Re: RE: Re: tenotomy or no tenotomy

[Guest guest]

Thanks Joanne, it does make me feel better to know that there are actually

kids out there without tenotomies and they did not require them later! That

makes sense about the shoes helping to stretch because of the weight, I have

also

read that the shoes can help to recorrect a SLIGHTLY relapsed

foot..and therefore it would makes sense that her dorsiflexion has increased

since

wearing them..

The last part doesn't really make sense to me, but I know very little about

the scoring system.. no doctor has ever scored Kaitlin's foot, or if they did I

was not informed and they didn't chart it, b/c I have read her ortho records.

Thanks a bunch,

Freeman

In a message dated 1/18/2005 4:37:33 PM Pacific Standard Time,

jowalton68@... writes:

> ,

>

> So you're one of the 10% too! Try not to worry. I know I was until we got to

>

> Dr. Herzenberg for a second opinion. Our doctor had said 60% of kids need

> tenotomy, then I learned on this board it was more like 85%. I think Dr.

> Herzenberg indicated that his tenotomy rate was over 90%, but I feel that he

>

> tends to err on the side of caution.

>

> My daughter is now 3 3/4. Her foot is excellent. The shoes actually improve

> dorsiflexion I believe because of their weight. It helps stretch the

> achilles more... someone correct me if I'm wrong but I swear I read that

> somewhere... The shoes do not correct the foot, but they assist with helping

>

> the heel form and the achilles remaining flexible...

>

> There was a huge discussion at the symposium about Dr. Pirani's rating scale

>

> for clubfoot. He has a rating for the heel pad. A doctor from Australia said

>

> it was not necessary because the heel doesn't come down until they start

> walking, and most docs stop using the rating scale once the child's feet are

>

> corrected and they start wearing the bar, well before the child is walking.

> Dr. Pirani acknowledged that he was probably right, but didn't want to

> change it now. Then he did say that if the heel was NOT a zero (meaning

> empty), that would signify that the doctor isn't correcting properly, ie

> rockerbottom. Hope that makes sense!

>

>

> best, Joanne W.