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Institute for Toe Walking

Startseite
Deutschland
Hamburg
Institute for Toe Walking

Recognizing and successfully treating Toe Walking in children for 20 years. Specialized in the diagnosis, therapy and treatment of toe walking.

26/09/2025

Research on idiopathic Toe Walking (ITW) shows that its causes and how often it occurs are still not fully clear. In a study of 836 children over 4 years:

🔷 64% were boys
🔷 42% had a family history of Toe Walking
🔷 Fathers were more often affected than mothers
🔷 Children with a positive family history tended to be younger and showed more severe Toe-Walking patterns in clinical tests

Conclusion: Genetics may play a role in idiopathic Toe Walking, and children with affected family members are often more severely affected.

Interested in the whole article?🔍
You can read the full publication on our website:
👉 ptz-pomarino.de/publications

There you’ll find more insights and research on Toe Walking. Stay tuned for regular updates from our ongoing work!

23/09/2025

What is Juvenile Hallux Valgus?👣

Hallux valgus means the big toe shifts outward while the ball of the foot becomes wider. In children and teenagers, this usually happens because of a growth disorder in the first metatarsal bone (sometimes also in the big toe bones themselves).

For orientation:
• A healthy hallux angle is under 12°
• In juvenile hallux valgus it is above 15°

Unlike other foot conditions, insoles or braces cannot correct this deformity.
That’s why treatment targets the bone itself through a minimally invasive drilling into the growth plate. This gently slows growth on one side, so the bone can continue to grow straight. Over time, the misalignment stops progressing and is gradually corrected during growth.

If you’d like to learn more or have questions about treatment options, feel free to reach out to us. 🩵

Illustration:

18/09/2025

Sneak peek in our workshop in Rahlstedt✨
Have you ever wondered how many steps it takes until an orthosis is ready?
From casting and shaping to finishing details – every pair goes through careful, precise hands. 🛠️👣

17/09/2025

What advice would you give to a parent who just learned their child will be going through surgery for Toe Walking?👣

Understanding and Support:
It’s natural to feel anxious or uncertain when you hear that your child will have surgery for Toe Walking. Remember, this is a step toward helping your child move more comfortably and confidently.

Ask Questions:
Don’t hesitate to ask about why surgery is recommended, what the procedure involves, how to prepare, and what aftercare looks like. The more you know, the more in control you’ll feel.

Stay Positive but Realistic:
Celebrate even small step of progress. Healing takes time, and setbacks might happen.

And remember: The procedure itself takes only a few minutes and your child can walk again the next day with full weight bearing.🩵

📍More info at www.ptz-pomarino.de

11/09/2025

Reminder: Medizinische Informationsveranstaltung🏥

Wir laden Sie herzlich zu unserer medizinischen Fortbildung am 13. Oktober 2025 ein!
Thema: Myofasziotomie nach der Ulzibat-Methode bei Kindern mit CP und Zehenspitzengang.

Freuen Sie sich auf spannende Vorträge von Dr. Alexander Nazarkin und David Pomarino, inklusive kollegialem Austausch.

💡 Sie kennen jemanden, für den das interessant sein könnte? Markieren Sie die Person gerne!

05/09/2025

“Feet, what do I need you when I have wings to fly?” – said the Mexican artist Frida Kahlo, who lived her entire life with the consequences of a severe accident.

Frida Kahlo’s words remind us that even in the face of challenges and physical limitations, resilience and imagination can carry us beyond what seems possible.

At our practice, we work with children who walk on their toes, helping them discover new ways to move and build confidence. Just as Frida used her imagination and resilience to overcome physical challenges, we support children in finding their own “wings”.

We support children, whether through our three-step therapy concept, genetic testing, custom aids or minimally invasive surgery.🩵

📍More info at www.ptz-pomarino.de

03/09/2025

How Our Video Consultation Works 🩵
Not in Hamburg? No problem!
With our video consultation, we guide you step by step:

1️⃣ Video Consultation
We start with your child’s medical history, gait analysis, and optional genetic testing.

2️⃣ On-Site Appointment (if needed)
If required, visit our Hamburg clinic for a detailed assessment and a workshop session to create custom aids.

3️⃣ Treatment at Home
All necessary aids will be delivered to your home, with follow-up consultations conducted online.

This way, your child can get the support they need, no matter where you live.

📍More info at www.ptz-pomarino.de

29/08/2025

Why is barefoot time important, even if your child wears shoes all day? 👟

What science says:
Walking barefoot helps children feel different surfaces and train the nerves in their feet. This improves balance, coordination, and sensory perception. It can even support brain activity and learning.

Benefits for your child:
1️⃣ Stronger feet & legs: Muscles work naturally
2️⃣ Better balance & coordination: Helps with running, jumping, and everyday movements
3️⃣ Cognitive boost: Sensory input supports learning and attention

Parent tip:
Even if shoes are comfortable, barefoot time helps strengthen foot muscles, improve sensory perception, and support natural walking patterns. That’s why you should let your child spend more time barefoot on safe surfaces like grass, sand or a soft carpet.

28/08/2025

Why does my child walk on their toes? 👣

Toe Walking can have different reasons and not every child is affected in the same way. Scientific studies shows that there are four common underlying causes that can explain why some children walk on their toes.

1️⃣ Muscle Tightness: Shortened calf muscles or limited ankle mobility

2️⃣ Neurological Conditions: Cerebral Palsy, muscular diseases, spasticity etc.

3️⃣ Sensory Processing Differences: Often seen in autism, linked to hypo-/hypersensitivity

4️⃣ Genetic Causes: Genetics and family history are contributing factors

Understanding „why“ is the first step in supporting your child. 🩵
📍More info at www.ptz-pomarino.de

TipToeWalk

27/08/2025

Meet our team! 🩵
We come from all kinds of backgrounds. From international doctors to communication and organization experts and even our very own workshop.
We’re here to support little feet, step by step. 👣

25/08/2025

Idiopathic Toe Walking (ITW) is a gait pattern in which children walk on their forefoot from their very first steps, even though they are able to place their entire foot on the ground.

This article looked at 54 studies on treatment options, including the 3-step pyramid insole concept by Pomarino. Results show that insoles can be effective alongside, physical therapy, casting, botulinum toxin or surgery. However, no treatment has been reported to be fully successful for all children with Toe Walking. Some procedures seem to have achieved faster results or seem to have longer lasting effects. Therefore, further research on the causes of ITW is recommended.

Interested in the whole article?🔍
You can read the full publication on our website:
👉 ptz-pomarino.de/publications

There you’ll find more insights and research on Toe Walking. Stay tuned for regular updates from our ongoing work!

Adresse

Rothenbaumchaussee 114
Hamburg
20149

Öffnungszeiten

Montag	09:00 - 16:00
Dienstag	09:00 - 16:00
Mittwoch	09:00 - 16:00
Donnerstag	09:00 - 16:00
Freitag	09:00 - 15:00

Telefon

+494051320880

Webseite

https://ptz-pomarino.de/

Benachrichtigungen

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