Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
Shockwave Therapy vs. Injection [Plantar Fasciitis & Pl relates to plantar fasciitis — typically caused by tight calves and arch overload. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Shockwave Therapy vs. Injection [Plantar Fasciitis & Plantar Fibroma]
Shockwave Therapy vs. Injection [Plantar Fasciitis & Plantar Fibroma] 🦶We review extracorporeal shockwave therapy for plantar fasciitis, plantar fibroma, Achilles tendonitis pain. We compare this to a corticosteroid injection for plantar fasciitis and plantar fibroma pain. Full Video: https://youtu.be/BGOYlhI49xY🦶 Full Video: https://youtu.be/BGOYlhI49xY Plantar fibroma treatment: https://youtu.be/BGOYlhI49xY Full Plantar Fasciitis Video: https://youtu.be/2aXlnFVmIY8 Full Video: https://youtu.be/cbfQh-wjxOE Heel Spur: https://youtu.be/2rrt4xkeBiQ Related Videos: Numbness, Burning, or Tingling Foot Pain: https://youtu.be/Pdp9HLH9Gsg Fat Pad Loss: https://youtu.be/54O-B2XqJaY Heel Nerve Pain: https://youtu.be/1ZqubXExmc4 Plantar Fasciitis: https://youtu.be/2aXlnFVmIY8 Heel Stress Fracture: https://youtu.be/GesHK7hBpJA Tarsal Tunnel: https://youtu.be/DoqjV9VR5tA Ankle strengthening full video: https://youtu.be/ZI0sANYDF6M Peroneal Tendonitis Treatment: https://youtu.be/bre6SmVm108 Posterior tibial tendonitis treatment: https://youtu.be/bkiRUlAfnZo Achilles tendonitis treatment: https://youtu.be/Y1sMEi7LNuA Anterior Tibial Tendonitis Treatment: https://youtu.be/55TGq-O8W_4 Best Arthritis Treatments: https://youtu.be/5M7ngir46yQ Best anti inflammatory diet for arthritis and joint pain: https://youtu.be/gCjN1Rya6es Best Supplements for joint pain and arthritis: https://youtu.be/8CVHgrf-FLQ Stiff big toe joint: https://youtu.be/nfyY_8n5B8s Plantar fasciitis treatment: https://youtu.be/2aXlnFVmIY8 👉 Shoes 👈 Best Shoes:Podiatrist Recommended ShoesBest Orthotics:
Podiatrist Recommended OrthoticsBest Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢Come See Us in Detroit, Michigan, Berkley Michigan; Bloomfield Hills, Michigan, Lansing Michigan; and Grand Blanc Michigan📢 If you are in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/. https://g.page/r/CaxJ9b-O6o27EAE Orthotics: Best Overall Orthotic: https://geni.us/PowerStepOrthotics (Amazon) Best Heavy Duty Orthotic: https://geni.us/HeavyDutyOrthotics (Amazon) Best Women’s Orthotic: https://geni.us/BestWomensOrthotic (Amazon) Best sub $25 Soft Orthotic: https://geni.us/BudgetSoftOrthotic (Amazon) Best sub $25 Budget Orthotic: https://geni.us/BudgetOrthotic (Amazon) Pain Relief: Best Compression Sleeves: https://geni.us/PlantarFasciitisSock (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) Best Muscle Massage Stick: https://geni.us/MuscleStick (Amazon) Exercises & Stretches: Best Ankle Stretch Incline Board: https://geni.us/z7bq (Amazon) Best Budget Stretching Device: https://geni.us/BudgetFasciitisStretch (Amazon) Compression socks & Compression stockings: Note: Start Light & always check with your podiatrist if you have a medical condition. Best 8-15 mmHg budget compression stockings: https://geni.us/NmvRw Best 20-30 mmHg compression stocking: https://geni.us/bqasGh (Amazon) Massage Device: Our Favorite Calf Compression Device https://geni.us/sLJDN Our Favorite Full Leg Compression Device https://geni.us/htyFl Massage Gun: Note: This is for sore, tight muscles, not to dissolve spurs. Bob and Brad D6 Pro Massage Gun (My #:1 Choice) https://geni.us/ouFhWtI (10% OFF Code: BOBANDBRADD6) Bob and Brad C2 Massage Gun (Great Travel): https://geni.us/BFKF (10% OFF Code: BOBBRADG10 or TIMPT104 or bobbradfall) Bob and Brad 721 Foot Massager: https://geni.us/2RKyA7 (10% OFF Code: BobBrad2022) Best Ankle Pain Braces: Best Overall Ankle Stability Brace: https://geni.us/GreatBrace (Amazon) Best Overall Compression Ankle Brace: https://geni.us/GreatCompressionBrace (Amazon) Best Budget Ankle Stability Brace: https://geni.us/AnkleStability (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) DISCLAIMER: Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.
At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Hills office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.
Related Treatment Guides
- Plantar Fasciitis & Heel Pain Treatment
- Achilles Tendinopathy Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Hills is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.
Medical References & Sources
- American Podiatric Medical Association — Plantar Fasciitis
- PubMed Research — Plantar Fasciitis Treatment Studies
- American Orthopaedic Foot & Ankle Society — Heel Pain
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 Plantar Fasciitis Essentials
Best Night Splint
Keeps fascia stretched overnight — the #1 intervention for morning heel pain.
Top Podiatrist-Recommended Insole
Deep heel cup + arch support unloads the plantar fascia all day.
Plantar Fasciitis Compression Sock
Arch support + circulation boost — reduces morning heel pain and swelling.
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
If morning heel pain has persisted more than 6 weeks, home care alone rarely fixes it. At Balance Foot & Ankle, we combine in-office ultrasound diagnostics, custom orthotics, and — when needed — shockwave or PRP to resolve plantar fasciitis that hasn’t responded to stretching and inserts. Most patients are walking pain-free within 4-8 weeks of starting a structured plan.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including EPAT Shockwave Therapy Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for plantar fasciitis
Advantages
- ✓ Conservative care resolves 90%+ of cases
- ✓ Multiple home treatment options
- ✓ Strong evidence base
- ✓ Imaging often not required
Considerations
- ✗ Recovery takes 6-12 weeks
- ✗ Mistakes prolong recovery
- ✗ Untreated can become chronic
- ✗ Can mimic other conditions
Dr. Tom’s Recommended Products for plantar fasciitis
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
PowerStep Pinnacle Maxx Dr. Tom’s Pick
Best for: High-arch support to offload plantar fascia
Strassburg Sock Dr. Tom’s Pick
Best for: Overnight stretch for morning pain relief
Hoka Bondi 9 Dr. Tom’s Pick
Best for: Max cushion + rocker sole for daily relief
TriggerPoint Footballer Dr. Tom’s Pick
Best for: Plantar fascia release + stretching
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’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA — comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
CURREX RunProDr. Tom’s #1 Brand
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief — 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
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.
Frequently Asked Questions
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