About
Who writes this, and how
Neuropathy is a category where a lot of confident, badly sourced writing gets published. This page sets out who is behind these pages, how they are researched, how the site makes money, and what it will not do.
The author
Dr. Tom Biernacki, DPM, FACFAS is a double board-certified foot and ankle surgeon — certified by the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine — and a Fellow of the American College of Foot and Ankle Surgeons. He practises in Michigan at Balance Foot & Ankle, with offices in Howell and Bloomfield Township, and sees neuropathic feet every week in clinic.
His national provider identifier is 1821330051, which you can verify yourself in the public NPPES registry. His Michigan practice information is here.
That clinical background is the reason this site keeps returning to the same unglamorous points — protective sensation, footwear, skin, pressure. Those are the things that decide how neuropathy actually turns out, and they are the things most neuropathy content skips over on the way to selling something.
Why this site exists
Search for almost any neuropathy term and you get three kinds of result: a thin medical summary, a supplement company, or a page selling a cure. What is missing is the version a clinician would actually say out loud — what the evidence supports, what it does not, and what to do on a Tuesday afternoon when your feet are numb and you are not sure whether it matters.
That is the gap these pages are written into. If you are new to this, start here.
How a page on this site is made
Clinical practice guidelines, the American Diabetes Association Standards of Care, systematic reviews, regulator-approved product labelling and national health institutes — cited at the foot of each page rather than gestured at.
Where a treatment has been measured, we say what it delivered. “Reduces pain by roughly a third in a minority of people” is more useful than “effective”.
Every commercial page leads with the risk specific to that category — heat on feet that cannot judge temperature, compression on a limb with poor arterial supply, high-dose B6 causing the very problem it is sold for.
Where evidence is mixed, the page says so. Where a claim is popular and unsupported, the page says that too.
Pages carry their review status openly. A page marked clinical review pending has been researched and written but not yet signed off by him — and it says so rather than implying otherwise. When review is complete, the page shows the reviewer and the date.
How this site makes money, stated plainly
Some pages carry affiliate links, which means we may earn a commission if you buy through them, at no additional cost to you. As an Amazon Associate we earn from qualifying purchases. The full disclosure is here.
Three things follow from that, and they are the reason several pages currently recommend nothing at all:
- No product is named until we can state what was assessed and how. That is why our product pages publish criteria first and picks later. The editorial policy that enforces it is here.
- Nobody can pay for placement. There is no sponsored content, no paid review, and no arrangement in which a brand sees a page before it is published.
- Commission never decides a recommendation. Where the honest answer is “this category mostly does not work”, that is what the page says — and several of them do.
What this site is not
It is not a diagnosis, and it cannot examine you. It is not a substitute for your own clinician, who can see your whole picture. It is not an emergency service — for anything urgent, call 911 or go to emergency care. And it is not a HIPAA-covered entity, so please do not send us clinical details about yourself. Our privacy policy explains how information is handled.
Corrections
Medical writing gets things wrong, and pages that never change are usually the ones nobody is checking. If you find an error — a misread study, a dose, a claim that has moved on — write to michiganfootdoctors@gmail.com with the page and what is wrong. Substantive corrections are made to the page itself rather than quietly, and the update date changes.
Related sites
Managing Neuropathy
This site. National education about neuropathy, its symptoms and causes, treatment, and the daily foot care that prevents the serious outcomes.
Start here →Michigan Foot Doctors
Dr. Biernacki’s Michigan practice — local clinical services, practice information and appointments in Howell and Bloomfield Township.
Michigan care →Editorial standards
The rules these pages are written under, including when a product may be named and how sources are handled.
Read the policy →Common questions
Is this written by AI?
Research and drafting are assisted by AI tools working from named primary sources, under Dr. Biernacki’s direction and editorial standards, with clinical review by him as the gate before a page is marked reviewed. We think that is worth stating plainly rather than leaving you to guess — and it is why the review status appears on every page.
Why do some pages recommend no products at all?
Because the editorial policy does not allow a named recommendation until we can say what was assessed and how. Publishing criteria without picks is the honest interim position, and it is more useful than a list ordered by commission.
Can Dr. Biernacki answer my question by email?
No — giving individual advice to someone he has not examined would be poor medicine, and this site is not set up to receive health information. Take the relevant page to your own clinician, or, if you are in Michigan, book an appointment.
Who reviews the medical content?
Dr. Biernacki. Pages state their review status openly, including when review is still pending.
Start where it helps
Not sure where to begin?
The starting page sorts the site by what you are actually trying to work out — what the symptoms mean, what changes the course of it, and what to do daily.