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.

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!🦸‍♂️🦶✨


Feet – The Base of the Human Body 👣Feet are much more than just the foundation for standing. They influence posture, bal...
20/11/2025

Feet – The Base of the Human Body 👣

Feet are much more than just the foundation for standing. They influence posture, balance, and the way the entire body moves. Small deviations, like Toe Walking, may seem minor, but over time they can affect knees, hips, and even the spine.

While traditional therapies had limited success, modern holistic approaches have shown great results in supporting healthy gait patterns.

Interested in learning more? 🔍
Full publication available here: 👉 ptz-pomarino.de/publications

Sneak peek from our latest Toe Walking consultation 👣✨Yes, we dressed up. And yes, the kids LOVED it!Turns out a bit of ...
19/11/2025

Sneak peek from our latest Toe Walking consultation 👣✨

Yes, we dressed up. And yes, the kids LOVED it!

Turns out a bit of silliness makes gait assessments way more fun for everyone. 🩵

Not every step is easy, especially when walking feels different.But with the right support, guidance, and understanding,...
12/11/2025

Not every step is easy, especially when walking feels different.
But with the right support, guidance, and understanding, every step can start to feel right. 🩵

Self-myofascial release made simple.Ever tried rolling your feet on a tennis ball? 🎾It might look simple, but what happe...
11/11/2025

Self-myofascial release made simple.
Ever tried rolling your feet on a tennis ball? 🎾
It might look simple, but what happens inside your body is pretty fascinating.

Self-myofascial release (SMR) targets the fascia, the connective tissue that wraps around your muscles. Gentle pressure helps the tissue relax, improves blood flow, and can ease that “tight” feeling many of us don’t even notice we carry.

Research shows SMR can:
• Loosen tight muscles and reduce stiffness
• Calm overactive muscle fibers for smoother movement
• Restore neuromuscular balance for better posture and coordination
• Increase proprioception, helping your brain sense body position more effectively

Practical tips:
• Roll each foot for 1–2 minutes, focusing on the arches and balls of your feet
• Apply gentle pressure — it should feel like a deep massage, not pain
• Combine SMR with stretching for even better results

Small tool, big impact. 🩵

What’s the best way to fix bad posture? 🩵Good posture isn’t just about your back, it starts with your feet, your core, a...
07/11/2025

What’s the best way to fix bad posture? 🩵

Good posture isn’t just about your back, it starts with your feet, your core, and your daily habits. Here’s what really makes a difference:

1. Foot Awareness
Your feet are the foundation of your body. Support them with well-fitted shoes, or give them some barefoot time on safe surfaces to improve balance and alignment naturally.

2. Stretch Tight Muscles
• Chest & shoulder stretches to open rounded shoulders
• Upper back stretches to loosen traps
• Neck stretches to fix forward head posture

3. Mind Your Phone & Screen Habits
Keep your device at eye level to avoid craning your neck forward.

4. Encourage Heel-to-Toe Walking
Practice walking along a line or tape helps strengthen foot muscles and trains proper weight distribution.

5. Fun Foot Exercises
• Picking up toys or small objects with toes
• Rolling a ball under the feet
• Balancing on one foot for a few seconds
These simple exercises improve foot strength, coordination and posture naturally.

Why do Pyramid Insoles work so well for children with Toe Walking? 🩵Pyramid Insoles are designed to support a more natur...
06/11/2025

Why do Pyramid Insoles work so well for children with Toe Walking? 🩵

Pyramid Insoles are designed to support a more natural walking pattern and balanced foot alignment.

• Pyramid shaped elevations help the child place their foot down with the heel first
• Small elevation at the heel stabilizes the heel, promotes ground contact, and encourages a smooth heel-to-toe movement
• Arch support cushioning ensures stability and balanced foot alignment

We take precise measurements, and you place the custom-made insoles in your child’s shoes. With consistent use, they can help your child develop a healthier gait.

📍More info at www.ptz-pomarino.de

Persistent Toe Walking is more than just walking on tiptoes. 🦶At our practice, we assess: • The Bones: skeletal alignmen...
04/11/2025

Persistent Toe Walking is more than just walking on tiptoes. 🦶

At our practice, we assess:
• The Bones: skeletal alignment and any structural variations
• The Muscles: calf muscle tightness, Achilles tendon length, and neuromuscular function
• The Gait: walking pattern, weight distribution and hidden asymmetries

Walking is complex. We observe how each part of the body moves together, not just the feet.
Concerned about your child’s walking pattern? Early analysis makes all the difference.🩵

📍More info at www.ptz-pomarino.de

Dear parents, 🩵If you notice your child always walking on their toes, please don’t “wait and see”!Many parents are told ...
29/10/2025

Dear parents, 🩵
If you notice your child always walking on their toes, please don’t “wait and see”!

Many parents are told that Toe Walking will go away on its own, but in some cases, it doesn’t. Persistent Toe Walking can be linked to sensory processing differences, shortened calf muscles, neurological factors or even genetics. That’s why, early assessment helps to identify the cause and prevent long-term changes in gait and overall posture.

Why early intervention matters:
• It helps identify the underlying cause (muscular, sensory, neurological or genetic).
• It prevents muscle shortening and joint changes.
• It supports healthy gait development and posture.

Understanding Your Foot from the Inside 🦶X-rays and MRI scans provide valuable insights into the structure and function ...
25/10/2025

Understanding Your Foot from the Inside 🦶

X-rays and MRI scans provide valuable insights into the structure and function of the foot. With 26 bones, 33 joints, and over 100 ligaments and tendons, even small misalignments can impact gait, balance and overall musculoskeletal health.

In children who walk on their toes, imaging can help rule out structural causes and identify underlying factors such as:

• Tight calf muscles, a common contributor to Toe Walking
• Nerve issues, affecting heel contact or foot muscle strength
• Neurological conditions, like early brain injuries or peripheral neuropathies
• Other underlying conditions that may influence walking patterns
With early detection, we can guide children toward a healthier gait and avoid long-term complications before they arise. 🩵

Medial rotation gait particular cause: Acetabular Anteversion🦶Medial (internal) rotation of the leg is a common gait var...
23/10/2025

Medial rotation gait particular cause: Acetabular Anteversion🦶

Medial (internal) rotation of the leg is a common gait variant in children. Up to age four, it is usually considered normal if spasticity and hip dysplasia are excluded. After this age, abnormal force transmission through the pelvis can lead to persistent medial rotation.

Clinical signs may include unusual gait patterns, outwardly bent knees, pelvic asymmetry, or restricted hip abduction. Diagnosis is made through clinical and radiological exams, often using a method of exclusion. Early physiotherapy, splints, and biomechanical corrections can help support healthy walking patterns and prevent long-term gait deviations. 🩵
Interested in the whole article? 🔍
The detailed causes of medial rotation, including femoral anteversion, hip dysplasia, lower leg rotation, and neurological factors, are explained in the full text.

You can read the full publication on our website:
👉 ptz-pomarino.de/publications

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Rothenbaumchaussee 114
Hamburg
20149

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

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