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.

For a foot doctor near Rochester, MI — Balance Foot & Ankle’s Bloomfield Hills location accepts most major insurance plans and offers same-day appointments.
You’re in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what a foot doctor near Rochester, MI means and what works. Call (810) 206-1402 for same-day appointment at Howell or Bloomfield Hills.
Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle, Michigan

The most important clinical decision with Rochester Michigan Foot Doctor isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Foot Doctor for Rochester and Rochester Hills, Michigan
Rochester is one of Oakland County’s most beloved communities — a charming city with a vibrant downtown, excellent schools, and an extraordinarily active population along the nationally recognized Paint Creek Trail and the Rochester Road corridor. When Rochester and Rochester Hills residents need specialist foot and ankle care, Board-Certified podiatrist Dr. Tom Biernacki at Balance Foot & Ankle’s Bloomfield Hills office is approximately 9–12 miles southwest via Adams Road or Crooks Road — a very manageable drive for expert podiatric care.
Active Trail Running and Community Foot Care
Rochester’s high-quality Paint Creek Trail — 8.9 miles of paved multi-use trail connecting Rochester to Lake Orion — produces a large, dedicated running community that consistently generates overuse foot and ankle presentations. Plantar fasciitis, Achilles tendinopathy, metatarsal stress fractures, and ankle sprains from Paint Creek Trail use are characteristic presentations from the Rochester running community. Oakland University athletes and Rochester Community Schools student-athletes present with youth sports foot and ankle injuries requiring prompt expert evaluation.
Rochester and Rochester Hills adult residents managing bunions, hammertoes, ingrown toenails, Morton’s neuroma, diabetic foot concerns, and custom orthotics receive comprehensive specialist evaluation at our nearby Bloomfield Hills office. Same-week appointments, in-office digital X-ray, and diagnostic ultrasound make expert podiatric care accessible and efficient for Rochester’s busy families.
Getting from Rochester to Balance Foot & Ankle
From Rochester, take Adams Road southwest or Crooks Road south to our Bloomfield Hills office — approximately 15–20 minutes. We accept Blue Cross Blue Shield, Aetna, Priority Health, Cigna, United Healthcare, Medicare, and most major insurance plans. Call (810) 588-0985 or schedule online at michiganfootdoctors.com.
Dr. Tom's Product Recommendations

Brooks Adrenaline GTS 23 (Trail and Road Stability Runner)
⭐ Foundation Wellness Partner
GuideRails stability running shoe for Paint Creek Trail and road running — provides medial support and balanced cushioning for Rochester runners managing plantar fasciitis and Achilles tendinopathy on mixed paved and trail surfaces.
Dr. Tom says: “My Bloomfield Hills podiatrist recommended the Brooks Adrenaline for my plantar fasciitis on Paint Creek Trail — the GuideRails support and cushioning were perfect for my mixed trail and road running.”
Paint Creek Trail running, plantar fasciitis stability support, road and paved trail management
Neutral runners or those requiring maximum cushioning without stability
Disclosure: We earn a commission at no extra cost to you.

PowerStep Pinnacle Orthotic Insoles
⭐ Foundation Wellness Partner
Semi-rigid high-arch OTC insole for Rochester area runners — provides medial arch and heel support for plantar fasciitis management during Paint Creek Trail running.
Dr. Tom says: “My podiatrist recommended the Superfeet Green for my plantar fasciitis on Paint Creek Trail — the arch support significantly improved my running comfort.”
Running plantar fasciitis, high arch support, Paint Creek Trail running management
Custom orthotic prescription for specific biomechanical pathology
Disclosure: We earn a commission at no extra cost to you.
✅ Pros / Benefits
- 9–12 miles from Rochester via Adams Road — very convenient Oakland County specialist access for Paint Creek Trail community
- Sports podiatry for Oakland University athletes and Rochester Community Schools student-athletes
- Same-week appointments for most Rochester patients
- In-office X-ray and ultrasound — comprehensive evaluation without external imaging referrals
❌ Cons / Risks
- 15–20 minute drive from Rochester to Bloomfield Hills office
- High demand from large Paint Creek Trail running community — advance scheduling recommended
Dr. Tom Biernacki’s Recommendation
Rochester has one of my favorite patient communities — the Paint Creek Trail running population is motivated, health-conscious, and takes their sport seriously. They come in early when problems start, follow through on treatment, and get back on the trail. The Adams Road corridor makes the drive to Bloomfield Hills very manageable. I have a lot of Rochester patients and they represent exactly what sports podiatry should be — patients and physicians working together toward a specific functional goal.
— Dr. Tom Biernacki, DPM | Board-Certified Podiatric Surgeon | Balance Foot & Ankle
Frequently Asked Questions
Who is the foot doctor for Rochester and Rochester Hills, Michigan?
Dr. Tom Biernacki at Balance Foot & Ankle in Bloomfield Hills serves Rochester and Rochester Hills patients — approximately 9–12 miles southwest via Adams Road. Call (810) 588-0985 or visit michiganfootdoctors.com to schedule.
What foot conditions do you treat for Rochester patients?
Plantar fasciitis, Achilles tendinopathy, metatarsal stress fractures, ankle sprains, bunions, ingrown toenails, Morton’s neuroma, and custom orthotics are among the most common presentations from Rochester and Rochester Hills area patients.
What insurance does the Rochester foot doctor accept?
We accept most major insurance plans including Blue Cross Blue Shield, Aetna, Priority Health, Cigna, United Healthcare, and Medicare. Call (810) 588-0985 to verify your specific plan.
How quickly can Rochester patients get an appointment?
New patients from Rochester and Rochester Hills are typically seen within 5–7 business days. Urgent sports injuries are accommodated within 24–48 hours. Call (810) 588-0985 or schedule online at michiganfootdoctors.com.
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.
Related Conditions
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.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your foot and ankle issues, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Ready to get relief? Book an appointment at Balance Foot & Ankle or call (810) 206-1402. Same-day appointments available in Howell & Bloomfield Hills, MI.
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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 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.
