Wie sind die 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

Pomarino - Toe Walking / Zehenspitzengang

Startseite
Deutschland
Hamburg
Pomarino - Toe Walking / Zehenspitzengang

Specialized in the diagnosis, therapy and treatment of toe walking.

👣 Specialized in Idiopathic Toe Walking & Gait
🔬 20+ years of biomechanical research & analysis
🇩🇪 Based in Hamburg | Serving patients worldwide 🌍
👇 Book your consultation & Info

11/03/2026

Myofasciotomy explained: a minimally invasive solution for persistent Toe Walking.👣🥼

At our practice, we follow the Pomarino Method, a clear step-by-step approach to retrain walking naturally using pyramid insoles and night splints. In many cases, this allows children to improve gait without surgery.

If the fascia is very tight and orthotics alone cannot achieve proper heel contact, we may consider a high-precision Myofasciotomy. Performed with our specialized scalpel holder through tiny entry points, it minimizes scarring and discomfort while improving foot function.

Our approach:
✅ Step 1: Begin with the Pomarino Method, orthotics and splints to teach a natural walking pattern.
✅ Step 2: If muscle tension is too strong, a Myofasciotomy gently releases the fascia.
✅ Step 3: The foot can reach the ground properly, making orthotics even more effective and supporting a more functional gait.

Our goal is not perfection, but better mobility, balance, and independence. Every step counts. 🩵

DM us “CONSULT” or visit the link in our bio to learn more!📩

10/03/2026

Milka came all the way from Bolivia with one simple wish: to see her child walk more independently.

Before treatment, every step required a walker. Walking without support wasn’t possible yet, and daily movement was a constant challenge for him and his family.

In our practice, we worked step by step to improve his gait.

The goal was never a “perfect” walk. The goal was progress, more stability, more confidence, and more independence. And then one day, he didn’t need the walker anymore. Is his gait perfect? No. But it is much stronger and much more functional, and most importantly, it allows him to move through the world more independently.

At the end of the video, you see Milka’s reaction. Sometimes emotions say more than any clinical result ever could. Moments like this remind us why foot health matters.

Because sometimes improving a child’s gait means giving them a little more freedom with every step. 🩵

03/03/2026

Not All “Flat Feet” Are The Same. 🦶🚫

Most people think a “flat foot” is a structural death sentence. They look for orthotics to passively push the arch up. But in biomechanics, one principle stands above all:
Function > Structure.

A foot can look flat and still function like a high-performance spring. And a foot can appear to have a “perfect” arch but remain unstable under load. What truly matters isn’t the static shape, it’s how well the foot manages kinetic energy dynamically.

Here are four general pillars often used in functional foot training and rehabilitation to improve foot mechanics and restore the natural spring effect:

1️⃣ TENSION (Isolated Inversion)
The foot needs an active anchor. Training the tibialis posterior to stabilize the arch, without gripping with the toes, builds internal support rather than relying on passive structures.

2️⃣ LOAD CONTROL (Forefoot Sensory Input)
The forefoot plays a key sensory role. Improving forefoot awareness and sequential load distribution (sometimes described as the “piano toes” effect) helps transform a rigid forefoot into a responsive structure.

3️⃣ & 4️⃣ RECOIL (The Spring Effect)
A healthy foot works together with the Achilles tendon like a mechanical spring. Through rotation, elastic energy storage, and controlled release, the system becomes efficient and powerful, essential not only for athletes, but for everyday movement.

Swipe to learn more about the functional pillars of foot mechanics.🩵

27/02/2026

Analyze. Treat. Result. 🚀

Toe Walking is often more than just a habit, it’s a challenge that needs precision. From advanced gait analysis to individual therapy, we provide the data and the care to change the way you move.

At Pomarino, we give the opportunity to walk grounded.

🔗 Link in Bio to book your specialized assessment.

26/02/2026

New Insights into Persistent Toe Walking and SBF1 Genetic Variants 🧬

Is persistent Toe Walking truly „idiopathic,“ or are we looking at a complex genetic landscape?

Our latest publication explores a cohort of 86 children. We investigated the presence of heterozygous SBF1 variants, traditionally associated with autosomal recessive Charcot-Marie-Tooth disease (CMT4B3), and their phenotypic expression.

🔵Key Findings:
Phenotypic Overlap: We observed mild neuromotor and musculoskeletal features (such as pes cavus and lumbar hyperlordosis) that partially overlap with reported CMT4B3 phenotypes.
Clinical Presentation: Muscle weakness and reflex abnormalities were less frequent than in recessive cases.

The „VUS“ Challenge: Most identified variants remain classified as Variants of Uncertain Significance (VUS), highlighting the need for longitudinal follow-up and segregation studies to clarify their clinical relevance.
This research moves us closer to understanding whether these variants represent a gene-dosage effect or a specific modifier in neuromuscular development.

25/02/2026

Before a child receives our custom orthotics, everything begins with a detailed assessment. We don’t just look at the length of the foot, we analyze every curve and contour using tape measures, 3D scans, and traditional foam impressions to craft the perfect Pyramid Insoles.

From the first measurement to the final handcrafted product, we’re here to keep you moving comfortably.🩵

24/02/2026

REMINDER: Fortbildung Myofasziotomie (Ulzibat-Methode) 📅

Nicht vergessen! Am 27. März 2025 laden wir euch herzlich in die Praxis Pomarino nach Hamburg ein.

📍 Wann: 18:00 Uhr

🏢 Wo: Rothenbaumchaussee 114, 20149 Hamburg

🎙 Referenten: Dr. Alexander Nazarkin & David Pomarino

🎓 Bonus: 4 Fortbildungspunkte der Ärztekammer

📧 Anmeldung: Jetzt verbindlich anmelden unter info@ptz-pomarino.de (Teilnahme kostenfrei).

Wir freuen uns auf den Austausch mit euch! 🤝

20/02/2026

Laughter is the best medicine, but Mr. Pomarino helps a little too!😉
And sometimes, a little expert guidance makes all the difference in every step a child takes.🩵

19/02/2026

Ever wondered what your footprint really says about your feet? 👣

The wet foot test can give a first impression of your foot shape, but it doesn’t show how your foot works during movement or how it adapts to posture and load.

Here’s what the three main foot types look like:
• Normal foot: balanced arch, even weight distribution
• Hollow foot: high arch, little midfoot contact
• Flat foot: low or no arch, full foot contact

In our practice, we always observe how the foot moves while walking or running to understand gait patterns and support healthy, functional steps.

This test is a simple way to observe, not to diagnose, and just one part of understanding how your feet function.

🩵 Save this post as a quick reference to identify foot types at home.

05/02/2026

Meet the Founder: David Pomarino 👨‍⚕️

„They’ll just grow out of it.“ This is a sentence many parents hear, but it rarely provides a real solution.
After 20+ years of research, David Pomarino knows: Toe walking is more than just a habit. It is a complex interaction between neurology, biomechanics, and genetics. If you only look at the feet, you miss the system behind the movement.

This insight led to the creation of The Pomarino Method.
Instead of using force, our specialized Pyramid Insoles speak the body’s language. By providing targeted sensory input, they „remind“ the brain to lower the heel. We work with the child’s nervous system, not against it. ✨

Why families worldwide trust David Pomarino:
✅ 25+ Years of specialized clinical practice.
✅ 300,000+ Patients successfully treated.
✅ Global Expert: Helping families from over 30 countries.

Don’t just wait for it to disappear. Give your child the foundation for a functional, stable, and natural gait.

04/02/2026

The equinus foot, also called Pes equinus or “horse foot”🐴, is a condition in which the foot remains in permanent plantarflexion: the heel is lifted and the toes point downward.

As a result, most of the body weight is carried by the forefoot while walking, and the heel barely makes contact with the ground. The severity can be assessed by the distance between the heel and the floor when the forefoot is placed flat.

Equinus foot is often linked to a shortened calf muscle and limited dorsiflexion in the ankle joint. Over time, this can influence posture, balance, and overall gait mechanics.

You can think of it like a horse’s hoof: the heel never truly lands, which alters how the entire leg functions. Early assessment and targeted therapy play a key role in supporting a more stable and flat-footed gait.

03/02/2026

Understanding Foot Function: It’s all about the movement 👣

A footprint or a static photo can be a helpful starting point, but it only shows one single moment in time. To truly understand how a child’s body works, we have to look closer.

Why movement matters: When a child walks or runs, their feet aren’t just „shapes“, they are dynamic systems constantly adapting to load, speed, and posture. This is where the real story unfolds:

How is the weight actually distributed?
How stable is each step?
How does the foot interact with the rest of the body?

By observing the foot in motion, we see beyond the structure. We focus on how movement develops over time, allowing us to create meaningful, individualized support for a healthy gait.

Do you have questions about your child’s walking pattern? Let’s connect in the comments! 👇

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

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.