New combined therapy: Orthopaedic and physiotherapy consultations at Ponseti Clinic

1. December 2025

At Ponseti Clinic, we have long-term based care on the expertise, experience and mutual cooperation of individual professions. We believe that the patient should be in a clearly guided, well-thought-out and safe process that they can trust from the first moment.

That is why we are constantly developing forms of care that bring patients even greater certainty, clarity and comfort — and one of them is our newly introduced ortho-physio consultation.

Ortho-physioconsultation – a meeting that brings together the perspective of an orthopaedic specialist and a physiotherapist in one 60-minute visit, is primarily intended for patients with PEC (Pes Equinovarus Congenitus), but it can also be used for other difficulties associated with walking – for example, milder forms of DMO, post-traumatic conditions or painful flat feet.

Although it is a form of care in which two specialties work together at the same time, we deliberately call it "consultation", not therapy. Its main goal is understanding – a professional, comprehensible and comprehensive explanation of the condition of the legs, walking and overall motor skills. It is only on the basis of this analysis that a therapy plan is created, which the patient can then fulfill within the framework of orthopaedics, physiotherapy or both of these fields.

Ortho-physio consultation brings patients:

• common, well-coordinated expert opinion,

• clear interpretation of the finding and interrelationships,

• specific recommendations for further progress from the point of view of both specializations,

• the certainty that their care has a precise direction and logic from the beginning.

Separate orthopaedic and physiotherapy examinations continue to provide full-fledged and top-quality care with us. Ortho-physio consultation, however, offers a superstructure moment when both expertises meet at the same time and create a common basis for further treatment.

The consultation can be used in two variants:

• Baby – for children under 5 years old

• Active – for older children, teenagers and adults

BABY variant (0-5 years)

Support during PEC treatment and relapse prevention

This consultation accompanies the children from the plastering period to the end of night splinting. It is aimed at monitoring treatment, supporting psychomotor development and helping parents with daily care.

How does the consultation work?

1) Orthopaedic examination (15 min)

• evaluation of the current condition of the legs

• measurement (DF, Pirani score)

• photo documentation

2) Physiotherapy examination (30 min)

• assessment of psychomotor development

• effect of treatment on motor skills

• analysis of domestic habits

• recommendations for modifications and training of specific exercises

Additional diagnostics:

• podoscopic examination

• strainometric plate FreeMed (from 3 years)

3) Final summary (15 min)

• joint evaluation of both experts

• checking splints, their adjustment and correct fitting

• recommendations for activities, exercise and suitable footwear

How often to come?

• children under 1 year: at each change of treatment regimen

• children on night splinting: every 3 months (max. 6 months)

ACTIVE variant (older children, teenagers and adults)

Prevention of relapse, assessment of foot function and solving problems in adulthood

This consultation is suitable for patients who have completed PEC treatment as well as for clients with walking difficulties or leg pain.

What is the main goal?

• prevention of the return of the defect

• support of long-term leg flexibility

• early detection of problems

• recommendations for therapy and aids to improve comfort

How does the consultation work?

1) Orthopaedic examination (15 min)

• functional and anatomical assessment

• measurement and photo documentation

2) Gait analysis (15 min)

• podoscopic examination

• dynamic analysis of walking with the FreeMed tensometric plate

3) Physiotherapy examination (15 min)

• kinesiological tests

• analysis of walking stereotype

• identification of painful or weakened areas

4) Final summary (15 min)

• presentation of all results

• recommendations for home therapy

• selection of suitable activities and sports

• recommendation of aids (insoles, shoes, tape, etc.)

• possible indication of imaging tests (X-ray, CT, MRI)

How often to come?

• every 3 months to 6 months

Who is the service suitable for?

• children in PEC treatment

• children after PEC treatment (recurrence prevention)

• adults with consequences of PEC

• patients with walking difficulties

• patients after operations or injuries of the lower limbs

• mild neurological problems (e.g. DMO)

What does an ortho-physio consultation bring?

• a contemporary view of two experts

• faster diagnosis and clear conclusions

• comprehensive home therapy plan

• prevention of recurrence and long-term complications

• specific recommendations for aids and activities

• comprehensive care in one session

We are currently accepting new patients.
You can order through our reception at +420 607 001 007.

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