You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what why choose Balance Foot & Ankle means and what works. Call (810) 206-1402 for same-week appointment at Howell or Bloomfield Township.
Quick answer: Why Choose Balance Foot Ankle Michigan affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
Related Conditions
Quick Answer
Why Choose Balance Foot & Ankle — Michigan’ 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 Township: (810) 206-1402.
Why Choose Balance Foot & Ankle — Michigan’s Most Trusted Podiatry Practice
Over 5,000 Patients. Over 1,200 Five-Star Reviews. One Clear Choice.
With over 5,000 patients treated annually, 1,200+ five-star Google reviews, and a YouTube channel with 935,000 subscribers educating patients nationwide, Balance Foot & Ankle Specialists is Michigan’s most trusted podiatry practice. Here’s why patients across Livingston and Oakland Counties consistently choose us. Call (810) 206-1402.
What Sets Us Apart
Three Board-Certified Podiatrists: Dr. Tom Biernacki, Dr. Jay, and Dr. Gutkin — each fellowship-trained, with subspecialty expertise in different foot and ankle conditions. In-Office Diagnostic Imaging: Digital X-ray and ultrasound with results in minutes — no referral wait, no external imaging center, diagnosis confirmed at your first visit. 3D-Scanned Custom Orthotics: Precision digital scanning and fabrication, not old plaster molds. REMY Laser Therapy: FDA-cleared dual-wavelength laser for chronic pain, wound healing, and inflammation — one of the most advanced options available. EPAT Shockwave: 80%+ success for chronic plantar fasciitis — our most powerful non-surgical tool. Toenail Fungus Laser: Clear nails without pills or liver risk. Minimally Invasive Surgery: When surgery is needed, our minimally invasive approach means walking the same day with dramatically reduced recovery. Home Visits: Our team comes to you throughout Livingston and Oakland Counties — a service vanishingly few practices offer. Telehealth: Virtual consultations available statewide. Same-Week Appointments: Available for acute pain and foot emergencies. Medicare + Most Michigan Insurance: Comprehensive insurance acceptance with pre-authorization verification by our billing team.
Our Philosophy
We exhaust every non-surgical option before recommending surgery. We use the most advanced technology available, not because it’s impressive, but because it produces better results for our patients. We educate — Dr. Tom’s 935K YouTube subscribers represent years of commitment to patient empowerment through knowledge. We serve — home visits, telehealth, and extended hours reflect our commitment to accessibility.
Two Convenient Locations
Howell: 4330 E Grand River Ave, Howell, MI 48843 — serving all of Livingston County.
Bloomfield Township: 43494 Woodward Ave, Suite 208, Bloomfield Township, MI 48302 — serving all of Oakland County.
✅ REMY Class IV Laser — FDA-cleared
✅ EPAT Shockwave Therapy — non-surgical, in-office
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
📞 (810) 206-1402 | Howell & Bloomfield Township
Book Your Appointment — We’re Ready for You
Call (810) 206-1402 or book online 24/7 at michiganfootdoctors.com. Same-week appointments available. Home visits available. Most Michigan insurance accepted. We look forward to earning your trust.
Non-Surgical Foot Care at Balance Foot & Ankle: Michigan’s Conservative Treatment Specialists
At Balance Foot & Ankle, our philosophy is that surgery should be the last resort — not the default. The majority of foot and ankle conditions that patients present with can be effectively treated with the right combination of conservative interventions: custom orthotic therapy that corrects the underlying mechanical cause; physical therapy protocols that rebuild strength and flexibility; REMY laser therapy and EPAT shockwave therapy that promote tissue healing without invasive procedures; targeted injection therapy (corticosteroid, PRP, or sclerosing alcohol depending on the condition) that addresses the specific tissue pathology; and bracing and support that offload damaged structures while they heal.
When conservative treatment is appropriate and properly executed, outcomes match or exceed surgical results for many common foot conditions — without the surgical risks, recovery time, and cost. Michigan patients who have been told they need foot surgery, or who want to exhaust conservative options before considering surgery, are encouraged to schedule an evaluation at Balance Foot & Ankle. We will give an honest assessment of whether conservative treatment has a realistic chance of success for your specific condition and stage of disease, and what that treatment plan would involve. Call Balance Foot & Ankle at (810) 206-1402 to schedule at our Howell or Bloomfield Township Michigan office.
Related Treatment Guides
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
- Bunion Treatment
Michigan patients who are researching non-surgical alternatives for foot conditions — whether because they are concerned about surgery risks, cannot take time off for recovery, or simply want to know what options exist before committing to a procedure — will find that Balance Foot & Ankle offers a fuller range of non-surgical interventions than most podiatric practices. Our conservative treatment toolkit includes custom orthotics, REMY laser therapy, EPAT shockwave therapy, platelet-rich plasma (PRP) injections, ultrasound-guided corticosteroid injections, physical therapy protocols, bracing and immobilization, and advanced wound care — covering the spectrum from the simplest to the most technologically advanced non-surgical treatments available. We are also straightforward when surgery is genuinely the better option for a specific patient and condition — giving patients accurate information to make informed decisions rather than indefinitely managing conditions that require definitive treatment. Call Balance Foot & Ankle at (810) 206-1402 to schedule a non-surgical options consultation at our Howell or Bloomfield Township Michigan office.
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-week appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Week 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 Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Visit Balance Foot & Ankle — Same-Week Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-week appointment availability.
Same-week appointments available. (810) 206-1402
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Same-week appointments in Howell & Bloomfield Township, MI.
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
