In der Praxis Pomarino für Ganganomalien behandeln wir den kindlichen Zehenspitzengang.

Is your child toe walking? Surgery is NOT the only option!

At the Pomarino practice for gait abnormalities, we treat toe walking in children with the gentlest possible hand.

In der Praxis Pomarino für Ganganomalien behandeln wir den kindlichen Zehenspitzengang.
15 % of all children suffer from toe walking – does yours?

Don’t worry – complicated surgery isn’t the only treatment!

With more than 20 years of experience, we treat our young patients as gently as possible in 3 steps:

Mit mehr als 20 Jahren Erfahrung behandeln wir Ihr Kind schonend ohne eine komplizierte Operation.
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Bei vielen Kindern und Jugendlichen sehen wir schon in Stufe 1 und 2 schnell Verbesserungen.

Pomarino pyramid insoles


In der Praxis Pomerino operieren wir nur, wenn es wirklich notwendig ist.
Supplementary night splints and Botox treatments (if needed)


Schnelle Verbesserungen bei Kindern und Jugendlichen.
Minimally invasive surgery (if needed)


Many children and young people already see rapid improvement in stages 1 and 2 – we only operate when it’s truly necessary.

What our satisfied patients say

As parents, we can only say thank you!!! Our son is so much better ‘on his feet’ than before treatment. And he keeps progressing.

We feel like we’re in good hands. Finally there’s someone who can treat our daughter.

Not only did Mr. Pomarino help our daughter a lot, but he also gave me expert advice and now I know who to turn to with my orthopedic problems.

Is your child toe walking?

Eltern sollten bei diesen Anzeichen aufmerksam werden: Kinder gehen ausschließlich auf Zehenspitzen, sie können ihre Ferse nicht absetzen oder den Fuß nur unter Schmerzen abrollen, der Zehenspitzengang hört nicht auf

What signs should parents be concerned about?

What are the consequences of toe walking?

Fehlstellungen und Schmerzen im Rücken, in den Füßen und Knien in der Praxis Pomarino vorbeugen.

Why childhood toe walking is often treated incorrectly

Je früher Ihr Kind behandelt wird, desto besser stehen die Chancen für eine erfolgreiche Behandlung.
Heilung Ihres Kindes auch ohne OP zur Achillessehnenverlängerung in der Praxis Pomarino.

That’s why you should choose

David Pomarino hat mehr als 20 Jahre zum kindlichen Zehenspitzgang geforscht.

David Pomarino’s three steps of treatment

Bei der Erstvorstellung befragen wir Eltern und Kind zu Symptomen und Dauer und führen eine Bewegungsanalyse durch.

It goes without saying that what comes first is a detailed diagnosis.

At the initial consultation, we examine your child, ask you as parents about the symptoms and how long they’ve existed, and conduct a movement analysis.

There’s also the option of performing genetic testing.

This lets us rule out any underlying neuromuscular diseases as causes for toe walking. You can find more information about that here.

All our treatments begin with step 1 – the gentlest procedure. We recommend methods from step 2 or 3 only if step 1 doesn’t yield the desired improvement.

Step 1: Pomarino pyramid insoles

Step 2: Night splints and Botox

Step 3: Minimally invasive surgery

Nach dem Eingriff kann ihr Kind schon am selben Tag wieder laufen und kann die Ferse wieder abrollen.

The course of treatment

for patients from Germany or abroad

Eine Behandlung in der Praxis Pomarino dauert 6 bis 24 Monate

Sample procedure for patients outside Germany

Step 1: Video consultation

Step 2: If necessary, on-site appointment in our Hamburg office

Step 3: Treatment at home

If surgery is necessary, we’ll help you make all arrangements:


Overnight stay

Rental wheelchair

Walking boot

We can usually discharge you after two hours. Follow-up checks are done online again.

Sample procedure for patients from Germany

(private or public insurance)

Step 1: Appointment for consultation

Step 2: Follow-up treatment

If surgery is necessary, it’s usually performed in an outpatient clinic and we can discharge you after two hours.

We offer our consultations throughout Germany – including in your area:

How can I make an appointment?

Wir rufen Sie unverbindlich an und vereinbaren gemeinsam einen Beratungstermin.

Simply click on the “Make an appointment today” button. We’ll give you a call: there’s no commitment on your part. Together, we’ll make an appointment for a consultation.

About David Pomarino

The beginning:

Since the 1990s, David Pomarino has been training in physiotherapy, Spiral Dynamics, sensory integration therapy and Bobath therapy in Germany.

His specialty

He gained international recognition through his interdisciplinary research and publications on the diagnosis, classification, and treatment of childhood toe walking.

As part of his research, he developed an insole with stepped ridges (“pyramids”), which is known today as the “Pomarino insole.”

Since 2002, David Pomarino has operated his own practice in Hamburg to treat children with gait abnormalities.

Nach seinen Forschungen und Arbeiten zur Diagnostik, Klassifikation und Therapie des kindlichen Zehenspitzenganges hat er eine Einlage mit stufenförmigen Erhöhungen ("Pyramiden") entwickelt.


For his research, David Pomarino was awarded an honorary doctorate as an “Illustre Amigo” by the Bolivian medical association “Colegio medico de La Paz”. His volunteer work for children’s welfare led to his appointment as ambassador for the children’s charity UNICEF for Bolivia.


David Pomarino has now published multiple books and several dozen technical articles on gait abnormalities in children:

Frequently asked questions

Frequently asked questions about genetic testing

Frequently asked questions about surgery

The Pomarino Practice for Gait Abnormalities in Hamburg

Our practice is centrally located in Hamburg-Harvestehude. Here we examine our young patients from Germany and abroad.

You can also bring your child to a special consultation in one of our cooperating clinics or practices throughout Germany. You can see their locations here.

Location: Rothenbaumchaussee 114, 20149 Hamburg