Pomarino - Toe Walking / Zehenspitzengang

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

Hello, I’m David Pomarino.I’m a gait specialist and physiotherapist with a long-standing focus on childhood Toe Walking....
07/01/2026

Hello, I’m David Pomarino.

I’m a gait specialist and physiotherapist with a long-standing focus on childhood Toe Walking. Since the 1990s, I’ve been working with children and families, combining clinical experience with research and gaining international recognition in this field.

Over the years, this work has led to the development of practical tools such as our Pomarino pyramid insoles and the Toe Walking Test, supporting a structured and gentle approach to assessment and treatment.

My aim is to better understand its causes, including genetic factors, and to support effective, evidence-based care worldwide.🩵👣

Thank you 2025 for all the lessons, the small steps forward and the trust along the way. Hello 2026, we’re ready for wha...
06/01/2026

Thank you 2025 for all the lessons, the small steps forward and the trust along the way. Hello 2026, we’re ready for what’s ahead!🩵

Persistent Toe Walking in children can often be effectively addressed with our structured 3-step approach:👣Step 1 – Pyra...
02/01/2026

Persistent Toe Walking in children can often be effectively addressed with our structured 3-step approach:👣

Step 1 – Pyramid Insoles:
Custom-made insoles with pyramid-shaped elevations are tailored to your child’s feet. These insoles provide gentle pressure on the forefoot, encouraging the child to place the heel first when walking. Worn consistently, they help retrain gait patterns in a natural and supportive way.

Step 2 – Night Splints & Muscle Relaxation:
To prevent Toe Walking during sleep, your child may wear specially designed night splints. These keep the feet in the correct position overnight. In some cases, targeted muscle relaxation injections can support therapy, especially if muscles are tight or resistant, enhancing the effectiveness of the insoles and exercises.

Step 3 – Minimally Invasive Surgery:
If conservative measures are not sufficient, a minimally invasive procedure may be considered. In just about 10 minutes, selected fascia are scored, allowing the muscles to stretch. This helps your child roll the foot from heel to toe naturally. Most children experience minimal pain and can walk again the same day, making it a gentle option when needed.

💡 Our goal is to treat Toe Walking as gently as possible, with surgery only if conservative therapies don’t work or the child experiences pain.

If your child consistently walks on their toes, consulting a specialist can help identify any underlying causes and prevent further complications!

Small steps, big smiles🩵🍪During our final clinic hours, the children decorated cookies, filled our tree with wishes, and...
30/12/2025

Small steps, big smiles🩵🍪

During our final clinic hours, the children decorated cookies, filled our tree with wishes, and of course had lots of fun, very tasty results included!

Thank you for this year. Wishing all families a good start into the new year. 🩵

Toe Walking is far more common than many people think.📈Epidemiological studies estimate that 2–5% of children worldwide ...
21/12/2025

Toe Walking is far more common than many people think.📈

Epidemiological studies estimate that 2–5% of children worldwide show persistent or intermittent Toe Walking during childhood.
With a global child population of over 2 billion, this means tens of millions, potentially over 100 million children are affected.

For some children, Toe Walking is part of normal early motor development and resolves on its own.
For others, it may be associated with neuromuscular, orthopedic, or neurodevelopmental factors, which is why observation, timing, and proper assessment matter.

Early recognition helps distinguish between a harmless developmental phase and a condition that may benefit from targeted support or treatment. 🩵

Sources:
– Engström & Tedroff, Journal of Pediatric Orthopaedics
– Pomarino et al., Gait & Posture
– MSD Manuals (Pediatrics / Gait abnormalities)

A wish from today’s consultation. 🎄During our last consultation, our patients were invited to hang their wishes on our c...
19/12/2025

A wish from today’s consultation. 🎄
During our last consultation, our patients were invited to hang their wishes on our christmas tree.
It was very interesting to read through them! And surprisingly, many of the wishes were for a car.🤣

We wish all families a wonderful Christmas season.🎄🩵

Persistent Toe Walking isn’t always “just a phase.”👣In our new publication, we show that ongoing Toe Walking in children...
17/12/2025

Persistent Toe Walking isn’t always “just a phase.”👣

In our new publication, we show that ongoing Toe Walking in children may be linked to genetic changes in the PMP22 gene—a gene also involved in hereditary neuropathies such as CMT1A and HNPP.

In this study of children with persistent Toe Walking:
• Over half showed pathogenic PMP22 variants
• Common findings included pes cavus (high arches) and lumbar hyperlordosis
• Milder variants were often associated with subtle signs like muscle cramps or limited ankle dorsiflexion

The key takeaway:
Persistent Toe Walking can be an early neurological indicator, not always an idiopathic or harmless gait pattern.

Interested in learning more? 🔍
Full publication available here: 👉 toewalking-therapy.com/publications

Think small foot issues don’t matter? Think again! 🦶Feet are the base of the human body, and misaligned feet in childhoo...
11/12/2025

Think small foot issues don’t matter? Think again! 🦶

Feet are the base of the human body, and misaligned feet in childhood can lead to uneven weight distribution, affecting knees, hips, pelvis, and even the spine over time.

Studies show that up to 1 in 6 children have lower-limb deviations by school age. And those with deformities often experience more pain and discomfort.

The good news? Early detection and proper care can prevent long-term problems and help the body move naturally and comfortably. 🩵

Today’s adjustment. When the Turtlebraces go on…In today’s session, we carefully position the Turtlebrace on the child’s...
01/12/2025

Today’s adjustment. When the Turtlebraces go on…

In today’s session, we carefully position the Turtlebrace on the child’s foot. Once in place, a quick cooling spray hardens the material, giving the brace stability without forcing the foot into a specific position. Next, we check how the foot settles and make small adjustments if needed.
A thumbs-up signals that everything fits correctly and the child is ready to walk more naturally.

The moment the Turtlebraces are applied, children often become aware of their feet in a new way.
These small, simple moments are essential for understanding each child’s gait and ensuring the Turtlebraces provide effective support. 🩵

Little superheroes in our Toe Walking consultations. Capes on, heels down!🦸‍♂️🦶✨
21/11/2025

Little superheroes in our Toe Walking consultations. Capes on, heels down!🦸‍♂️🦶✨


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

Benachrichtigungen

Lassen Sie sich von uns eine E-Mail senden und seien Sie der erste der Neuigkeiten und Aktionen von Pomarino - Toe Walking / Zehenspitzengang erfährt. Ihre E-Mail-Adresse wird nicht für andere Zwecke verwendet und Sie können sich jederzeit abmelden.

Die Praxis Kontaktieren

Nachricht an Pomarino - Toe Walking / Zehenspitzengang senden:

Teilen

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Kategorie