Quick answer: Troy Podiatrist Birmingham Foot Doctor Oakland County is a common foot/ankle topic that affects many patients. The 2026 evidence-based approach combines proper diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Hills practices. Call (810) 206-1402.
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Expert Podiatric Care for Troy and Birmingham
Patients from Troy, Birmingham, Bloomfield Hills, and the broader northern Oakland County area receive comprehensive foot and ankle care at Balance Foot & Ankle. Our board-certified podiatric physicians provide expert evaluation and treatment for the full range of foot and ankle conditions, combining advanced diagnostics with plan tailored to your foot types designed around each patient’s lifestyle and health goals.
The communities of Troy and Birmingham represent some of Oakland County’s most active and health-conscious populations. From corporate professionals logging miles on their feet to athletes competing in area sports leagues, our patients’ lives demand feet and ankles that perform reliably — and our job is to keep them doing exactly that.
What We Treat
Our Troy and Birmingham patients present with the full spectrum of podiatric conditions. Heel pain — predominantly plantar fasciitis — is consistently the most common presentation, affecting everyone from marathon runners to office workers transitioning to more active lifestyles. Bunions, hammertoes, neuromas, and ingrown toenails represent the majority of structural and dermatological complaints. Diabetic foot management, including neuropathy assessment, ulcer care, and preventive nail and skin maintenance, is an important part of our practice for the area’s diabetic population.
Sports injuries occupy a significant portion of our care for Troy and Birmingham patients. Running injuries, ankle sprains, stress fractures, and Achilles tendinopathy are particularly common in this athletic community. Our podiatric surgeons perform the full spectrum of foot and ankle surgery when conservative measures are insufficient.
Running and Athletic Community
Troy and Birmingham have a thriving running community with multiple running clubs, organized races, and a culture that values fitness and physical activity. Our sports podiatry services — including biomechanical gait analysis, custom orthotic fabrication, and sport-specific rehabilitation — serve this community’s needs. We provide individualized footwear guidance, injury prevention counseling, and efficient return-to-training protocols so runners can get back to what they love.
We also treat cyclists, swimmers, tennis and pickleball players, golfers, and participants across the wide variety of sports popular in northern Oakland County’s recreation centers, country clubs, and parks.
Pediatric Foot Care
Many Troy and Birmingham families bring their children for foot evaluations — concerns about in-toeing, flat feet, toe walking, heel pain (Sever’s disease in active children), and warts are among the most common pediatric presentations. Our podiatrists have experience and patience working with pediatric patients and their families, providing reassurance when watchful waiting is appropriate and early intervention when treatment will benefit long-term foot development.
Advanced Orthotic Services
Custom foot orthotics are among the most impactful interventions in podiatric medicine, and our orthotic fabrication process ensures a precise fit. Following a thorough biomechanical examination and casting, we create functional orthotics, accommodative devices, or sports-specific insoles matched to your diagnosis, foot type, and footwear requirements. We also offer follow-up adjustments to optimize comfort and function.
Our Bloomfield Hills office Serving Troy and Birmingham
Our Bloomfield Hills location is ideally situated for Troy and Birmingham patients — just minutes away via Telegraph Road, Woodward Avenue, or I-75. Our offices offer convenient parking, accessible facilities, and scheduling designed to accommodate busy professional and family schedules.
Call (810) 206-1402 to schedule an appointment or book online. We accept most major insurance plans and welcome new patients. Most appointments are available within one week.
Foot or Ankle Pain? We Can Help.
Balance Foot & Ankle — Howell & Bloomfield Hills, MI
📅 Book Online
📞 (810) 206-1402
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Hills Office
43494 Woodward Ave, Suite 208
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.
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When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
What is Foot pain?
Foot pain is a common foot/ankle condition that affects mobility and quality of life. Understanding the underlying cause is the first step in successful treatment. Our podiatrists at Balance Foot & Ankle perform a hands-on biomechanical exam, review your activity history, and use diagnostic imaging when appropriate to identify the root cause—not just treat the symptom. Many patients have been told to “rest and ice” without a deeper diagnostic workup; our approach is different.
Symptoms and warning signs
Common signs of foot pain include pain that worsens with activity, morning stiffness, swelling, tenderness when palpated, and difficulty bearing weight. If you experience sudden severe pain, inability to walk, visible deformity, numbness or color change, contact our office the same day or visit urgent care—these can signal a more serious injury such as a fracture, tendon rupture, or vascular compromise. Diabetics with any foot wound should seek same-day care.
Conservative treatment options
Most cases of foot pain respond to non-surgical care: structured rest, supportive footwear changes, custom orthotics, targeted stretching and strengthening protocols, anti-inflammatory medications when medically appropriate, and in-office procedures such as ultrasound-guided injections. We also offer advanced therapies including MLS laser therapy, EPAT/shockwave, regenerative injections, and image-guided procedures. Treatment is sequenced from least invasive to most invasive, and we explain the rationale at every step.
When is surgery considered?
Surgery is reserved for cases that fail 3-6 months of well-structured conservative care, when there is structural pathology (severe deformity, complete tear, advanced arthritis), or when imaging shows damage that will not heal without intervention. Our surgeons have performed 3,000+ foot and ankle procedures and prioritize minimally-invasive techniques whenever appropriate. We discuss recovery timelines, return-to-activity milestones, and realistic outcome expectations before any procedure is scheduled.
Recovery timeline and prevention
Recovery from foot pain varies based on severity and chosen treatment path. Conservative cases often improve within 4-8 weeks with consistent adherence to the protocol. Post-procedural recovery may range from a few days (in-office procedures) to several months (reconstructive surgery). Long-term prevention involves footwear assessment, activity modification, structured strengthening, and regular check-ins with your podiatrist if you have a history of recurrence. We provide written home-exercise plans and digital follow-up support.
Ready to feel better?
Same-week appointments available in Howell and Bloomfield Hills, Michigan.
Book Your VisitVisit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Hills. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.
Same-day appointments available. (810) 206-1402
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Same-week appointments at our Howell and Bloomfield Hills offices. Board-certified podiatric surgeons. Most insurance accepted.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) 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 made him one of the most-followed foot & ankle educators on YouTube.


