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Pomarino - Toe Walking / Zehenspitzengang

Startseite
Deutschland
Hamburg
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.

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.

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

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

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.

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. 🩵

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

18/10/2025

Parents often ask: Why Pyramid Insoles?
Here are some of the key benefits:🩵

• Encourage heel-to-Toe Walking 👣
• Can be worn everywhere: home, school, playground
• Act as a gentle reminder, not a restriction
• Easy to use, just place in the shoe
• Support active play and daily activities

They help children change their walking pattern in everyday life, step by step.

📍More info at www.ptz-pomarino.de

14/10/2025

Not all feet are the same!👣

Normal foot: Balanced arch, even weight distribution, and natural shock absorption.

High arch: Overly pronounced arch → more pressure on heel & forefoot. Can cause pain or instability if untreated.

Flat foot: Collapsed arch → reduced shock absorption. May lead to fatigue, discomfort, or postural issues.

👉 Which one looks most like yours?

12/10/2025

Sneak peek:
Did you know what we need to make all our special insoles? ✅

10/10/2025

What is a Gait Anomaly?
Some children walk a little differently, maybe always on their toes, with one foot turned in, or with an uneven step.
This is called a gait anomaly, which simply means their way of walking is not typical. 👣

And no, it’s not always something to worry about.
But sometimes, it’s a sign that the body needs extra support, and early recognition can help prevent long-term issues. 🩵

Fun fact: Every child’s gait is unique, and small differences can be perfectly normal – but if you notice persistent unusual walking patterns, it’s worth checking with a specialist.

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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