Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist

Board Certified Podiatrists

Expert Foot & Ankle Care

Get a Second Opinion on Your Foot or Ankle Condition

Not sure about a diagnosis or treatment recommendation? A second opinion could change everything.

Every patient deserves to feel confident in their diagnosis and treatment plan. If you’ve seen another provider and something doesn’t feel right—or you’re facing a recommendation for surgery—getting a second opinion is one of the smartest things you can do for your health. At Balance Foot & Ankle, we welcome second-opinion consultations with no pressure and complete honesty.

When Should You Consider a Second Opinion?

  • You’ve been told surgery is your only option, and you’re not sure
  • You’ve been treated for months without improvement
  • Your diagnosis doesn’t fully explain your symptoms
  • You were given a diagnosis but no clear treatment plan
  • You feel rushed or unheard during your appointments
  • You want to explore non-surgical alternatives before committing to a procedure
  • Your condition is complex or involves multiple issues

What We Offer in a Second Opinion Visit

When you come to Balance Foot & Ankle for a second opinion, you’ll receive:

  • A thorough review of your history and previous records. Bring any X-rays, MRIs, ultrasound reports, and previous treatment notes. We’ll review everything from the beginning.
  • An independent examination. Our podiatrists will perform their own assessment, uninfluenced by a prior diagnosis. We look at your whole picture—not just the specific complaint.
  • An honest, plain-language explanation. We’ll tell you what we find, confirm or refine the diagnosis, and explain your full range of options—including conservative treatments that may not have been offered to you before.
  • No pressure to switch providers. Our goal is to give you information. Whether you continue care with us or return to your current provider with new knowledge, you leave better informed.

What Our Patients Say

“I was told I needed bunion surgery right away. Dr. Biernacki reviewed my X-rays and suggested a course of custom orthotics and physical therapy first. That was six months ago—I haven’t needed surgery.”

“I came in for a second opinion and realized my plantar fasciitis had been misdiagnosed. The real problem was Baxter’s nerve entrapment, and now I finally have the right treatment.”

Common Conditions We Evaluate for Second Opinions

  • Plantar fasciitis and chronic heel pain
  • Bunions and toe deformities
  • Neuroma and nerve pain
  • Ankle instability and sprains
  • Tendon tears and tendinitis (Achilles, peroneal, posterior tibial)
  • Flat feet and arch problems
  • Diabetic foot complications and wounds
  • Foot and ankle fractures
  • Ingrown toenails and nail conditions
  • Hammertoes and lesser toe problems

About Our Doctors

Balance Foot & Ankle is led by fellowship-trained foot and ankle specialists with extensive experience in both surgical and non-surgical treatment. Dr. Tom Biernacki, Dr. Carl Jay, and Dr. Daria Gutkin bring decades of combined experience and a commitment to evidence-based care.

We believe in exhausting conservative options before recommending surgery. We also believe that when surgery is the right answer, it should be explained clearly and performed expertly.

How to Request a Second Opinion Consultation

Getting a second opinion is simple:

  1. Call or book online: (810) 206-1402 or schedule here
  2. Gather your records: Bring previous X-rays, MRI/ultrasound images, lab results, surgical recommendations, and any treatment notes
  3. Come in: We’ll review everything, perform our own examination, and give you our honest assessment

We accept most major insurances including Medicare. See our Insurance & Costs page for details.

Our Locations

  • Howell: 4330 E Grand River, Howell, MI 48843
  • Bloomfield Hills: 43494 Woodward Ave #208, Bloomfield Twp, MI 48302

Call us at (810) 206-1402 — we’re accepting new patients at both locations.

Ready to Book Your First Visit?

See everything we offer new patients — advanced diagnostics, same-day treatments, and most insurance accepted.

View Our New Patient Offer →

First Steps Out of Bed Shouldn't Feel
Like Stepping on Glass.

If you're wincing with your first few steps every morning, or dreading a night out because you know your feet won't cooperate — you already know how much foot pain quietly steals from you.

🌅

The Morning Dread

You brace yourself before your feet hit the floor. The sharp heel pain that greets you every single morning.

👟

The Shoe Problem

Nothing fits comfortably anymore. You've given up heels, your favorite sneakers, and any shoe that looks professional.

😔

The Cancelled Plans

The trip you said no to. The walk you cut short. The grandkids you can't keep up with anymore.

💊

The Painkiller Cycle

Ibuprofen at breakfast. Ice packs at night. Temporary relief — but the pain is always back by morning.

The Life You're Putting on Hold
Is Getting Further Away Every Day.

Chronic foot pain doesn't just hurt — it quietly erodes the experiences that make life worth living. Here's what our patients tell us they've given up:

  • "I used to play 18 holes on Sundays. Now I can't make it past the 3rd hole."
  • 🏃"I signed up for a 5K with my daughter. I had to drop out before race day."
  • 💃"I haven't danced at a family event in three years. The pain just isn't worth it."
  • 🧸"I can't chase my grandkids around the yard. They don't understand why grandma always has to sit."
  • 🧳"We cancelled our trip to Europe. I knew I couldn't walk cobblestones for a week."
  • 💼"I'm on my feet all day for work. By noon, I'm counting the hours until I can sit down."

"If any of this sounds familiar — you don't have to keep living this way."

Advanced Treatment That Actually
Addresses the Root Cause.

At Balance Foot & Ankle, we don't just mask the pain. We diagnose exactly what's driving it — then use the most modern, minimally invasive treatments available to fix it, permanently.

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MLS Laser Therapy

FDA-cleared dual-wavelength laser that penetrates deep tissue to reduce inflammation and accelerate healing at the cellular level. No surgery, no downtime. Patients often feel relief after the very first session.

Learn how it works →

EPAT Shockwave Therapy

Non-invasive acoustic wave technology that triggers your body's own healing response — breaking up scar tissue and stimulating collagen production. 80%+ success rate for chronic plantar fasciitis.

See patient results →
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Minimally Invasive Surgery

When conservative treatments aren't enough, our MIS techniques use pencil-thin instruments through micro-incisions. Faster recovery, less scarring, and back on your feet in days — not months.

Explore procedures →
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Custom Orthotics

3D-scanned to your exact foot anatomy. Not the generic insoles from the drugstore — precision-engineered supports that correct the biomechanical issues causing your pain from the ground up.

How orthotics help →
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Regenerative Injections

PRP (Platelet-Rich Plasma) therapy uses your body's own growth factors to heal damaged tendons and ligaments from the inside out. A powerful alternative to cortisone that promotes lasting recovery.

About regenerative care →
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Toenail & Skin Conditions

Laser toenail fungus treatment, ingrown nail correction, wart removal, corn and callus care — all handled in our comfortable clinic setting with same-day appointments available.

View all conditions →

Getting Back on Your Feet Is Simpler Than You Think.

We know starting with a new doctor can feel overwhelming. So we've made the path from pain to recovery as clear as three steps.

1

Book Your Appointment

Online in 60 seconds, or call us. Same-day slots are available in Howell and Bloomfield Hills.

2

We Diagnose the Real Problem

Digital X-rays, gait analysis, and Dr. Tom's 15+ years of expertise — we find exactly what's causing your pain.

3

You Get Your Life Back

A personalised treatment plan that works around your schedule and goals — not a generic protocol.

Why Over 1 Million People Trust Dr. Tom

Dr. Tom doesn't just treat patients in the clinic — he's Michigan's most-watched podiatrist online, with a YouTube channel that has helped over a million people understand their foot health. That depth of knowledge comes to every appointment.

1M+
YouTube Views Educating Patients Worldwide
15+
Years of Board-Certified Podiatric Practice
4.9★
Average Google Review Rating (400+ Reviews)
2
Convenient Locations — Howell & Bloomfield Hills

Real Patients. Real Recoveries.

★★★★★
"After years of plantar fasciitis, Dr. Tom had me pain-free in three laser sessions. I genuinely cried when I walked to my mailbox without limping for the first time. Cannot recommend enough."
— Sarah K., Bloomfield Hills
★★★★★
"I was terrified of foot surgery. Dr. Tom explained the minimally invasive procedure step by step. Six weeks later, I walked my daughter down the aisle. Best decision I ever made."
— Robert M., Howell
★★★★★
"Same-day appointment, thorough diagnosis, and a treatment plan that actually worked. I'd been to two other podiatrists before. Wish I'd found Dr. Tom first. Already back on the golf course."
— Jim P., West Bloomfield

You've Waited Long Enough.
Same-Day Appointments Are Available.

Don't let another morning start with that sharp, grinding pain. Our team is ready to see you — often today.

Book My Appointment Now →

Or call us directly: (810) 206-1402