Come scegliere un ortopedico pediatrico a Milano?

L'ortopedico pediatrico si occupa esclusivamente dello scheletro in crescita. A differenza dell'ortopedico dell'adulto, conosce le varianti fisiologiche dell'età evolutiva: molte situazioni che sembrano "problemi" sono in realtà fasi normali della crescita. È utile rivolgersi a uno specialista con formazione dedicata alla pediatria, esperienza clinica continuativa con neonati, bambini e adolescenti, e attività in strutture ospedaliere di riferimento.

Quando portare il bambino dall'ortopedico pediatrico?

Le situazioni più comuni che meritano una valutazione specialistica sono: zoppia improvvisa, dolore persistente a piedi, ginocchia o schiena, piede piatto oltre i 6-7 anni, asimmetria delle spalle o del tronco (sospetta scoliosi), cammino sulle punte dopo i 3 anni, e dolore al tallone o al ginocchio nei giovani sportivi. Nel dubbio, una visita è sempre preferibile all'attesa.

Quanto costa una visita ortopedica pediatrica a Milano?

Il Dott. Priano riceve in regime di libera professione intramoenia (ALPI) presso l'Istituto Gaetano Pini e l'Ospedale CTO di Milano. L'appuntamento si fissa tramite il Call Center Regionale Libera Professione 800 890 890, canale aziendale/regionale, oppure selezionando uno slot su MioDottore, piattaforma esterna e non canale istituzionale dell'ASST: gli appuntamenti selezionati online vengono successivamente registrati nel sistema CUP aziendale prima della visita. Non è necessaria l'impegnativa; tariffa, pagamento e documentazione fiscale sono gestiti esclusivamente da ASST Gaetano Pini-CTO, che rilascia regolare ricevuta.

Quali patologie tratta l'ortopedico pediatrico?

Le patologie più frequenti includono piede piatto, scoliosi, displasia dell'anca nel neonato, ginocchio valgo e varo, cifosi (dorso curvo), tallonite (malattia di Sever), dolore al ginocchio (Osgood-Schlatter), torcicollo del neonato, e fratture e traumi sportivi. L'ortopedico pediatrico si occupa anche dello screening neonatale dell'anca e della valutazione posturale negli adolescenti.

Serve la radiografia prima della visita?

No, nella maggior parte dei casi non è necessario arrivare con radiografie già fatte. L'ortopedico pediatrico valuterà il bambino clinicamente e prescriverà gli esami strumentali solo se necessari e mirati. Radiografie "preventive" spesso non sono utili e espongono il bambino a radiazioni non necessarie.

Exercise Sheet

Not every exercise listed here is suitable for every child: the selection is individual and is defined during the consultation.

1.Wrist and finger mobility recovery
After immobilization, wrist and fingers are stiff
Perform all movements SLOWLY and PAIN-FREE. WRIST: flexion (bend forward), extension (bend back), radial/ulnar deviation (bend sideways), full circles. FINGERS: completely open and close hand, touch thumb to each finger. Start with small movements and gradually increase.
10 reps per movement, 3-4 times daily
2.Forearm stretch (flexors/extensors)
Forearm muscles shorten during immobilization
FLEXORS (inner forearm): arm straight forward, palm up. With other hand, gently pull fingers downward. EXTENSORS (outer forearm): arm straight, palm down. Gently pull fingers toward body. Both stretches should be gentle, pain-free.
3 × 20-30 seconds each direction, twice daily
3.Progressive strengthening
Gradually recover hand and forearm strength
STRESS BALL: squeeze 5 seconds, relax. Start with soft ball, progress to harder. BAND: wrist movements (up/down, lateral) against light resistance. Progress increasing resistance ONLY when movement is complete and pain-free.
3 × 15 reps per exercise, 1-2 times daily

RED FLAGS - When to stop and contact the doctor immediately

Stop the exercises immediately and contact the specialist (or go to the emergency department if severe) if any of the following occur:

Acute or sudden pain during exercise
Significant swelling after exercises
Pain that progressively worsens over days
Fever or general malaise
Difficulty walking or using the limb after exercises
Any neurological symptoms (tingling, numbness, sudden weakness)
Fever, redness or warmth of the joint, or inability to bear weight

In case of doubt, always prefer a check-up over continuing the exercises.

Back to Post-Trauma / Post-Cast

After wrist cast

3 exercises

Not every exercise listed here is suitable for every child: the selection is individual and is defined during the consultation, based on age, diagnosis and stage of recovery.

Important: These exercises do not replace physiotherapy assessment and treatment when indicated.

Before You Start

Who is this guide for?

Children who had wrist/hand cast removed. Recovery of mobility and strength is progressive.

What you need

Clear floor space, mat or soft surface, comfortable clothing. Some exercises may require resistance bands or supports.

Suggested frequency

Multiple times daily (4-6 times), few minutes per session. Frequency more important than duration.

Common mistakes to avoid

•Performing exercises too quickly without control
•Pushing beyond the pain threshold
•Skipping days or doing occasional very long sessions
•Not warming up before strengthening exercises

⚠️ Red flags — when to stop and contact the doctor immediately

Stop exercises immediately and contact the specialist if any of the following occur:

Acute or sudden pain during exercise
Significant swelling after exercises
Pain that progressively worsens over days
Fever or general malaise
Difficulty walking or using the limb after exercises
Any neurological symptoms (tingling, numbness, sudden weakness)

In case of doubt, always prefer a check-up over continuing exercises.

Detailed Exercises

1
Wrist and finger mobility recovery
After immobilization, wrist and fingers are stiff
Perform all movements SLOWLY and PAIN-FREE. WRIST: flexion (bend forward), extension (bend back), radial/ulnar deviation (bend sideways), full circles. FINGERS: completely open and close hand, touch thumb to each finger. Start with small movements and gradually increase.
10 reps per movement, 3-4 times daily
2
Forearm stretch (flexors/extensors)
Forearm muscles shorten during immobilization
FLEXORS (inner forearm): arm straight forward, palm up. With other hand, gently pull fingers downward. EXTENSORS (outer forearm): arm straight, palm down. Gently pull fingers toward body. Both stretches should be gentle, pain-free.
3 × 20-30 seconds each direction, twice daily
3
Progressive strengthening
Gradually recover hand and forearm strength
STRESS BALL: squeeze 5 seconds, relax. Start with soft ball, progress to harder. BAND: wrist movements (up/down, lateral) against light resistance. Progress increasing resistance ONLY when movement is complete and pain-free.
3 × 15 reps per exercise, 1-2 times daily

After elbow cast

1.Wrist and finger mobility recovery

2.Forearm stretch (flexors/extensors)

3.Progressive strengthening