Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
The most important clinical decision with Rochester Michigan Foot Doctor — Foot & Ankle Care isn’t which treatment to choose — it’s identifying which subtype you have first. Our podiatrists see patients treated for the wrong subtype for months before the correct diagnosis leads to full resolution. 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 Rochester Foot Doctor isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Rochester Michigan’s Foot Doctor — Expert Oakland County Care
Rochester and Rochester Hills form one of northern Oakland County’s most desirable communities — home to Oakland University, excellent schools, the Paint Creek Trail, and a highly active population of runners, athletes, and outdoor enthusiasts. When Rochester-area residents develop foot and ankle problems, Board-Certified podiatric care is available at Balance Foot & Ankle’s Bloomfield Hills office, approximately 12–15 miles southwest via Rochester Road or Crooks Road.
Active Community Foot Care for Rochester Patients
Rochester’s vibrant active community generates diverse podiatric presentations. Runners on the Paint Creek Trail and Clinton River Trail develop plantar fasciitis, Achilles tendinopathy, and metatarsal stress fractures from the trail’s terrain demands. High school athletes at Rochester High School, Stoney Creek High School, and Adams High School require sports injury evaluation, ankle sprain management, and return-to-sport clearance. Oakland University student-athletes access specialist care for sport-specific foot and ankle injuries at our conveniently located Bloomfield Hills office.
Rochester Hills’ family-oriented communities also generate significant demand for routine podiatric care: bunion evaluation, hammertoe management, ingrown toenail treatment, diabetic foot assessment, and pediatric flat foot evaluation. Dr. Biernacki serves the full Rochester community across all ages and activity levels.
Getting from Rochester to Balance Foot & Ankle
From Rochester, take Rochester Road south or Crooks Road south to our Bloomfield Hills office — approximately 20–25 minutes. Free parking is available. We accept Blue Cross Blue Shield, Aetna, Priority Health, Cigna, United Healthcare, Medicare, and most major insurance plans. Call (810) 588-0985 or schedule at michiganfootdoctors.com. Same-week appointments typically available.
Dr. Tom's Product Recommendations

Brooks Adrenaline GTS 23 (Stability Running Shoe)
⭐ Highly Rated
GuideRails stability running shoe recommended for Rochester and Rochester Hills runners managing plantar fasciitis and overpronation on the Paint Creek Trail and Clinton River Trail courses.
Dr. Tom says: “My foot doctor recommended the Adrenaline for my plantar fasciitis — I’ve been running Paint Creek Trail pain-free all season.”
Mild to moderate overpronators, plantar fasciitis, daily road and light trail training
Severe overpronators requiring motion control or neutral runners who don’t need stability guidance
Disclosure: We earn a commission at no extra cost to you.

CURREX RunPro Insoles (Medium Arch)
⭐ Highly Rated
Dynamic performance insole with arch-specific profile — favored by Rochester-area runners for its balance of cushioning and stability without the bulk of traditional orthotics.
Dr. Tom says: “Best insole upgrade for Rochester trail runners — provides the right arch support for Paint Creek Trail mileage.”
Neutral to mild overpronation runners, performance training, trail use
Patients with significant structural deformity requiring prescription custom orthotics
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- 12–15 miles from Rochester — accessible northern Oakland County location via Rochester Road
- Sports injury expertise for Oakland University, Rochester High School, and Rochester Hills athletes
- Paint Creek Trail and Clinton River Trail runner expertise
- Same-week appointments for Rochester-area patients
❌ Cons / Risks
- 20–25 minute drive from Rochester to Bloomfield Hills
- No foot doctor within Rochester city limits — Bloomfield Hills is the nearest Board-Certified option
Dr. Tom Biernacki’s Recommendation
Rochester sends us a lot of runners — Paint Creek Trail is a fantastic running resource and the Rochester running community is serious. We see plantar fasciitis, Achilles tendinopathy, ankle sprains from the trail terrain, stress fractures from high training volume. And we see a lot of Oakland University athletes — motivated young patients who want accurate diagnosis and rapid return to sport. That’s exactly the type of care we’re built to provide.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
Who is the foot doctor for Rochester Michigan?
Dr. Tom Biernacki at Balance Foot & Ankle in Bloomfield Hills is the foot doctor for Rochester, Michigan and Rochester Hills — approximately 12–15 miles southwest via Rochester Road. Call (810) 588-0985 or visit michiganfootdoctors.com to schedule.
Do you treat Oakland University athletes from Rochester?
Yes. Sports injury care including ankle sprains, stress fractures, plantar fasciitis, and Achilles tendinopathy is provided for Oakland University athletes and Rochester-area high school athletes. Same-week appointments are typically available for sports injury evaluation.
What insurance does the Rochester foot doctor accept?
Balance Foot & Ankle accepts most major insurance plans including Blue Cross Blue Shield, Aetna, Priority Health, Cigna, United Healthcare, and Medicare. Call (810) 588-0985 to verify your Rochester-area coverage.
What are the most common conditions treated for Rochester patients?
Plantar fasciitis, ankle sprains, Achilles tendinopathy, stress fractures, bunions, and custom orthotics are the most common presentations from Rochester and Rochester Hills patients. Trail running injuries from Paint Creek Trail are particularly frequent from this community.
Michigan Foot Pain? See Dr. Biernacki In Person
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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.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your foot issues, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Frequently Asked Questions
When should I see a podiatrist?
See a podiatrist if: foot or ankle pain has lasted more than 2–4 weeks without improvement, you’re changing your gait to avoid pain, you have an open wound or sore that isn’t healing, you notice nail discoloration or thickening, you have diabetes and any foot concern, or pain is severe enough to wake you at night. Most foot conditions are easier and cheaper to treat early — what starts as a minor issue can become a surgical problem with months of delay.
What is the difference between a podiatrist and an orthopedic surgeon?
Podiatrists (DPM — Doctor of Podiatric Medicine) specialize exclusively in the foot, ankle, and lower leg. Orthopedic surgeons (MD/DO) have broader musculoskeletal training but variable foot/ankle subspecialization. For foot and ankle-specific problems, a podiatrist often has more focused training and experience. For injuries involving the leg above the ankle, complex pediatric cases, or multi-level reconstruction, orthopedic consultation may be appropriate. We frequently co-manage patients with orthopedic colleagues.
How do I know if my foot pain is serious?
Signs that warrant same-day or next-day evaluation: severe pain that appeared suddenly without clear cause, swelling, redness, and warmth that appeared suddenly (possible gout, infection, or Charcot fracture), an open wound that looks infected (redness spreading, pus, warmth), inability to bear weight, or any foot problem in a diabetic patient. Pain that’s been present for weeks and is stable is important but not an emergency — schedule within 1–2 weeks.
Can foot problems cause back and knee pain?
Yes — this is a kinetic chain effect. Abnormal foot mechanics (overpronation, supination, leg length discrepancy) cause compensatory changes in knee, hip, and lumbar alignment. Roughly 30% of patients presenting to our clinic with knee pain have a treatable foot-level biomechanical cause. Correcting foot mechanics with orthotics or appropriate footwear often provides significant knee and back relief. If you have chronic knee or back pain and haven’t had your foot mechanics evaluated, it’s worth a consult.
Are orthotics worth it?
For the right conditions, yes — custom orthotics are among the most cost-effective interventions in podiatry. They’re most effective for: plantar fasciitis, flat feet with secondary knee/back pain, leg length discrepancy, metatarsalgia, posterior tibial tendon dysfunction, and diabetic foot pressure management. Quality OTC orthotics ($35–60) resolve symptoms for 60% of patients with mild-to-moderate conditions. Custom orthotics are appropriate when OTC options have failed or when the biomechanical problem is complex. We cast custom orthotics in-office.
How do I choose the right running shoes?
Start with your foot type (flat, neutral, high arch) and running pattern (overpronator, neutral, supinator). Flat feet and overpronators do best in stability or motion-control shoes. Neutral feet do well in neutral-cushioned shoes. High arches need maximum cushioning with flexible soles. Always buy running shoes at the end of the day (foot swelling peaks then), get properly fitted by a specialist, and replace every 300–500 miles. If you’ve been injured repeatedly, a gait analysis can identify the mechanical flaw driving your injury pattern.
What is the difference between a sprain and a fracture?
A sprain is a ligament injury (the tissue connecting bones); a fracture is a break in the bone itself. Both can occur with the same trauma (ankle roll, fall). The old test — ‘if you can walk, it’s not broken’ — is wrong; many fractures are initially weight-bearable. Key differences: a fracture typically produces localized bone tenderness along the bone itself, while a sprain is tender over the ligament. X-ray is the standard to differentiate. High-grade sprains without proper treatment can be as disabling as fractures.
How do I prevent foot and ankle injuries?
The four most impactful prevention strategies: (1) Supportive, appropriately fitted footwear for your foot type and activity. (2) Gradual activity progression — the 10% rule (never increase weekly mileage or intensity by more than 10%). (3) Regular calf and ankle mobility work. (4) Strengthening the posterior tibial tendon, peroneals, and intrinsic foot muscles. Most overuse injuries are preventable; most acute injuries are not — but ankle sprain recurrence (60–70% without rehab) is prevented by balance and proprioception training.
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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.