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When does a child need to see an orthopaedist?
Situations that should prompt a visit to a paediatric orthopaedist
| Situation | Warning signs that warrant medical evaluation |
|---|---|
| Delayed walking or an abnormal gait | Tilted or asymmetrical gait, feet turning inward, walking on tiptoes |
| Curved back or rounded shoulders | Noticeable abnormal curvature when sitting or standing |
| Persistent pain in knees or feet | Especially during playtime or after rest/sleep |
| Visible difference in leg length or body alignment | Body leaning to one side while standing or walking |
| Known congenital conditions | Such as hip dysplasia, clubfoot or other structural deformities |
What does orthopaedic treatment in children include?
| Type of treatment | Explanation |
|---|---|
| Specialised clinical examination | Assessment of gait, standing posture, joint movement and limb length |
| Imaging (X-ray, ultrasound, sometimes MRI) | To precisely identify the problem, e.g. scoliosis or hip dysplasia |
| Physiotherapy | To improve balance, strengthen muscles, correct posture and train healthy movement patterns |
| Orthopaedic shoes or insoles (Einlagen) | Used in cases of foot deformities, flat feet, or leg-length differences |
| Back brace (Korsett) | Applied in early stages of spinal curvature to correct or prevent progression |
| Surgical intervention (rare) | Reserved for severe or congenital deformities that do not respond to conservative therapy |
Does statutory health insurance (GKV) cover the costs?
Yes, in Germany statutory health insurance (GKV) usually covers:
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Consultations and examinations by paediatric orthopaedists or orthopaedic specialists
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Prescribed physiotherapy (with a doctor’s referral)
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Medically necessary braces, corsets or special shoes
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X-ray, ultrasound or other imaging tests when there is a clear medical indication
Important:
For some devices such as custom insoles or fully orthopaedic shoes, parents may have to pay a small co-payment (Eigenanteil).
How to book an appointment with a paediatric orthopaedist?
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In many cases, you will need a referral from your child’s paediatrician (Kinderarzt).
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It is advisable to book early, as appointments with specialists in paediatric orthopaedics can be in high demand.
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Ask whether the doctor has specific expertise in paediatric orthopaedics (Kinderorthopädie).
Practical summary (FAQ)
| Question | Answer |
|---|---|
| Are mild foot or back curvatures normal in children? | Sometimes at the beginning, yes – but they should be monitored. |
| Is the treatment free of charge? | Yes, if there is a documented medical indication and the costs are covered by statutory insurance. |
| When should I start with an orthopaedic check-up? | If you notice delayed walking or an abnormal gait between 1–2 years of age. |
| Is physiotherapy effective? | Yes, in many cases physiotherapy can correct problems and help avoid surgery. |
The editorial team of this website aims to provide accurate information based on thorough research and review of multiple sources. Nevertheless, errors or incomplete information may occur. The content of this article should therefore be regarded as an initial general guide. Always consult paediatricians, orthopaedic specialists or relevant medical authorities for binding and case-specific medical advice.
