Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 I talked with Dr. Ponseti. Everytime I call that man, he's answering his own phones...love this man!! Anyways, his advice was not to recast him, although he liked the straight leg idea for future reference. He wants us to put a wedge or heel under his foot in the shoe, like how a woman stands in high heels. no his foot will not be flat, but lets get him standing where he is comfortable first. and yes, he will still be on his toes, but he will still be putting pressure on his heels and bringing them down. they will just be at a more comfortable posisiton. And then when he is standing well like that with the pressure on his heels, leave him there for a few weeks, and then shave it down a touch. So you are gradually working that heel down. Clever hunh? Sooooo...today at therapy, we will be talking with the orthotics department about putting wedges in his shoes. At least it's a direction! He said if we were not getting anywhere with that, we will have to give the straight leg cast a try for a few weeks. Thanks for your support, jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 Well it's definitely a start and I'm sure good to hear an idea. I know this probably doesn't have a relation, but my older brother was extremely flat footed. He started to walk on the insides of his feet and wouldn't walk at all unless he had shoes on. He wore corrective hard high top shoes with a special arch. Only, at that time would he walk flat footed. I just thought I'd throw that out there as it's such a mystery. Any chance he's overly flat footed? Wold aliwold2@...> wrote: I talked with Dr. Ponseti. Everytime I call that man, he's answering his own phones...love this man!! Anyways, his advice was not to recast him, although he liked the straight leg idea for future reference. He wants us to put a wedge or heel under his foot in the shoe, like how a woman stands in high heels. no his foot will not be flat, but lets get him standing where he is comfortable first. and yes, he will still be on his toes, but he will still be putting pressure on his heels and bringing them down. they will just be at a more comfortable posisiton. And then when he is standing well like that with the pressure on his heels, leave him there for a few weeks, and then shave it down a touch. So you are gradually working that heel down. Clever hunh? Sooooo...today at therapy, we will be talking with the orthotics department about putting wedges in his shoes. At least it's a direction! He said if we were not getting anywhere with that, we will have to give the straight leg cast a try for a few weeks. Thanks for your support, jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 actually that sounds like something might need someday down the road when we get him used to being on his heels. yeah, it's a start!! > > I talked with Dr. Ponseti. Everytime I call that man, he's answering > his own phones...love this man!! > > Anyways, his advice was not to recast him, although he liked the > straight leg idea for future reference. He wants us to put a wedge or > heel under his foot in the shoe, like how a woman stands in high > heels. no his foot will not be flat, but lets get him standing where > he is comfortable first. and yes, he will still be on his toes, but > he will still be putting pressure on his heels and bringing them down. > they will just be at a more comfortable posisiton. And then when he > is standing well like that with the pressure on his heels, leave him > there for a few weeks, and then shave it down a touch. So you are > gradually working that heel down. > > Clever hunh? Sooooo...today at therapy, we will be talking with the > orthotics department about putting wedges in his shoes. > > At least it's a direction! He said if we were not getting anywhere > with that, we will have to give the straight leg cast a try for a few > weeks. > > Thanks for your support, > > jason atypical bl cf 10-09-03 > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 Sorry, I'm just getting caught up with posts, so I replied before I read this! How exciting--isn't your child's first pair of " high heels " a milestone? Or is that just for girls? hehe :-) > > I talked with Dr. Ponseti. Everytime I call that man, he's answering > his own phones...love this man!! > > Anyways, his advice was not to recast him, although he liked the > straight leg idea for future reference. He wants us to put a wedge or > heel under his foot in the shoe, like how a woman stands in high > heels. no his foot will not be flat, but lets get him standing where > he is comfortable first. and yes, he will still be on his toes, but > he will still be putting pressure on his heels and bringing them down. > they will just be at a more comfortable posisiton. And then when he > is standing well like that with the pressure on his heels, leave him > there for a few weeks, and then shave it down a touch. So you are > gradually working that heel down. > > Clever hunh? Sooooo...today at therapy, we will be talking with the > orthotics department about putting wedges in his shoes. > > At least it's a direction! He said if we were not getting anywhere > with that, we will have to give the straight leg cast a try for a few > weeks. > > Thanks for your support, > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 Hi , The reason we are pushing to walk after being in casts for so long is, if he doesn't stand and put pressure on his feet they will relapse almost to the point of starting over. he has got to start putting pressure on his feet, putting them flat soon, and starting to walk to help get his foot in the correct position. And Dr. p really doesn't want to put him back in casts, so that means we gotta get him standing and doing the pressure himself. He's got the wedges in now, but I don't think they are quite tall enough yet. He still won't put that left down, but the right is flat! yayayayaya!!!!! And these shoes could be pink for all I care, as long as they get him to stand!! hahah! > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > answering > > his own phones...love this man!! > > > > Anyways, his advice was not to recast him, although he liked the > > straight leg idea for future reference. He wants us to put a > wedge or > > heel under his foot in the shoe, like how a woman stands in high > > heels. no his foot will not be flat, but lets get him standing > where > > he is comfortable first. and yes, he will still be on his toes, > but > > he will still be putting pressure on his heels and bringing them > down. > > they will just be at a more comfortable posisiton. And then when > he > > is standing well like that with the pressure on his heels, leave > him > > there for a few weeks, and then shave it down a touch. So you are > > gradually working that heel down. > > > > Clever hunh? Sooooo...today at therapy, we will be talking with > the > > orthotics department about putting wedges in his shoes. > > > > At least it's a direction! He said if we were not getting anywhere > > with that, we will have to give the straight leg cast a try for a > few > > weeks. > > > > Thanks for your support, > > > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 What a great idea! Leave it to Ponseti to think so out of the box! Let us know how it goes! > > I talked with Dr. Ponseti. Everytime I call that man, he's answering > his own phones...love this man!! > > Anyways, his advice was not to recast him, although he liked the > straight leg idea for future reference. He wants us to put a wedge or > heel under his foot in the shoe, like how a woman stands in high > heels. no his foot will not be flat, but lets get him standing where > he is comfortable first. and yes, he will still be on his toes, but > he will still be putting pressure on his heels and bringing them down. > they will just be at a more comfortable posisiton. And then when he > is standing well like that with the pressure on his heels, leave him > there for a few weeks, and then shave it down a touch. So you are > gradually working that heel down. > > Clever hunh? Sooooo...today at therapy, we will be talking with the > orthotics department about putting wedges in his shoes. > > At least it's a direction! He said if we were not getting anywhere > with that, we will have to give the straight leg cast a try for a few > weeks. > > Thanks for your support, > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 about how tall is his heel ? (the high heel on his shoe) s. Re: Dr. Ponseti Hi , The reason we are pushing to walk after being in casts for so long is, if he doesn't stand and put pressure on his feet they will relapse almost to the point of starting over. he has got to start putting pressure on his feet, putting them flat soon, and starting to walk to help get his foot in the correct position. And Dr. p really doesn't want to put him back in casts, so that means we gotta get him standing and doing the pressure himself. He's got the wedges in now, but I don't think they are quite tall enough yet. He still won't put that left down, but the right is flat! yayayayaya!!!!! And these shoes could be pink for all I care, as long as they get him to stand!! hahah! > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > answering > > his own phones...love this man!! > > > > Anyways, his advice was not to recast him, although he liked the > > straight leg idea for future reference. He wants us to put a > wedge or > > heel under his foot in the shoe, like how a woman stands in high > > heels. no his foot will not be flat, but lets get him standing > where > > he is comfortable first. and yes, he will still be on his toes, > but > > he will still be putting pressure on his heels and bringing them > down. > > they will just be at a more comfortable posisiton. And then when > he > > is standing well like that with the pressure on his heels, leave > him > > there for a few weeks, and then shave it down a touch. So you are > > gradually working that heel down. > > > > Clever hunh? Sooooo...today at therapy, we will be talking with > the > > orthotics department about putting wedges in his shoes. > > > > At least it's a direction! He said if we were not getting anywhere > > with that, we will have to give the straight leg cast a try for a > few > > weeks. > > > > Thanks for your support, > > > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2005 Report Share Posted January 24, 2005 It's about an inch. He still won't put his left foot down, but gosh it's only been an hour to try it out! I can't wait to see what he does tomorrow. Hopefully he will just take off with it...but I think we've got a couple kinks to work out of the wedges first. It looks like a door stop sorta. I almost think it should go just under his heel not quite so big and under his entire foot. And I think it needs to be up even just a tad higher, but we shall see. Oh I hope this works and he is able to stand pain free. I know it hurts him terribly to stand on that left foot! It just breaks my heart! What an awesome kid he is! And how thankful I am that God's holding firmly in His hand!! > > > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > > answering > > > his own phones...love this man!! > > > > > > Anyways, his advice was not to recast him, although he liked the > > > straight leg idea for future reference. He wants us to put a > > wedge or > > > heel under his foot in the shoe, like how a woman stands in high > > > heels. no his foot will not be flat, but lets get him standing > > where > > > he is comfortable first. and yes, he will still be on his toes, > > but > > > he will still be putting pressure on his heels and bringing them > > down. > > > they will just be at a more comfortable posisiton. And then when > > he > > > is standing well like that with the pressure on his heels, leave > > him > > > there for a few weeks, and then shave it down a touch. So you are > > > gradually working that heel down. > > > > > > Clever hunh? Sooooo...today at therapy, we will be talking with > > the > > > orthotics department about putting wedges in his shoes. > > > > > > At least it's a direction! He said if we were not getting anywhere > > > with that, we will have to give the straight leg cast a try for a > > few > > > weeks. > > > > > > Thanks for your support, > > > > > > jason atypical bl cf 10-09-03 > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 26, 2005 Report Share Posted January 26, 2005 Ok, I can understand that. When Ava first came out of casts & went into the DBB, during her " off hour " we would stand her on our lap & she would do " the stork " as we called it...or " the flamingo " , she'd pull her CF leg up & just stand on the other. So I guess in a child with BL CF they would just crumple. It took her a few weeks to get to the point where she'll stand on both legs, but even now (she's been out of casts for ummm....2 1/2 months...it seems like her CF leg tires before her " normal " one does. But she wasn't casted nearly as long as , and was much younger when she was done, so I guess that's why she was able to " bounce back " more quickly. I did think the water therapy was a great idea. How is that going? I hope it works for him. , mommy of: Guinevere, on, Ava 8/4/04 right CF DBB 23/7 > > > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > > answering > > > his own phones...love this man!! > > > > > > Anyways, his advice was not to recast him, although he liked the > > > straight leg idea for future reference. He wants us to put a > > wedge or > > > heel under his foot in the shoe, like how a woman stands in high > > > heels. no his foot will not be flat, but lets get him standing > > where > > > he is comfortable first. and yes, he will still be on his toes, > > but > > > he will still be putting pressure on his heels and bringing them > > down. > > > they will just be at a more comfortable posisiton. And then when > > he > > > is standing well like that with the pressure on his heels, leave > > him > > > there for a few weeks, and then shave it down a touch. So you are > > > gradually working that heel down. > > > > > > Clever hunh? Sooooo...today at therapy, we will be talking with > > the > > > orthotics department about putting wedges in his shoes. > > > > > > At least it's a direction! He said if we were not getting anywhere > > > with that, we will have to give the straight leg cast a try for a > > few > > > weeks. > > > > > > Thanks for your support, > > > > > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2005 Report Share Posted January 27, 2005 Hi shannon, We go again tomorrow for water therapy. So far we are making a little progress with the wedges, so I am hoping the pool time goes really well. We go once a week for that to give it a try and then continue with our other two sessions for physical therapy. But yesterday he stood in his wedges for almost 5 whole minutes without picking his feet up!!!!!!! Yayayayayayayaay! Big Big accomplishment! I think the wedges are working, but they are not quite high enough where he will automatically put both feet down flat yet. Hopefully that will just take time! wouldn't even crumple, he just would stick his legs out to either side of him in a big V when you try to set him down. It's pretty funny to watch as we are moving him up and down like we're tryin to shake his legs down or something...little stinker. And he does a lot of the stork with his left foot as that's the most uncomfortable one for him. yeah, he definitely has a lot of catch up to do, but since I'm not going anywhere....LOL! Thanks, atypical bl cf 10-09-03 > > > > > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > > > answering > > > > his own phones...love this man!! > > > > > > > > Anyways, his advice was not to recast him, although he liked > the > > > > straight leg idea for future reference. He wants us to put a > > > wedge or > > > > heel under his foot in the shoe, like how a woman stands in > high > > > > heels. no his foot will not be flat, but lets get him > standing > > > where > > > > he is comfortable first. and yes, he will still be on his > toes, > > > but > > > > he will still be putting pressure on his heels and bringing > them > > > down. > > > > they will just be at a more comfortable posisiton. And then > when > > > he > > > > is standing well like that with the pressure on his heels, > leave > > > him > > > > there for a few weeks, and then shave it down a touch. So you > are > > > > gradually working that heel down. > > > > > > > > Clever hunh? Sooooo...today at therapy, we will be talking > with > > > the > > > > orthotics department about putting wedges in his shoes. > > > > > > > > At least it's a direction! He said if we were not getting > anywhere > > > > with that, we will have to give the straight leg cast a try > for a > > > few > > > > weeks. > > > > > > > > Thanks for your support, > > > > > > > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2005 Report Share Posted January 27, 2005 Glad to hear there is progress ! Hang in there! s. Re: Dr. Ponseti Hi shannon, We go again tomorrow for water therapy. So far we are making a little progress with the wedges, so I am hoping the pool time goes really well. We go once a week for that to give it a try and then continue with our other two sessions for physical therapy. But yesterday he stood in his wedges for almost 5 whole minutes without picking his feet up!!!!!!! Yayayayayayayaay! Big Big accomplishment! I think the wedges are working, but they are not quite high enough where he will automatically put both feet down flat yet. Hopefully that will just take time! wouldn't even crumple, he just would stick his legs out to either side of him in a big V when you try to set him down. It's pretty funny to watch as we are moving him up and down like we're tryin to shake his legs down or something...little stinker. And he does a lot of the stork with his left foot as that's the most uncomfortable one for him. yeah, he definitely has a lot of catch up to do, but since I'm not going anywhere....LOL! Thanks, atypical bl cf 10-09-03 > > > > > > > > I talked with Dr. Ponseti. Everytime I call that man, he's > > > answering > > > > his own phones...love this man!! > > > > > > > > Anyways, his advice was not to recast him, although he liked > the > > > > straight leg idea for future reference. He wants us to put a > > > wedge or > > > > heel under his foot in the shoe, like how a woman stands in > high > > > > heels. no his foot will not be flat, but lets get him > standing > > > where > > > > he is comfortable first. and yes, he will still be on his > toes, > > > but > > > > he will still be putting pressure on his heels and bringing > them > > > down. > > > > they will just be at a more comfortable posisiton. And then > when > > > he > > > > is standing well like that with the pressure on his heels, > leave > > > him > > > > there for a few weeks, and then shave it down a touch. So you > are > > > > gradually working that heel down. > > > > > > > > Clever hunh? Sooooo...today at therapy, we will be talking > with > > > the > > > > orthotics department about putting wedges in his shoes. > > > > > > > > At least it's a direction! He said if we were not getting > anywhere > > > > with that, we will have to give the straight leg cast a try > for a > > > few > > > > weeks. > > > > > > > > Thanks for your support, > > > > > > > > jason atypical bl cf 10-09-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2005 Report Share Posted January 27, 2005 Way to go !!! It really sounds like he is on his way now! I think and hope it will just get easier for you guy's from here on out, the wedges were such a good idea! Give that little trooper a big hug from us!! & Grace > > Hi shannon, > > We go again tomorrow for water therapy. So far we are making a little > progress with the wedges, so I am hoping the pool time goes really > well. We go once a week for that to give it a try and then continue > with our other two sessions for physical therapy. But yesterday he > stood in his wedges for almost 5 whole minutes without picking his > feet up!!!!!!! Yayayayayayayaay! Big Big accomplishment! I think > the wedges are working, but they are not quite high enough where he > will automatically put both feet down flat yet. Hopefully that will > just take time! > > wouldn't even crumple, he just would stick his legs out to > either side of him in a big V when you try to set him down. It's > pretty funny to watch as we are moving him up and down like we're > tryin to shake his legs down or something...little stinker. And he > does a lot of the stork with his left foot as that's the most > uncomfortable one for him. > > yeah, he definitely has a lot of catch up to do, but since I'm not > going anywhere....LOL! > > Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2005 Report Share Posted January 28, 2005 Thanks , we are sooo excited too! won't be long....(Please Lord!) > > > > Hi shannon, > > > > We go again tomorrow for water therapy. So far we are making a > little > > progress with the wedges, so I am hoping the pool time goes really > > well. We go once a week for that to give it a try and then continue > > with our other two sessions for physical therapy. But yesterday he > > stood in his wedges for almost 5 whole minutes without picking his > > feet up!!!!!!! Yayayayayayayaay! Big Big accomplishment! I think > > the wedges are working, but they are not quite high enough where he > > will automatically put both feet down flat yet. Hopefully that will > > just take time! > > > > wouldn't even crumple, he just would stick his legs out to > > either side of him in a big V when you try to set him down. It's > > pretty funny to watch as we are moving him up and down like we're > > tryin to shake his legs down or something...little stinker. And he > > does a lot of the stork with his left foot as that's the most > > uncomfortable one for him. > > > > yeah, he definitely has a lot of catch up to do, but since I'm not > > going anywhere....LOL! > > > > Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2005 Report Share Posted September 19, 2005 Hi All, here is what Joyce sent me regarding the Achievement Award thingy various people are working on. I understand a final version was put in the files but if it is not submitted yet you might want some of this information prior to submission. Have a good day! s. Dr. Ponseti September 19, 2005 Dear ee: Dr. Ponseti estimates he has treated about 1500 patients with clubfoot. Before Medicare and Medicaid existed, Iowa had what was called State Papers. People who had low income could go to their county Dept. of Social Welfare to file for these papers which then allowed them to get all of their care at the University of Iowa free. Now these federal programs have taken over. He does provide his services for free or reduced rates in some instances. He really has no idea how many doctors he has trained. He's been in Iowa over 60 years and each year the residents did rotations with him so he has worked with a couple of hundred residents plus all the doctors who come here to visit and learn the technique, plus those who attend meetings where he speaks and demonstrates how clubfeet should be treated. He also has DVDs and videotapes as well as his book, Congenital Clubfoot: Fundamentals of Treatment which are good teaching aids. Dr. Ponseti served in the Spanish Civil War and when it ended went to France and then to Mexico where he saved money to come to the States, which he did in 1941. He did an orthopaedic residency from 1941-1944. He was promoted to Assistant Professor in 1948, to Associate Professor in 1951 and Professor in 1957. In 1984 he retired and became Professor Emeritus. He became an American citizen in 1947. On his retirement he kept his Biochemistry Lab and did work there until 1990 when he was asked to return to the clinic to treat clubfeet. He thinks it was about 2001 when the clinic here was named after him and about that same time in New York City at the Hospital for Joint Diseases they named a clubfoot clinic for him as well. In 1955 he received the Kappa Delta Award for outstanding orthopaedic research. In 2002 the videotape on his clubfoot treatment won first prize at the American Academy of Orthopaedic Surgeons meeting. In 2003 he won the AOA-Zimmer Award for Distinguished Contribution to Orthopaedics. In 1963 Dr. Ponseti published the first follow up of the clubfoot patients treated here from 1948-1956. In 1980 another follow up was published. In 1995 the most recent follow up was published. He didn't have anything to offer on a personal note. Yes, he would like to review the paper before you submit it. Joyce Quote Link to comment Share on other sites More sharing options...
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