Pediatric Orthopaedics | Sunrise Hospital — Ponseti Club-Foot Casting, Growth-Plate Care, Wednesday Evenings

Service 11 · Orthopaedics & Joints

Developmental variations vs. clinical conditions.

Many musculoskeletal presentations in early childhood—such as physiologic bowing, in-toeing, or flexible flat feet—are natural developmental phases rather than structural pathologies. The cornerstone of pediatric orthopaedic care is accurately differentiating normal growth variations from conditions that require targeted clinical intervention.

Dr. Nandan Kumar Mishra provides thorough clinical evaluations during our evening clinic: assessing the child comfortably, plotting physical findings against developmental milestones, and determining whether the appropriate course is active observation, structured physiotherapy, or corrective splinting. Comprehensive parental counseling is provided at every step, ensuring you understand the clinical plan.

Conditions we manage Orthopaedic Clinic

5:30 PM Evening clinic hours
designed around school

Normal — or Not?

Six worries, five of them phases

The most common things parents bring in — and what they usually turn out to be.

Bowed legs

Normal under about two years — most toddlers bow before they straighten. Persistent, one-sided or worsening bows get checked.

Knock knees

The three-to-five-year phase — knees that knock then even out. Measured, charted, and usually outgrown.

In-toeing (pigeon toes)

Feet that point in — mostly unwinds with growth; the twist's location decides whether to simply watch.

Flat feet

Flexible and painless is a variant, not a disease — the arch builds through childhood. Stiff or painful flat feet get reviewed.

Tip-toe walking

A normal toddler phase for many; persistent one-sided or constant toe-walking deserves a look.

"Double-jointed"

Hypermobility is usually harmless flexibility — pain, fatigue or frequent injuries with it gets assessed.

The pattern matters more than any single look — that's what the exam and the growth calendar settle.

What We Treat

The real work, gently done

The conditions that genuinely need treatment — staged care that grows with the child.

Club foot (CTEV)

Ponseti casting — gentle serial casts from the first weeks, then boots-and-bar. The method that changed club feet worldwide.

Hip screening (DDH)

Infant hips checked — clicks, breech births and family history get early ultrasound, because early is easy.

Growth-plate fractures

Children's bones grow from the plate — these aren't mini-adult breaks, and they get specialist care and follow-up.

Limb-length differences

Measured, charted and timed — small gaps watched, significant ones planned for as the child grows.

Bone & joint infections

The limp-with-fever emergencies — same-day diagnosis and treatment, because joints don't forgive delay.

Hip conditions of childhood

Perthes and slipped capital femoral epiphysis — the school-year limps that move fast when they move.

Sooner, not later

Childhood signs that don't wait for the next check-up

+91 77038 89477 Book the earliest slot

Limp or refusing to walk + fever — possible bone or joint infection; same-day, not tomorrow

Pain that wakes the child from sleep — night pain deserves review, not "growing pains" as a default

Club foot at birth — Ponseti casting works best starting in the first weeks; earlier is easier

Deformity after a fall + tenderness over a growth plate — children's fractures hide in the plates

A school-year child with a new limp — hip conditions of childhood move quietly and fast

The Journey

From first look to fully grown

Children aren't small adults — the pace, the plaster room and the follow-up are all built for them.

The child-friendly exam

Play-based, unhurried, parents in the room — a child who's comfortable shows us more than one who's frightened.

The chart & the calendar

Findings plotted against growth charts — many answers are "let's watch, with dates", and that's a real plan.

Casting when it works

Ponseti serial casts, fracture-friendly plaster — the child-friendly plaster room where gentleness is the protocol.

Follow-up till growth completes

The long, boring, wonderful follow-up — because children grow, and the plan grows with them.

Your Pediatric Ortho Team

Wednesday evenings, Dr. Khanna's clinic

The Ortho Team

9+ yrs exp

Dr. Nandan Kumar Mishra

Orthopaedic Surgery

MBBS; MS (Orthopaedics); DNB (Orthopaedics) Consult Dr. Mishra

The child-friendly plaster room

Casting without fear — gentler materials, calmer pace, parents beside the couch. A child who trusts the room heals easier.

Parent counselling, every stage

You'll never leave wondering "what just happened" — every finding, every cast, every "let's just watch" is explained, with the growth calendar to back it.

Practicals

Evenings, because school matters

The pediatric clinic runs Wednesday evenings so a child never trades a school day for a measuring tape. Bring the school health card and every recorded height.

Book a Visit

Spine & Orthopaedic OPDMon–Sat · 5:30 PM – 8:00 PM

Clinic ClosedSunday

Diagnostic X-raySame visit, on site

MRI ImagingCoordinated promptly, when clinically indicated

Pain Management InterventionsTransparent pricing, discussed upfront

Physiotherapy & RehabilitationFrom ₹2,400 / 10 sessions

Common Questions

Every parent's five

The questions asked in every pediatric ortho waiting room — answered the way Dr. Khanna answers them on Wednesdays.

All 27 FAQs

Usually not. Flexible, painless flat feet are a normal variant — the arch develops through childhood, and expensive "arch support" shoes change very little. If the foot is stiff, painful, or the child tires unusually fast, that's when we assess properly. Most families leave with reassurance, not a bill.

Most toddler bowing is a normal phase that self-corrects by age two to three — no braces, and vitamins only if a deficiency actually shows on testing (we check when the pattern or age suggests it). Persistent, one-sided, or worsening bowing gets X-rays and a proper plan. The chart decides, not the neighbour's advice.

It's the gentlest effective treatment there is — which is exactly why it replaced big surgery worldwide. Babies feed comfortably right after cast changes; the casts go on calmly, come off weekly, and the foot moves gradually into place. Compare that with the alternative, and "gentle" is the honest word.

Most heal completely with proper care — but this is exactly why children's fractures aren't treated as small-adult ones. The plate is where growth happens, so these injuries get precise alignment, specialist follow-up, and monitoring till growth completes. Caught and treated properly, the long-term outlook is usually excellent.

Years — and that's a feature, not a bug. Children grow, and what's fine at five needs re-checking at nine. Follow-up runs on a printed calendar till growth completes, so nothing gets "forgotten fine". Most visits are quick, cheerful confirmations; the calendar exists for the few that shouldn't be.

Personalized Pediatric Orthopaedic Care

Get clarity on your child’s musculoskeletal health.

Pediatric orthopaedic consultations are available Mon–Sat, 5:30 PM – 8:00 PM. Clinic closed Sunday. Receive a careful assessment and a clear, individualized care plan.

Schedule Consultation Orthopaedic Clinic