Dr. Michael A. Frierson, M.D. inspecting a cast on a patient's arm There are numerous conditions associated with pediatric care that require highly specialized treatment, and many are present at birth. These conditions include scoliosis, congenital clubfoot deformities, spina bifida, and cerebral palsy. Treatment is sometimes conservative, but in some cases, intricate surgical procedures are necessary. Dr. Michael Frierson is our Pediatric Orthopaedic Specialist and completed a Fellowship at the Shriners Hospital for Crippled Children in Tampa, Florida in 1993. Dr. Frierson became certified in orthopaedic surgery in 1996 by the American Board of Orthopaedic Surgery. For the past 18 years, he has contributed his time to The McMains Children’s Developmental Center and to Children’s Special Health Services.


Lateral curvature of the spine. Because there are few symptoms associated with it, the curve is usually detected during a physical examination, and x-rays should confirm it. Treatment for pediatric scoliosis depends on the severity of the curve and the time of its onset. Bracing is used to straighten the spine, but surgery is sometimes needed in order to straighten and fuse the vertebrae together.

Congenital clubfoot deformity

Foot is rigidly deformed. It can sometimes be corrected with casting and bracing, but surgery is often needed.

Spina bifida

Vertebrae do not develop normally, exposing part of the spinal cord. The most common forms of this condition are less severe, while in more severe forms the spinal cord actually protrudes. Surgery is necessary to close the gap in the spinal cord. Many lower extremity deformities may require lifelong bracing and often surgical intervention is indicated.

Cerebral palsy

Result of an injury to the brain in which there is poor muscle control, paralysis, and other neurological conditions. There is no cure for cerebral palsy, but the secondary deformities and effects can be treated.

All physicians at the Bone & Joint Clinic provide care for common pediatric injuries, fractures, and disorders.