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

The most important clinical decision with Podiatrist Washtenaw County Michigan Foot Ankle isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Podiatric Care for Washtenaw County, Michigan
Washtenaw County is one of Michigan’s most diverse — encompassing the University of Michigan’s college town of Ann Arbor at its center, but extending through Saline to the south, Chelsea to the west, Milan to the southeast, Manchester to the southwestern corner, and Ypsilanti and Ypsilanti Township to the east. Each community has its own character: Saline’s growing suburb with strong school system draw, Chelsea’s small-town arts and retail identity, Ypsilanti’s working-class history now transitioning with Eastern Michigan University, and Manchester’s rural agricultural character at the county’s edge.
Balance Foot & Ankle in Howell provides comprehensive podiatric care for Washtenaw County patients across all communities. While Ann Arbor residents have University of Michigan Health System resources locally, communities on Washtenaw County’s periphery often find Balance Foot & Ankle in Howell a more accessible alternative — 40–55 minutes away without the complexity of navigating UMHS parking and registration.
Directions from Washtenaw County Communities to Balance Foot & Ankle
From Saline, the most direct route follows US-12 East to I-94 East, then I-96 West to Howell (exit 137). Total drive time is approximately 45–55 minutes. Chelsea patients route via I-94 East to I-96 West — approximately 40–50 minutes from central Chelsea. Milan in southeastern Washtenaw County uses US-23 North to I-96 West, with approximately 45–55 minutes to Howell. Manchester at the county’s southwestern corner routes via M-52 North to I-96 West — approximately 50–60 minutes. Ypsilanti patients use I-94 East to I-96 West, approximately 40–50 minutes.
Washtenaw County’s Diverse Foot Health Needs
Washtenaw County’s economic and cultural diversity creates correspondingly varied foot health needs. Saline’s suburban families bring the youth sports injury patterns common to a community with high youth athletic participation — ankle sprains from soccer and basketball, plantar fasciitis in adolescent runners, and growth-related conditions like Sever’s disease in young athletes. Saline’s older residents also represent an aging suburban population with advancing bunion deformity, arthritic foot pain, and diabetic foot care needs.
Chelsea’s arts and outdoor recreation community generates foot conditions from active lifestyles — trail running injuries, bicycle commuter foot problems, and the overuse conditions of a physically active population that may push training volumes without adequate progressive loading. Chelsea Hospital provides local emergency care, but specialty podiatric services for non-urgent conditions benefit from the private practice accessibility of Balance Foot & Ankle.
Milan’s residential community, with proximity to the Ford Motor Company and supplier manufacturing corridor along US-23, includes manufacturing workers whose occupational foot health patterns include plantar fasciitis from factory floor standing, toe injuries from industrial environments, and ankle conditions from uneven industrial terrain. Eastern Michigan University’s Ypsilanti campus creates a student population with the campus walking overuse patterns seen at other university communities.
Manchester and the rural western Washtenaw County townships have an agricultural character distinct from the county’s suburban core. Farm-related foot conditions — rubber boot problems, overuse injuries from seasonal labor, and the delayed care-seeking pattern of working individuals — are consistent presentations from this patient demographic.
Alternatives to the UMHS for Washtenaw County Patients
Washtenaw County residents have access to the University of Michigan Health System — one of the country’s leading academic medical centers — for foot and ankle specialty care. However, UMHS specialty appointments involve wait times, parking navigation, and health system complexity that may not be necessary for routine foot and ankle conditions that a private specialty practice can address efficiently.
For Saline, Chelsea, and Manchester residents, Balance Foot & Ankle in Howell is often a comparable or shorter drive than the UMHS medical campus in central Ann Arbor. For these communities, the private practice model offers new patient appointment availability, consistent access to the same physician, and communication quality that many patients find superior to high-volume academic specialty practice.
Washtenaw County patients with complex conditions requiring subspecialty expertise available only at a major academic medical center — microsurgery, complex foot reconstruction, or conditions requiring coordination with multiple specialties — are appropriately directed to UMHS resources. Routine podiatric care, including conservative condition management, custom orthotics, injection therapies, and most elective surgical procedures, is fully available at Balance Foot & Ankle.
Services for Washtenaw County Patients
Balance Foot & Ankle provides comprehensive podiatric services for all Washtenaw County patient communities. Conservative services including custom orthotics, corticosteroid and PRP injections, Swift microwave therapy for warts, shockwave therapy for chronic tendinopathy, and complete diabetic foot care are available in-office. In-office digital X-ray and musculoskeletal ultrasound provide same-visit diagnostic imaging without hospital radiology wait times.
Surgical services cover elective foot and ankle procedures including bunion correction, hammertoe repair, ankle ligament reconstruction, ingrown toenail procedures, and fracture management at Howell-area outpatient surgery centers with same-day discharge. Post-operative follow-up is structured to minimize total visit frequency for patients making longer drives.
Pediatric foot care for Washtenaw County’s growing family communities addresses flatfoot assessment, youth athletic injury management, Sever’s disease, wart treatment, and ingrown toenail procedures for adolescents. Chelsea and Saline’s high youth athletic participation rates make sports-related pediatric foot care a meaningful service need for the county’s western communities.
Dr. Tom's Product Recommendations
ASICS Gel-Nimbus 26 Running Shoe
⭐ Highly Rated
Premium neutral daily trainer with FF Blast+ ECO cushioning and wider platform. Appropriate for Washtenaw County runners from Chelsea trail runners to Saline marathon participants requiring maximum cushioning in a neutral daily trainer. Available in multiple widths.
Dr. Tom says: “My podiatrist recommended the Nimbus series for my neutral gait and plantar fasciitis history. The cushioning upgrade from my previous shoe noticeably reduced post-run heel discomfort.”
Neutral gait runners, long-distance training, plantar fasciitis management in runners
Significant overpronation requiring motion control (use Kayano or GT series instead)
Disclosure: We earn a commission at no extra cost to you.
Oboz Sawtooth X Low Waterproof Hiking Shoe
⭐ Highly Rated
Low-profile waterproof hiking shoe with BFit custom footbed and lateral stability lugs. Appropriate for Chelsea area trail hikers and Manchester township outdoor recreationalists. Wider toe box than standard hiking shoes with B-DRY waterproofing for Michigan trail conditions.
Dr. Tom says: “My podiatrist approved these for my weekend trail hiking. The stability underfoot on wet Michigan trails is better than my previous lighter trail shoes.”
Trail hiking, Chelsea-area outdoor recreation, waterproof Michigan conditions
Technical rock climbing (use specialized footwear), heavy backpacking requiring boot ankle support
Disclosure: We earn a commission at no extra cost to you.
Keen Targhee III Oxford Shoe
⭐ Highly Rated
Rugged casual shoe with KEEN.DRY waterproofing, KEEN’s signature wide toe box, and outdoor-capable sole. Appropriate for Washtenaw County residents who need footwear that transitions between trail, campus, and casual use. Removable insole for orthotic accommodation.
Dr. Tom says: “Works for my Saline suburb life — casual enough for daily wear, sturdy enough for weekend Chelsea trails. My podiatrist confirmed the toe box accommodates my bunion well.”
Active suburban residents, trail-to-town use, wide toe box needs
Formal occasions, industrial work requiring safety toe protection
Disclosure: We earn a commission at no extra cost to you.
Trigger Point Grid Foam Roller
⭐ Highly Rated
Textured foam roller for calf myofascial release as adjunct to podiatric treatment of plantar fasciitis and Achilles tendinopathy. Multi-density surface pattern mimics physical therapy massage techniques. Appropriate for Washtenaw County’s active population using self-myofascial release between treatment visits.
Dr. Tom says: “My podiatrist added calf foam rolling to my plantar fasciitis protocol. Five minutes daily on these dramatically reduced my morning stiffness over three weeks.”
Plantar fasciitis calf release, Achilles tendinopathy adjunct, athletic recovery
Active infection, open wounds, acute muscle injury within 72 hours
Disclosure: We earn a commission at no extra cost to you.
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Dr. Tom Biernacki’s Recommendation
Washtenaw County is one of my favorite geographic areas to serve — it’s got everything from the research sophistication of Ann Arbor to the agricultural roots of Manchester and the outdoor recreation culture of Chelsea. Patients from these communities are engaged, ask good questions, and are looking for a provider who takes their concerns seriously and explains things clearly. That’s the environment I try to create for every patient. The drive from Saline or Chelsea to Howell is straightforward and the visit is designed to be worth it.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
How far is Saline from Balance Foot & Ankle?
Saline is approximately 45–55 minutes from Balance Foot & Ankle in Howell via US-12 East to I-94 East to I-96 West. Chelsea is 40–50 minutes via I-94 East to I-96 West. Milan is 45–55 minutes via US-23 North to I-96 West. Manchester is 50–60 minutes via M-52 North to I-96 West. Ypsilanti is 40–50 minutes via I-94 East to I-96 West.
Is Balance Foot & Ankle in the UMHS network for Washtenaw County patients?
Balance Foot & Ankle is not part of the University of Michigan Health System. Patients with UMHS-affiliated insurance plans (including UM employees on certain health plans) should verify whether out-of-network specialty care is covered before scheduling. Many commercial insurance plans accepted by Balance Foot & Ankle have PPO options that allow out-of-network specialist access. The office can assist with insurance verification when you call to schedule.
Does Balance Foot & Ankle see patients from Chelsea and Manchester for non-urgent conditions?
Yes, Chelsea and Manchester are within the communities regularly seen at Balance Foot & Ankle. The drive from Chelsea (40–50 min) and Manchester (50–60 min) is practical for scheduled specialty appointments. Non-urgent conditions that can wait for a scheduled appointment — bunions, hammertoes, chronic plantar fasciitis, general foot deformity concerns — are well-suited to the new patient appointment process at Balance Foot & Ankle.
What are the most common conditions treated from Washtenaw County?
Plantar fasciitis from the active outdoor lifestyle common in Chelsea and Saline, running and trail injuries from Washtenaw County’s recreational community, ankle sprains from youth sports in Saline’s active youth athletics programs, bunions and hammertoes in older residents, diabetic foot care for the county’s older communities, and general foot deformity concerns from patients seeking alternatives to UMHS wait times are the most common presentations from Washtenaw County.
Can I get a second opinion at Balance Foot & Ankle after a UMHS evaluation?
Yes, second opinions are welcome. Patients who have been evaluated at UMHS or other Washtenaw County providers and want alternative perspective on diagnosis, treatment options, or surgical recommendations can schedule a consultation at Balance Foot & Ankle. Bringing prior imaging and notes from the previous evaluation allows Dr. Biernacki to provide a fully informed second opinion rather than beginning assessment from scratch.
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.
Find a Board-Certified Podiatrist (American Podiatric Medical Association)
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Same-day appointments available in Howell & Bloomfield Hills, MI
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Or call: (810) 206-1402
📋 Dr. Tom Biernacki, DPM, FACFAS answers:
No referral is needed to see our podiatrist near Washtenaw County. You can call or book online directly. Most major insurance plans are accepted, including Blue Cross, Medicare, Aetna, Priority Health, and United Healthcare. We treat the full range of foot and ankle conditions including plantar fasciitis, bunions, ingrown toenails, diabetic foot care, neuropathy, and sports injuries. Our board-certified DPM provides both conservative and surgical care. Same-week and urgent appointments are available for residents of the Washtenaw County area.
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.