Re: Questions regarding correction (and overcorrection) of CF

[Guest guest]

I don't know very much about the long term shoe angles

etc so I will let someone with more experience answer

that question but my daughter uses the Markell shoes

with no problems at all and has never had a blister or

a sore spot at all. She did not like them at first

and we still occasionally have temper issues when she

does not want to wear them but never blisters. Hope

this helps you.

Jenni

--- Sinanis greekgddss@...> wrote:

> Hello all!

>

> My son had his tenotomy yesterday. Not a fun

> experience, but he is handling it all very well. We

> also went and got the red DBB and the Markells--size

> 000. Should I order s?? Or are the

> Markells fine? Does everyone get blisters with the

> Markells? Also, how are you supposed to know if the

> foot looks corrected enough?

>

> I'm having a hard time dealing with the fact that

> the foot will be so overcorrected. I know this is

> because the foot will start to relapse and it will

> fall " into place " , but my question is when does this

> relapsing occur? Is the CF set at 70 degrees for

> the 3 years that the DBB is worn?? Or are the

> degrees gradually decreased? It just doesn't seem

> right to me that a 2 year-old should have a foot set

> at 70 degrees. Somebody please enlighten me.

>

>

>

>

>

>

>

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>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

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[Guest guest]

" Should I order s?? Or are the Markells fine? Does everyone get

blisters with the Markells? "

The Markell shoes work just fine for a vast majority of people. If you have

Kori's list of Tips and Tricks you should be set to go into the Markells without

problem. Also be aware that if the 000 appear too big, they do offer a 0000 now

.... many orthotists are still not aware of this fact.

" Also, how are you supposed to know if the foot looks corrected enough? "

FOr the most part you would know if it was not. If the angle is 70* rotation in

this cast, and when the foot comes out it looks like a normal foot but curved

slightly to the outside it likely is corrected. If for any reason you feel like

it doesnt look like a normal foot - ANY REASON - feel free to post pics to

CFPics and also ask the doc about it. This was our first clue that there was a

problem ... I remember the disappointment of seeing Kai's foot come out of that

cast and still not looking normal.

" I'm having a hard time dealing with the fact that the foot will be so

overcorrected. I know this is because the foot will start to relapse and it

will fall " into place " but my question is when does this relapsing occur? "

This is actually inaccurate. The foot doesnt relapse into a neutral position,

it stabilizes with walking (that is the when). 70* is NOT an unnatural

rotation. See if you can do it with your foot ... I can do almost 90* ... you

will realize that this really is not a radical degree.

" Is the CF set at 70 degrees for the 3 years that the DBB is worn?? Or are the

degrees gradually decreased? It just doesn't seem right to me that a 2 year-old

should have a foot set at 70 degrees. Somebody please enlighten me. "

It is 70* for the whole time unless there is a specific reason to reduce it

(loose ligaments or atypical clubfoot requiring the reduction). The 70*

PREVENTS a relapse. It keeps the ligaments and muscles that would otherwise

pull the foot back in supple. It is the same concept as stretching before and

after excercise ... or stretching for carpal tunnel syndrome. By 2 years old

most children's feet fall into a neutral position when out of the brace and are

only held in that stretch for sleeping.

And above all ... 70* is nothing compared to the alternative. If 70* is what it

takes to prevent the foot from returning to the clubbed form, isnt it worth it?

Angel

[Guest guest]

,

My son Jonah went straight from casts to the Markell shoes. We have never had

the slightest issue with them. Save for rare cases of a-typical clubfoot, as

long as the foot is well-corrected and the shoes fit and are worn properly,

there shouldn't be any trouble. Kori and I are working on a new, spiffy version

of the FAB/DBB tips. Watch this spot...

I'm curious, did you get a pair of the new small Markells with a hole cut out in

the heel?

Your son's foot should look pretty much like any other baby's foot when it comes

out of the tenotomy cast. There's likely to be some extra skin folds around the

ankle area--this goes away eventually. Most of the overcorrection disappears as

the child starts bearing weight on his/her feet and walking. It's not that the

foot relapses, but rather that the foot stabilizes.

I hope you find the transition to the FAB painless. I know I was sort of

terrified at the prospect. Be sure to come here with your questions and

concerns.

Best to you and yours,

Naomi

The Family

Naomi Hannah(02/21/01) Jonah(06/20/03, bilateral clubfoot, FAB 14/7)

Sinanis greekgddss@...> wrote:

Hello all!

My son had his tenotomy yesterday. Not a fun experience, but he is handling it

all very well. We also went and got the red DBB and the Markells--size 000.

Should I order s?? Or are the Markells fine? Does everyone get

blisters with the Markells? Also, how are you supposed to know if the foot

looks corrected enough?

I'm having a hard time dealing with the fact that the foot will be so

overcorrected. I know this is because the foot will start to relapse and it

will fall " into place " , but my question is when does this relapsing occur? Is

the CF set at 70 degrees for the 3 years that the DBB is worn?? Or are the

degrees gradually decreased? It just doesn't seem right to me that a 2 year-old

should have a foot set at 70 degrees. Somebody please enlighten me.

---------------------------------

Celebrate Yahoo!'s 10th Birthday!

Yahoo! Netrospective: 100 Moments of the Web

[Guest guest]

I was looking at the Markell shoe site the other night but saw / read nothing

about shoes with a hole in the heel. Is this something parent's can easily

order now? Sounds great! Any word yet if it is really helping avoid some of

the blister issues?

s.

Re: Questions regarding correction (and

overcorrection) of CF

,

My son Jonah went straight from casts to the Markell shoes. We have never had

the slightest issue with them. Save for rare cases of a-typical clubfoot, as

long as the foot is well-corrected and the shoes fit and are worn properly,

there shouldn't be any trouble. Kori and I are working on a new, spiffy version

of the FAB/DBB tips. Watch this spot...

I'm curious, did you get a pair of the new small Markells with a hole cut out in

the heel?

Your son's foot should look pretty much like any other baby's foot when it comes

out of the tenotomy cast. There's likely to be some extra skin folds around the

ankle area--this goes away eventually. Most of the overcorrection disappears as

the child starts bearing weight on his/her feet and walking. It's not that the

foot relapses, but rather that the foot stabilizes.

I hope you find the transition to the FAB painless. I know I was sort of

terrified at the prospect. Be sure to come here with your questions and

concerns.

Best to you and yours,

Naomi

The Family

Naomi Hannah(02/21/01) Jonah(06/20/03, bilateral clubfoot, FAB 14/7)

Sinanis greekgddss@...> wrote:

Hello all!

My son had his tenotomy yesterday. Not a fun experience, but he is handling it

all very well. We also went and got the red DBB and the Markells--size 000.

Should I order s?? Or are the Markells fine? Does everyone get

blisters with the Markells? Also, how are you supposed to know if the foot

looks corrected enough?

I'm having a hard time dealing with the fact that the foot will be so

overcorrected. I know this is because the foot will start to relapse and it

will fall " into place " , but my question is when does this relapsing occur? Is

the CF set at 70 degrees for the 3 years that the DBB is worn?? Or are the

degrees gradually decreased? It just doesn't seem right to me that a 2 year-old

should have a foot set at 70 degrees. Somebody please enlighten me.

---------------------------------

Celebrate Yahoo!'s 10th Birthday!

Yahoo! Netrospective: 100 Moments of the Web