommend scheduling an in-person visit for any condition requiring examination, imaging, or hands-on treatment.
Michigan Foot Pain? See Dr. Biernacki In Person
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Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, you can book online 24/7.
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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.