Meet Our Pediatric Orthopedic Surgery Team at OCPBC 
Ezra Berkowitz, M.D. 
Pediatric Orthopedic Surgery 

Dr. Berkowitz is a Board Certified Orthopedic Surgeon. He is originally from Roselyn, N.Y., where he received his BA from Columbia University and went to teach Chemistry and Physics at LaGuardia High School in New York City. He then went on to earn his M.D. from the University of Medicine and Dentistry of New Jersey and then completed residency and chief - residency in Orthopedic surgery at S.U.N.Y Downstate Health Science Center in Brooklyn, NY.

Dr. Berkowitz then completed a one year fellowship training in Pediatric Orthopedic surgery at Nemours Children's Clinic in Jacksonville FL, where he focused on operative and non-operative management of all areas of pediatric musculoskeletal care including sports, spine, developmental and trauma related issues that occur in children. He has extensive training in modern surgical techniques, although favors conservative treatment including casting, bracing and therapy whenever possible.

Ahamed Mohaideen, M.D. 
Pediatric Orthopedic Surgery

Dr. Mohaideen is a fellowship-trained Pediatric Orthopedic surgeon who has been practicing in Palm Beach County since 2002.  Dr. Mohaideen is originally from Staten Island, NY and received his BS in Biology from Rensselaer Polytechnic Institute in Troy, NY. After college, Dr. Mohaideen attended medical school at SUNY Downstate Health Science Center at Brooklyn, NY. He completed his general surgery internship and Orthopedic surgery residency at Maimonides Medical Center in Brooklyn, NY. 

He has also completed an Orthopedic research fellowship at Mount Sinai Medical Center during the course of his residency. Dr. Mohaideen continued his training in Pediatric Orthopedic surgery at the NYU/Hospital for Joint Diseases fellowship program in Manhattan. Dr. Mohaideen enjoys pediatric fracture care, pediatric sports medicine care as well as foot and ankle surgery and non-operative scoliosis management. Dr. Mohaideen has been trained in the Ponseti clubfoot casting technique and has been doing the technique for 15 years.

Common Childhood Orthopedic Conditions
Most babies are born with flatfeet and develop arches as they grow. But in some kids the arch never fully develops. Parents often first notice this because their child has what they describe as "weak ankles" (which appear to turn inward because of the way the feet are planted).
Flatfeet usually don't cause problems. Doctors only consider treatment if it becomes painful. They also don't recommend any special footwear, such as high-top shoes, because these don't affect the development of the arch.
Parents sometimes worry that flatfeet will make their kids clumsier than other kids, but doctors say that being flatfooted isn't a cause for concern and shouldn't interfere with playing sports. Sometimes, doctors will recommend inserting arch supports into shoes to reduce foot pain.
Toe Walking
Toe walking is common among toddlers as they learn to walk, especially during the second year of life. The tendency often goes away by age 3, although it lasts in some kids.
Occasional toe walking should not be cause for concern, but kids who walk on their toes almost all the time and continue to do so after age 3 should see a doctor. Persistent toe walking in older kids or toe walking only on one leg might be linked to other conditions, such as cerebral palsy, muscle weakness disorders, autism, or other nervous system problems.
If an otherwise healthy child has persistent toe walking, the doctor might recommend a few visits with a physical therapists to learn stretching exercises. Once a child is around age 4 or 5, casting the foot and ankle for about 6 weeks may be needed to help stretch the calf muscles.
In-Toeing (Pigeon Toes)
Babies may have a natural turning in of the legs at about 8 to 15 months of age, when they begin standing. As they get older, parents may notice their children walking with feet turn inward, also called  in-toeing, or walking pigeon-toed. Intoeing can have a few different causes that are normal variations in the way the legs and feet line up.
Children who intoe and trip often may have internal tibial torsion, in which the lower part of the leg is rotated inward. Children over the age of 3 or 4 with intoeing may have femoral anteversion, in which there is a greater-than-normal bend in the upper part of the leg, which causes the upper leg to rotate inward. In some children, intoeing can be related to existing medical problems such as cerebral palsy.
Doctors rarely have to treat pigeon-toed feet. Special shoes and braces commonly used in the past were never proved to speed up the natural slow improvement of this condition. In-toeing usually doesn't interfere with walking, running, or sports, and ends on its own as kids grow into teens and develop better muscle control and coordination.
Most kids show a moderate tendency toward knock-knees (also called genu valgum) between the ages of 3 and 6, as the body goes through a natural alignment shift. Treatment is almost never needed because the legs usually straighten on their own.
Severe knock-knees or knock-knees that are more pronounced on one side sometimes do need treatment. Devices like braces, splints, and shoe inserts aren't helpful and are no longer used. In rare cases where children have symptoms such as pain or difficulty running, surgery might be considered after age 10.

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