★ 4.9 Stars · 1,123+ Reviews · Board-Certified Michigan Podiatrists
Flatfoot Reconstruction Michigan
Advanced Deformity Correction Surgery
Adult-acquired flatfoot (AAFD) is a progressive condition requiring comprehensive surgical reconstruction. Dr. Carl Jay specializes in Evans osteotomy, tendon transfers, and Cotton osteotomy to restore proper foot function.
#1 Expert Flatfoot Reconstruction Surgery
in Howell & Bloomfield Hills
Flatfoot reconstruction is a corrective surgical procedure used to realign the arch and structure of the foot in individuals suffering from collapsed arches or severe pronation. This condition, if left untreated, can lead to chronic pain, difficulty walking, and long-term joint damage. At Balance Foot & Ankle Specialist, we offer personalized flatfoot reconstruction treatments designed to restore proper foot function and improve your quality of life.
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Accepting New Patients
Board Certified Podiatrists — Howell & Bloomfield Hills
Find Expert Podiatrist for Flatfoot at the Location Nearest You.
Howell
4330 E Grand River, Howell, MI 48843
Book Now in Under 5 Minutes: 24/7
Bloomfield Hills
43494 Woodward Ave # 208, Bloomfield Twp, MI 48302
Book Now in Under 5 Minutes: 24/7
Flat Foot & Overpronation
Top 3 Evidence Based Treatments
Our board-certified podiatric surgeons in Howell and Bloomfield Hills use advanced techniques and a patient-first approach to ensure the best surgical outcome. Whether your condition stems from an injury, genetics, or wear and tear, our team is ready to help you regain mobility and live pain-free.
From pre-op planning to full post-op recovery, we guide you every step of the way. Don’t let flatfoot deformities disrupt your daily activities any longer.
Watch: Flat Feet in Adults: Do You Need Treatment?
Dr. Tom Biernacki, DPM explains the clinical basics — then covers what we do differently in our Howell and Bloomfield Hills clinics. Subscribe on YouTube for weekly walkthroughs.
When Is Flatfoot Reconstruction Surgery Needed?
Flatfoot reconstruction may be recommended when conservative treatments such as orthotics, physical therapy, or pain medication fail to relieve symptoms. If you’re experiencing severe arch collapse, persistent foot pain, ankle instability, or difficulty standing for long periods, it may be time to consider surgery.
Our Surgical Approach
Our flatfoot reconstruction procedures may include tendon transfers, bone cuts (osteotomies), joint fusion, or ligament repairs based on your specific condition. We tailor the approach to your anatomy and severity to restore both structure and function efficiently.
Benefits of Ankle Arthroscopy Surgery
- Restores natural foot alignment
- Reduces or eliminates chronic pain
- Improves balance and gait
- Prevents further joint deterioration
- Enhances quality of life and activity levels
What to Expect – Before, During & After Surgery
Our surgical journey begins with an in-depth evaluation and digital imaging to customize your treatment. On surgery day, our team ensures a smooth experience using minimally invasive techniques whenever possible. Recovery typically includes immobilization, physical therapy, and regular follow-ups for optimal healing and success.
Why Choose Balance Foot & Ankle Specialist in Howell and Bloomfield Hills?
Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.
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Struggling with Another Foot Problem? We Can Help.
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Toenail Fungus Treatment (Oral or Laser)
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Toenail Trimming -
Orthotics Fitting
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Ingrown Toenails
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Infected Ingrown Toenails
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Podiatrist pedicure
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Medical pedicure
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Trimming of Corns
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Trimming of Calluses, and Treatment of Pressure Blisters
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Diabetic Foot Care & Diabetic Foot Wounds
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Podiatrist medical pedicure
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Extra-Depth Shoes for Patients with Diabetes. -
Prescription (Refills -
Telehealth appointments.
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Cold laser therapy (In the office)
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Laser Treatment Neuropathy
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Athletes Foot, Dry Skin, Eczema.
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Foot & Ankle Ulcer Care
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Infection and Abscess Care.
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Staph Infections in the Toe or Foot Treatment
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Treatment of Plantar Warts for Your Toes and Feet
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Foot & Ankle Injections (Steroid or Natural Solutions.) -
Management of Foot & Ankle Fractures (Walking Boots for broken toes or broken feet). -
Heel Pain (Heel Spur or Plantar Fasciitis)
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Custom Orthotics for children and adults (In the office).
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Over the Counter Orthotics for children and adults.
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Gout Treatment
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Shockwave therapy (AKA ESWT or EPAT therapy)
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ESWT
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EPAT Therapy
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Senior Toenail Cutting & Toenail Trimming Services.
Flatfoot Reconstruction Surgery Frequently Asked Questions
Get Answers to Common Questions About Flatfoot Reconstruction
We understand patients have many concerns before committing to surgery. Below are the answers to our most frequently asked questions:
How long is recovery after flatfoot reconstruction?
Recovery ranges from 6 to 12 weeks, depending on the procedure and your healing response.
Post-operative discomfort is common but manageable with medication and proper care.
Will I be able to walk normally again?
Yes. With rehabilitation, most patients return to normal walking and even athletic activities.
As with any surgery, risks exist but are minimal with proper pre-surgical evaluation and aftercare.
Do you accept insurance for this procedure?
Yes, we work with most insurance providers and will help you verify your benefits in advance.
Regain Stability, Comfort, and Mobility
Don’t let flatfoot deformities limit your daily activities or cause chronic pain. Flatfoot Reconstruction Surgery at Balance Foot & Ankle Specialist is designed to restore proper foot structure, improve alignment, and relieve discomfort.
Our skilled podiatrists in Howell and Bloomfield Hills provide personalized surgical care, advanced techniques, and comprehensive post-operative support to ensure a smooth recovery.
Book a Foot Examination
(810) 206-1402
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CURREX RunPro are biomechanically tuned running insoles with 3 arch profiles (low, medium, high) to match your foot type. Unlike generic insoles, they’re engineered specifically for the high-impact demands of running — reducing pronation stress and metatarsal loading.
View CURREX RunPro on Amazon →
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases.
Related Treatments You May Need
“My flat feet were causing chronic knee and back pain. The flatfoot reconstruction changed my life. Walking is effortless now and I can finally enjoy long hikes again.”
— Karen D., Flatfoot Reconstruction Patient
Your Expert Podiatrists
Serving Patients Across Southeast Michigan
Balance Foot & Ankle provides expert podiatric care from two convenient locations. Our Howell office serves patients from Brighton, Hartland, Fowlerville, Pinckney, Fenton, Hamburg, Whitmore Lake, South Lyon, and throughout Livingston County. Our Bloomfield Hills office serves Birmingham, Troy, West Bloomfield, Pontiac, Farmington Hills, Southfield, Royal Oak, Clarkston, Lake Orion, Rochester Hills, Waterford, Commerce Township, Novi, and Walled Lake across Oakland County.
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
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Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentBoard-certified care at both Michigan locations
Book your visit today
Most insurance accepted · On-site X-ray · Board-certified podiatrists
Howell · (810) 206-1402 Bloomfield · (248) 335-0322Frequently Asked Questions
What causes adult flatfoot?
Adult acquired flatfoot (AAFD) is most commonly caused by progressive failure of the posterior tibial tendon — the main tendon supporting the arch. Contributing factors include obesity, diabetes, high blood pressure, age, and prior foot trauma. Without treatment, it progresses from tendinitis to joint collapse to arthritis.
How long is recovery from flatfoot reconstruction surgery?
Flatfoot reconstruction is a major procedure with 3-6 months of non-weight-bearing or protected weight-bearing, followed by 3-6 months of rehabilitation. Total recovery to full activity is typically 9-12 months. We discuss realistic expectations at your consultation.
Flatfoot Reconstruction Surgery — Michigan
Dr. Biernacki explains adult-acquired flatfoot reconstruction: tendon transfers, calcaneal osteotomy, and joint fusion procedures that restore arch height and relieve pain permanently.
Frequently Asked Questions
Who is a candidate for flatfoot reconstruction?
Candidates have painful progressive flatfoot (stage II–IV posterior tibial tendon dysfunction) that has failed conservative treatment. Signs include collapsing arch, ankle pain, difficulty standing on tiptoe, and visible deformity. Imaging and examination confirm the stage.
How long is recovery after flatfoot reconstruction?
Recovery varies by procedure complexity: 6–8 weeks non-weight-bearing in a cast, followed by a walking boot for 4–6 weeks, then physical therapy. Full return to activity typically takes 9–12 months. The result is permanent structural correction.
What happens without treating severe flatfoot?
Untreated progressive flatfoot leads to ankle arthritis, chronic pain, inability to walk, and potential need for ankle fusion. Early-stage flatfoot responds well to orthotics and therapy — surgical reconstruction is far less invasive when performed before deformity is severe.
Watch Dr. Tom on Flatfoot Reconstruction
Dr. Tom explains when flat feet require reconstruction vs when orthotics and PT are sufficient — and the red flags for PTTD progression.
Flat Foot Support: Non-Surgical First
95% of flat feet never need reconstruction if properly supported early. These four items are the conservative protocol we try before recommending surgery:
PowerStep Pinnacle Insoles
Firm arch support for mild-to-moderate flat feet — the first test of whether surgery is avoidable.
Check Amazon Price →Superior Flat Foot Support Insoles
Deeper heel cup + firmer arch for severe overpronators — the step before custom orthotics in our protocol.
Check Amazon Price →Motion-Control Supportive Walking Shoe
The right shoe prevents the tibial posterior tendon from failing — PTTD is the #1 surgical indication we prevent.
Check Amazon Price →Strassburg Sock (Arch Support Overnight)
Flat feet often develop secondary PF — this prevents the morning pain cascade before it starts.
Check Amazon Price →Affiliate disclosure: Amazon links are affiliate links — we earn a small commission if you buy through them, at no cost to you. We only recommend products we actually prescribe to patients at Balance Foot & Ankle.
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