What does a podiatrist treat?

Podiatrists specialize in the foot, ankle, and lower leg. They diagnose and treat heel pain, bunions and hammertoes, tendon injuries, nerve conditions (Morton's neuroma, neuropathy), toenail disorders, skin conditions (warts, calluses, ulcers), fractures, sports injuries, diabetic foot complications, ankle instability, and perform foot and ankle surgery. At Balance Foot & Ankle, Dr. Tom Biernacki DPM, Dr. Carl Jay DPM, and Dr. Daria Gutkin DPM AACFAS serve Howell, Bloomfield Hills, and surrounding Michigan communities.

How often should a healthy person see a podiatrist?

Annual foot exams are beneficial if you are over 60, are an active runner or athlete, have diabetes, have a family history of foot problems, or notice any changes in foot shape, nail appearance, or skin texture. Preventive visits catch problems early — before bunions require surgery or a small nail issue becomes an infection.

Can foot problems cause knee, hip, or back pain?

Yes — the foot is the foundation of the kinetic chain. Overpronation causes the tibia to internally rotate, increasing stress on the knee and altering hip alignment. High arches transmit shock poorly, overloading the ankle and knee. Custom orthotics that correct foot mechanics frequently improve knee, hip, and back symptoms — one of the most underappreciated benefits of podiatric care.

When should I see a podiatrist versus an orthopedic surgeon?

Podiatrists specialize exclusively in the foot, ankle, and lower leg — making them the most experienced providers for most foot and ankle conditions. For foot and ankle surgery, a DPM with high case volume is appropriate. Dr. Tom Biernacki at Balance Foot & Ankle has performed over 3,000 foot and ankle procedures. Call (810) 206-1402.

Shuffling Gait Causes Treatment 2026

shuffling-gait-causes - Balance Foot & Ankle Michigan

Watch: Foot & ankle health tips from Dr. Biernacki

Quick Answer — Shuffling Gait

Shuffling gait features small steps with feet barely lifted from the ground — classically associated with Parkinson disease (festinating gait). Other causes include normal pressure hydrocephalus, dementia, chronic alcohol abuse, severe arthritis, and weakness. The foot consequences: increased fall risk, scuffed toes from poor clearance, peripheral edema, and pressure injuries. Evaluation includes neurologic exam, brain imaging, and gait analysis. Footwear modification (smooth soles for easier transition), AFOs, and physical therapy improve safety. Consult a neurologist and podiatrist together.

Written and reviewed by Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon, Balance Foot & Ankle Specialists, Michigan.

Shuffling Gait: Causes (Parkinsons + More)

Quick answer: Shuffling Gait requires gait analysis. Dr. Tom Biernacki, DPM provides systematic evaluation.

Common Causes

Pain compensation, neurological, biomechanical, or structural issues.

Schedule

Call (810) 206-1402.

⚕ Doctor Recommended

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Podiatrist-recommended arch support

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Foot Health & Care Resource Center (American Podiatric Medical Association)

In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your foot and ankle conditions, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.

Same-day appointments available. (810) 206-1402

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