Orthopedics & Podology Consultation

VO2MAX's orthopedic and podology service combines the clinical expertise of MUDr. Karel Musil (orthopedic surgeon) with on-site diagnostic ultrasound and podoscope analysis, delivering a complete musculoskeletal assessment that avoids unnecessary external referrals for most presentations. The orthopedic consultation covers the full spectrum from lower limb joint pain and shoulder dysfunction to pediatric hip screening, with referrals to partner facilities for MRI or X-ray when imaging is required. The podological component uses pressure-distribution analysis to identify how foot biomechanics affect the knee, hip, and lumbar spine, with custom insoles from Vasily Medical and Formthotics available as a direct prescription when indicated. Both disciplines work in close collaboration with the physiotherapy team so findings translate directly into a treatment plan.

Musculoskeletal complaints rarely exist in isolation — foot pronation stresses the knee, hip rotation patterns load the lumbar spine, and shoulder dysfunction often originates in thoracic stiffness. VO2MAX's combined orthopedics and podology service is designed to assess the full kinetic chain, not just the site of pain, ensuring that treatment addresses cause rather than symptom. The orthopedic consultation with MUDr. Karel Musil begins with a structured history and clinical examination of the affected area. Where soft tissue involvement is suspected, diagnostic ultrasound is performed in the same appointment — imaging tendons, ligaments, bursae, and joint spaces without radiation or the wait times associated with external radiology. Ultrasound findings are discussed with the patient immediately, and a treatment decision is made jointly: conservative management (physiotherapy, podology, shockwave, laser), interventional options, or referral for MRI or X-ray at a partner facility. Conditions commonly managed include hallux valgus, flat feet in adults and children, lower limb joint degeneration, shoulder and elbow tendinopathy, wrist pain, and hip dysplasia screening in infants. The podological consultation focuses on foot function as a biomechanical system. Using a podoscope — a glass pressure-distribution plate illuminated from below — the therapist records how load is distributed across the foot at rest, during walking, and during running when relevant. Combined with a gait analysis and assessment of lower limb axis alignment, this reveals whether foot dysfunction is contributing to knee, hip, or spinal symptoms. When custom insoles are appropriate, the clinic prescribes Vasily Medical or Formthotics orthoses, which are manufactured to the patient's foot shape and functional requirements. Both the orthopedic and podological findings are communicated directly to the physiotherapy team for seamless transition into treatment.