pain w/dorsiflexion

[Guest guest]

,

We believe the mild rocker bottom deformity came about when we were seeing

Dr. Szalay. THe rocker bottom is very mild only visualized on XR, improved

after a month of casting. We haven't had x-rays since the post tenotomy

casts came off. I did address the pain with dorsiflexion with Dr. Bosch and

he said we'll keep an eye on it, maybe related to stiffness/soreness after

being in the cast for two months. He did seem concerned but encouraged me

to give it some time. I'm thinking about contacting Dr. Schwend, another

certified provider, about my concerns. He did stand in his braces today

holding on to something so that gave me some hope. Thanks for your support.

and Leo, BL CF 2/28/04

Welcome, & Leo!

I'm so sorry to hear about the struggles that you've endured with

Leo's treatment thus far. I hope that the shoes will be

able to hold his feet in the corrected position for you.

I'm very concerned about your last statement where you said that Leo

cries in pain when you try to dorsiflex his foot. This is very

troublesome to me. The lack of weight bearing is not *as much* of a

concern as it does take some time for some babies to want to do

this. However, if you think that flexing his feet is causing him

discomfort, I wouldn't take this lightly and make sure your doctor

addresses this concern with you immediately. If he brushes it off,

maybe you can get a second opinion from Dr. Brown (if he's

still in Albuquerque that is, and also if he wasn't your first

doctor that put Leo into the brace without full correction) as I

think he's an associate of Dr. Bosch?

Perhaps there is some complication that arose from the rocker-bottom

deformity and attempted correction. Was the rockerbottom caused by

treatment from the first ortho or did it form under Dr. Bosch's

care? Has Dr. Bosch mentioned that Leo might have a-typical

clubfoot to you?? Did they do follow-up x-rays after he came out of

the casts recently?

We're here for you- please keep us posted and ask any questions!

Regards,

& (3-16-00)

left clubfoot, switched to Ponseti method at 4 mo. old