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
Patients from Troy, Birmingham, and Oakland County choose Dr. Tom Biernacki at Balance Foot & Ankle PLLC for fellowship-trained podiatric expertise. Troy — one of Michigan’s premier corporate and residential communities along the I-75 corridor — reaches our clinic via I-75 south to US-23 south in approximately 45-55 minutes for same-week fellowship-trained foot and ankle care.
The most important clinical decision with Podiatrist Troy Michigan Foot Ankle isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Services for Troy Area Patients
Plantar Fasciitis: Custom orthotics, shockwave therapy, and PRP for Troy area patients. Ingrown Toenails: Same-week permanent matrixectomy. Diabetic Foot Care: Annual exams, neuropathy testing, and Medicare services. Ankle Injuries: From acute sprains to surgical reconstruction. Bunions & Hammertoes: Full corrective surgical range. Custom Orthotics: Work, sport, and professional-grade devices for Troy and Birmingham patients.
Accessible from Troy via I-75 and US-23
Balance Foot & Ankle is accessible from Troy via I-75 south to US-23 south — approximately 45–55 minutes. The I-75 corridor provides Troy and Birmingham patients a direct interstate route to our Howell/Howell area clinic. Same-week new patient appointments. All major Michigan insurance accepted. Call (810) 220-5551 or book at michiganfootdoctors.com.
Dr. Tom's Product Recommendations
Brooks Adrenaline GTS Stability Running Shoe
⭐ Highly Rated
Premium stability running shoe — recommended for Troy and Birmingham area active professionals managing plantar fasciitis and overpronation with daily running and commuting.
Dr. Tom says: “My podiatrist recommended Brooks Adrenaline for my plantar fasciitis and my heel pain improved significantly within a few weeks of switching shoes.”
Plantar fasciitis stability running, professional daily shoe, Troy Birmingham Oakland County
Stability shoe — not for neutral or high-arch runners; verify pronation pattern
Disclosure: We earn a commission at no extra cost to you.
Powerstep Pinnacle Arch Support Insoles
⭐ Highly Rated
Full-length arch support OTC insole — recommended starting point for Troy area patients managing plantar fasciitis and arch pain before custom orthotic evaluation.
Dr. Tom says: “My podiatrist recommended PowerStep Pinnacle and they provided good arch support during my plantar fasciitis treatment while my custom orthotics were being made.”
Plantar fasciitis OTC insole, arch support, Troy Birmingham Oakland County starting point
Custom orthotics provide superior biomechanical correction for structural foot problems
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- 45-55 minutes from Troy via I-75 south to US-23 south — direct interstate route
- Same-week appointments for Birmingham and Oakland County patients
- Full range of foot and ankle surgical and non-surgical care
- All major Michigan insurance accepted
❌ Cons / Risks
- 45-55 minute drive from Troy — longer drive for southeast Oakland County
- Surgical procedures at partner surgical centers
Dr. Tom Biernacki’s Recommendation
Troy and Birmingham are professional communities with high expectations for care quality — these patients research their physicians, care about outcomes, and value fellowship-trained surgical expertise. The I-75 south to US-23 drive is about 45-55 minutes, which is longer than some Oakland County alternatives, but patients who prioritize same-week access and fellowship-level care make that drive. We’re proud to serve Troy and Birmingham patients.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
How far is Balance Foot & Ankle from Troy Michigan?
Approximately 45-55 minutes via I-75 south to US-23 south. Troy has direct interstate access to our Howell/Howell area clinic via the I-75 corridor.
Does Dr. Biernacki treat Birmingham Michigan patients?
Yes — Birmingham and surrounding Oakland County communities are welcome at our clinic.
Does Dr. Biernacki accept Troy Michigan insurance?
Yes — Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Priority Health, and Medicare. Most Oakland County commercial plans accepted.
Can Troy patients get same-week appointments?
Yes — same-week new patient appointments are typically available. Call (810) 220-5551 to schedule.
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.
What is Foot pain?
Foot pain is a common foot/ankle condition that affects mobility and quality of life. Understanding the underlying cause is the first step in successful treatment. Our podiatrists at Balance Foot & Ankle perform a hands-on biomechanical exam, review your activity history, and use diagnostic imaging when appropriate to identify the root cause—not just treat the symptom. Many patients have been told to “rest and ice” without a deeper diagnostic workup; our approach is different.
Symptoms and warning signs
Common signs of foot pain include pain that worsens with activity, morning stiffness, swelling, tenderness when palpated, and difficulty bearing weight. If you experience sudden severe pain, inability to walk, visible deformity, numbness or color change, contact our office the same day or visit urgent care—these can signal a more serious injury such as a fracture, tendon rupture, or vascular compromise. Diabetics with any foot wound should seek same-day care.
Conservative treatment options
Most cases of foot pain respond to non-surgical care: structured rest, supportive footwear changes, custom orthotics, targeted stretching and strengthening protocols, anti-inflammatory medications when medically appropriate, and in-office procedures such as ultrasound-guided injections. We also offer advanced therapies including MLS laser therapy, EPAT/shockwave, regenerative injections, and image-guided procedures. Treatment is sequenced from least invasive to most invasive, and we explain the rationale at every step.
When is surgery considered?
Surgery is reserved for cases that fail 3-6 months of well-structured conservative care, when there is structural pathology (severe deformity, complete tear, advanced arthritis), or when imaging shows damage that will not heal without intervention. Our surgeons have performed 3,000+ foot and ankle procedures and prioritize minimally-invasive techniques whenever appropriate. We discuss recovery timelines, return-to-activity milestones, and realistic outcome expectations before any procedure is scheduled.
Recovery timeline and prevention
Recovery from foot pain varies based on severity and chosen treatment path. Conservative cases often improve within 4-8 weeks with consistent adherence to the protocol. Post-procedural recovery may range from a few days (in-office procedures) to several months (reconstructive surgery). Long-term prevention involves footwear assessment, activity modification, structured strengthening, and regular check-ins with your podiatrist if you have a history of recurrence. We provide written home-exercise plans and digital follow-up support.
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 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.