Dr. Tom’s Top Shoe Picks
Dr. Tom’s Top Foot Creams
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
Senior Foot Care in Livingston County — Nail, Callus & relates to foot pain — typically caused by overuse, footwear, or biomechanics. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
Senior Foot Care in Livingston County — Nail, Callus & Skin Services for Older Adults
Foot Health Is Essential to Senior Independence
For older adults, healthy feet are directly connected to mobility, independence, and quality of life. Foot pain is not a normal or acceptable part of aging — it’s a treatable condition. At Balance Foot & Ankle in Howell, we provide comprehensive senior foot care services for patients throughout Livingston County, with a focus on keeping older adults active, comfortable, and on their feet.
Common Foot Problems in Seniors
Older adults are disproportionately affected by: thick and difficult-to-trim toenails, toenail fungus, calluses and corns from years of wear, bunions and hammertoes that have worsened over time, plantar fasciitis and heel pain from changes in arch structure, peripheral neuropathy from diabetes or other causes, dry, cracked heel skin that can become infected, and reduced circulation that slows healing. None of these are inevitable — all are treatable.
Our Senior Foot Care Services
We provide a full suite of senior-oriented foot services at our Howell office: professional nail care including thick nail management, callus and corn removal and prevention, skin care for dry, cracked, or fragile skin, bunion and hammertoe management, diabetic and vascular foot care, custom orthotics for pain relief and fall prevention, appropriate footwear recommendations, and same-day care for urgent problems.
Medicare Coverage
Most of our senior foot care services are covered by Medicare for qualifying patients. Diabetic foot exams, nail care for high-risk patients, diabetic shoe fitting, and many other services are Medicare benefits — meaning most of our senior patients pay very little out of pocket for comprehensive foot care.
Home Visits Available
For Livingston County seniors who can’t comfortably travel to our Howell office, we offer home visits. We bring professional foot care to you — no transportation needed, no waiting rooms. Home visits are available throughout Howell, Brighton, Hartland, Fowlerville, Pinckney, Hamburg, Whitmore Lake, Fenton, and surrounding communities.
Our Howell office works closely with Vassallo Medical Group (3399 E Grand River Ave — minutes away on the same road) for patients with diabetes, vascular disease, and systemic conditions affecting the feet. Dr. John Vassallo, MD, coordinates the medical side while we protect your feet.
📞 (810) 206-1402 | 4330 E Grand River Ave, Howell
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
✅ In-Office X-Ray & Ultrasound
📞 (810) 206-1402 | Howell & Bloomfield Hills
Schedule Senior Foot Care Today
Call Balance Foot & Ankle: (810) 206-1402. We welcome new senior patients from all of Livingston County and make every effort to accommodate your scheduling needs.
Senior Foot Care in Livingston County: Podiatric Services for Brighton, Howell, and Hartland Older Adults
The foot care needs of Livingston County’s older adult population — 65+ residents in Howell, Brighton, Hartland, Hamburg, and Pinckney — are a primary focus at Balance Foot & Ankle. Aging feet develop predictable conditions that respond well to podiatric intervention: onychomycosis (fungal toenails) that becomes progressive and nail-disfiguring by the seventh and eighth decade; hallux valgus (bunions) that worsens with time and limits footwear options; metatarsalgia from the plantar fat pad atrophy that normally occurs with age; diabetic foot changes including neuropathy and vascular insufficiency; and the balance-affecting foot problems that contribute to fall risk. Each of these conditions is manageable with appropriate podiatric care, and the alternative — managing none of them — produces progressive functional decline.
Related Treatment Guides
- Corn & Callus Treatment
- Toenail Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
Livingston County senior patients at Balance Foot & Ankle benefit from our comprehensive insurance expertise: Medicare Part B coverage for medically necessary nail care when systemic conditions are documented, coverage of the annual diabetic foot examination at no cost-sharing for qualifying patients, and the Medicare Therapeutic Shoe Bill benefit that provides extra-depth shoes and custom inserts for qualifying diabetic patients. Our Howell office at 4330 E Grand River is fully accessible by walker and wheelchair with ground-level entry and convenient parking. For Livingston County seniors with mobility limitations, our home visit program serves patients who cannot safely travel to the office. To schedule senior foot care at our Howell location, call Balance Foot & Ankle at (810) 206-1402 — early morning appointment slots are often preferred by senior patients and are available Monday through Friday.
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
Dr. Tom’s Recommended Products for Calluses & Corns
📍 Located in Michigan?
Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
These are products I personally use and recommend to my patients at Balance Foot & Ankle.
- Amope Pedi Perfect Electronic Foot File — Micro-abrasion rollers remove callus layers painlessly — the most effective at-home alternative to office debridement
- PowerStep Corn Cushions — Medicated pads with salicylic acid dissolve corn tissue while donut pad offloads pressure
- Urea 40% Foot Cream (Gold Bond Rough & Bumpy) — 40% urea dissolves hard callus keratin — clinically effective for thick skin reduction between podiatry visits
📧 Get Dr. Tom’s Free Lab Test Guide
Discover the 5 lab tests every person over 35 should ask their doctor about — explained in plain English by a board-certified physician.
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we trust for our own patients.
Join 950,000+ Learning About Foot Health
Dr. Tom shares honest medical advice, supplement reviews, and treatment guides you won’t find anywhere else.
Subscribe on YouTube →Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Seniors Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
PowerStep Pinnacle Insole
- The Pinnacle Full length insoles for men & women provide maximum cushioning, from high activity to moderate support. The PowerStep arch support shape provides stability to the foot and ankle, helping to relieve foot pain.
- When you spend all day on your feet, every step counts. PowerStep insoles are a podiatrist-recommended orthotic to help relieve & prevent foot pain related to athletes, runners, Plantar Fasciitis, heel spurs & other common foot, ankle & knee injuries
- The Pinnacle plantar fasciitis insoles offer superior heel cushioning and arch support. The dual-layer cushioning is designed to reduce stress and fatigue, while PowerStep premium arch support is designed for plantar fasciitis relief.
- The PowerStep Pinnacle arch support inserts for men & women can be worn in a variety of shoe types such as; athletic, walking, running, work & some casual shoes. Orthotic Inserts are ordered by shoe size, no trimming required.
- Made in the USA & backed by a 30-day money-back guarantee. PowerStep orthotic inserts for men & women are designed for shoes where the factory insole can be removed. HSA & FSA Eligible
The podiatrist-recommended over-the-counter orthotic.
OOFOS Recovery Slide
- The Original Recovery Footwear.
- Finding Your Size - For your perfect fit, consult the “size chart” link above. Wear a half size? In general, we recommend that women who wear a ½ size size UP, and men who wear a ½ size size DOWN
- OOahh - An evolution of the OOriginal, the OOahh slide features our proven foundation of OOfoam technology + patented footbed design with a slide-style strap that has become a best-seller in the OOFOS line
- OOfoam Technology - Our revolutionary OOfoam technology absorbs 37% more impact than traditional footwear foams to reduce the stress on your feet, joints & back. Plus, the closed-cell foam is machine washable and designed to minimize odor
- Patented Footbed - Our patented footbed cradles and supports arches to reduce energy exertion in the ankles by up to 47% compared to competitors’ footwear. So walking is easier. Recovery is faster. And yOO feel better
Impact-absorbing recovery sandal — wear after long days on your feet.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.
When to See a Podiatrist
Foot problems are the #1 preventable cause of falls in adults over 70. Balance Foot & Ankle runs comprehensive senior foot evaluations — balance testing, circulation checks, nail and callus care, and diabetic screening. Medicare covers most services. Let us help you stay mobile and independent at home.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon 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 reached over one million views.
Recommended Products from Dr. Tom