Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 My son Aidan was just put in the DBB yesterday. So far so good . . . we think. He slept through the whole thing when they we're fitting his feet in the shoes for the first time. We we're warned a few times he would be MISERABLE, but so far he seems happy to have his legs out of those casts. My questions is, how can you tell if his feet are in there correctly? When we put them on at first his toes are just about the to the end of the tongue and then after a few minutes or so they have crepts up a little bit. Can anyone give me any advice? He doesn't have any pressure spots so far. Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 My son Aidan was just put in the DBB yesterday. So far so good . . . we think. He slept through the whole thing when they we're fitting his feet in the shoes for the first time. We we're warned a few times he would be MISERABLE, but so far he seems happy to have his legs out of those casts. My questions is, how can you tell if his feet are in there correctly? When we put them on at first his toes are just about the to the end of the tongue and then after a few minutes or so they have crepts up a little bit. Can anyone give me any advice? He doesn't have any pressure spots so far. Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 I don't know what is normal for other kids, but Aleksander's feet always settle back in the shoes after they've been on for a while. They have been doing this for 3 months now, and he's been just fine with the shoes too. We did have some problems at first, but that had more to do with the shoes not fitting properly, or perhaps that we weren't getting them on properly. Believe me, if your son has a problem with the shoes and how they are fitting, you will know. Aleksander, like your son, slept through the shoe fitting, but screamed the whole way home from the clinic and didn't stop until the shoes came off. Just keep on checking the feet, and at the first sign of any blisters or deep indentations, check more frequently. Aleksander ended up in healing casts for three weeks after the first try with the FAB. Second time around, things were fine, with a few tweaks with the shoes. Next week we start reducing his hours and I can't believe how quickly those three months have gone. Good luck, and before you know it, you'll be seeing more of those beautiful little feet! -- > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 I don't know what is normal for other kids, but Aleksander's feet always settle back in the shoes after they've been on for a while. They have been doing this for 3 months now, and he's been just fine with the shoes too. We did have some problems at first, but that had more to do with the shoes not fitting properly, or perhaps that we weren't getting them on properly. Believe me, if your son has a problem with the shoes and how they are fitting, you will know. Aleksander, like your son, slept through the shoe fitting, but screamed the whole way home from the clinic and didn't stop until the shoes came off. Just keep on checking the feet, and at the first sign of any blisters or deep indentations, check more frequently. Aleksander ended up in healing casts for three weeks after the first try with the FAB. Second time around, things were fine, with a few tweaks with the shoes. Next week we start reducing his hours and I can't believe how quickly those three months have gone. Good luck, and before you know it, you'll be seeing more of those beautiful little feet! -- > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 Kori will probably jump in here with her Tips and Tricks document. It is wonderful. My son's foot always slipped a bit when we put his shoes on at first. I wasn't getting his heel down far enough in the shoe. You really have to dorsiflex the foot and push down on that heel to get it seated well. Oh, and pull that strap tight and them pull it some more. At first, I think, it helps to have two people to put the shoes on. One too hold the shoe and buckle the strap and one to flex the foot and push the heel down. Some also like to take the shoes off of the bar. I never did that cause by the time I knew I could, (finding this group) I could get the shoes on by myself and never bothered trying to take them off the bar. A few other suggestions. A sock with grippers on the bottom help slippage. Tenny's good foot never needs it but his club foot still does better with the grippers. Also our orthotist drew a line in the shoe when we first started and told to keep Tenny's toes behind the line. It helped cause I could tell at a glance if his foot had slipped. Oh, one other thing I don't believe I have ever seen mentioned. Does anyone have the stick? We call it " the stick " . It looks like a very long thin tongue depresser out of some slick metal stuff. Our orthotist gave it to us. You push it between the foot and the shoe after you get them on. You can feel the pressure from the foot to the sole of the shoe all the way back to the heel. We checked Tenny's feet often at first and could tell his heel was floating. Now I'm curious, do anyone else have a stick? Hope this helps, I am definately not the expert here so you will probably be getting a few better tips. Good luck. mom to Tenny rt. cf 7/15/04 FAB 18/7 Are his feet in there right???? My son Aidan was just put in the DBB yesterday. So far so good . . . we think. He slept through the whole thing when they we're fitting his feet in the shoes for the first time. We we're warned a few times he would be MISERABLE, but so far he seems happy to have his legs out of those casts. My questions is, how can you tell if his feet are in there correctly? When we put them on at first his toes are just about the to the end of the tongue and then after a few minutes or so they have crepts up a little bit. Can anyone give me any advice? He doesn't have any pressure spots so far. Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 Kori will probably jump in here with her Tips and Tricks document. It is wonderful. My son's foot always slipped a bit when we put his shoes on at first. I wasn't getting his heel down far enough in the shoe. You really have to dorsiflex the foot and push down on that heel to get it seated well. Oh, and pull that strap tight and them pull it some more. At first, I think, it helps to have two people to put the shoes on. One too hold the shoe and buckle the strap and one to flex the foot and push the heel down. Some also like to take the shoes off of the bar. I never did that cause by the time I knew I could, (finding this group) I could get the shoes on by myself and never bothered trying to take them off the bar. A few other suggestions. A sock with grippers on the bottom help slippage. Tenny's good foot never needs it but his club foot still does better with the grippers. Also our orthotist drew a line in the shoe when we first started and told to keep Tenny's toes behind the line. It helped cause I could tell at a glance if his foot had slipped. Oh, one other thing I don't believe I have ever seen mentioned. Does anyone have the stick? We call it " the stick " . It looks like a very long thin tongue depresser out of some slick metal stuff. Our orthotist gave it to us. You push it between the foot and the shoe after you get them on. You can feel the pressure from the foot to the sole of the shoe all the way back to the heel. We checked Tenny's feet often at first and could tell his heel was floating. Now I'm curious, do anyone else have a stick? Hope this helps, I am definately not the expert here so you will probably be getting a few better tips. Good luck. mom to Tenny rt. cf 7/15/04 FAB 18/7 Are his feet in there right???? My son Aidan was just put in the DBB yesterday. So far so good . . . we think. He slept through the whole thing when they we're fitting his feet in the shoes for the first time. We we're warned a few times he would be MISERABLE, but so far he seems happy to have his legs out of those casts. My questions is, how can you tell if his feet are in there correctly? When we put them on at first his toes are just about the to the end of the tongue and then after a few minutes or so they have crepts up a little bit. Can anyone give me any advice? He doesn't have any pressure spots so far. Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 I've actually printed out the tips and tricks document. As with most things the first time, your never sure if your getting it right. Putting a line on the shoe for the toes is a great idea. I might have our orthotist do that for us. Our Orthopedic plans to keep Aidan in the DBB full time for 7 - 8 months so I want to be sure I'm doing it correctly. Thank you. > Kori will probably jump in here with her Tips and Tricks document. It is wonderful. My son's foot always slipped a bit when we put his shoes on at first. I wasn't getting his heel down far enough in the shoe. You really have to dorsiflex the foot and push down on that heel to get it seated well. Oh, and pull that strap tight and them pull it some more. At first, I think, it helps to have two people to put the shoes on. One too hold the shoe and buckle the strap and one to flex the foot and push the heel down. Some also like to take the shoes off of the bar. I never did that cause by the time I knew I could, (finding this group) I could get the shoes on by myself and never bothered trying to take them off the bar. > A few other suggestions. A sock with grippers on the bottom help slippage. Tenny's good foot never needs it but his club foot still does better with the grippers. Also our orthotist drew a line in the shoe when we first started and told to keep Tenny's toes behind the line. It helped cause I could tell at a glance if his foot had slipped. > Oh, one other thing I don't believe I have ever seen mentioned. Does anyone have the stick? We call it " the stick " . It looks like a very long thin tongue depresser out of some slick metal stuff. Our orthotist gave it to us. You push it between the foot and the shoe after you get them on. You can feel the pressure from the foot to the sole of the shoe all the way back to the heel. We checked Tenny's feet often at first and could tell his heel was floating. Now I'm curious, do anyone else have a stick? > > Hope this helps, I am definately not the expert here so you will probably be getting a few better tips. Good luck. > > mom to Tenny rt. cf 7/15/04 FAB 18/7 > Are his feet in there right???? > > > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 I've actually printed out the tips and tricks document. As with most things the first time, your never sure if your getting it right. Putting a line on the shoe for the toes is a great idea. I might have our orthotist do that for us. Our Orthopedic plans to keep Aidan in the DBB full time for 7 - 8 months so I want to be sure I'm doing it correctly. Thank you. > Kori will probably jump in here with her Tips and Tricks document. It is wonderful. My son's foot always slipped a bit when we put his shoes on at first. I wasn't getting his heel down far enough in the shoe. You really have to dorsiflex the foot and push down on that heel to get it seated well. Oh, and pull that strap tight and them pull it some more. At first, I think, it helps to have two people to put the shoes on. One too hold the shoe and buckle the strap and one to flex the foot and push the heel down. Some also like to take the shoes off of the bar. I never did that cause by the time I knew I could, (finding this group) I could get the shoes on by myself and never bothered trying to take them off the bar. > A few other suggestions. A sock with grippers on the bottom help slippage. Tenny's good foot never needs it but his club foot still does better with the grippers. Also our orthotist drew a line in the shoe when we first started and told to keep Tenny's toes behind the line. It helped cause I could tell at a glance if his foot had slipped. > Oh, one other thing I don't believe I have ever seen mentioned. Does anyone have the stick? We call it " the stick " . It looks like a very long thin tongue depresser out of some slick metal stuff. Our orthotist gave it to us. You push it between the foot and the shoe after you get them on. You can feel the pressure from the foot to the sole of the shoe all the way back to the heel. We checked Tenny's feet often at first and could tell his heel was floating. Now I'm curious, do anyone else have a stick? > > Hope this helps, I am definately not the expert here so you will probably be getting a few better tips. Good luck. > > mom to Tenny rt. cf 7/15/04 FAB 18/7 > Are his feet in there right???? > > > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. Shook Retail Operations Manager/Baking Instructor Vie de France Yamazaki, Inc. 2070 Chain Bridge Rd. Suite 500 Vienna, VA 22182 x374 x374 fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. Shook Retail Operations Manager/Baking Instructor Vie de France Yamazaki, Inc. 2070 Chain Bridge Rd. Suite 500 Vienna, VA 22182 x374 x374 fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Aidan Dr. is Dr. Noonan at the UW Madison. He prefers to keep them in the DBB full time longer and feels that he sees better results and it reduces the chances of relapse. I was surprised at first too, but I feel very confident in his treatment. This is the only thing that differs with the standard Ponseti method. > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > Shook > Retail Operations Manager/Baking Instructor > Vie de France Yamazaki, Inc. > 2070 Chain Bridge Rd. Suite 500 > Vienna, VA 22182 > x374 > x374 > fax > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Aidan Dr. is Dr. Noonan at the UW Madison. He prefers to keep them in the DBB full time longer and feels that he sees better results and it reduces the chances of relapse. I was surprised at first too, but I feel very confident in his treatment. This is the only thing that differs with the standard Ponseti method. > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > Shook > Retail Operations Manager/Baking Instructor > Vie de France Yamazaki, Inc. > 2070 Chain Bridge Rd. Suite 500 > Vienna, VA 22182 > x374 > x374 > fax > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 My son's looked the same way but it was really just him curling under his toes a little. I took them off a couple times and redid them but then I realize the little bugger was just curling his toes. I do try and pull on the front of his socks once they are in the shoe to make sure his toes have wiggling room! Evertime I took his shoes off his feet looked fine and he really never complained except the first day or so until he got used to them. Caroline Son BCF 23/7 2months so far!! > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 My son's looked the same way but it was really just him curling under his toes a little. I took them off a couple times and redid them but then I realize the little bugger was just curling his toes. I do try and pull on the front of his socks once they are in the shoe to make sure his toes have wiggling room! Evertime I took his shoes off his feet looked fine and he really never complained except the first day or so until he got used to them. Caroline Son BCF 23/7 2months so far!! > My son Aidan was just put in the DBB yesterday. So far so good . . . > we think. He slept through the whole thing when they we're fitting his > feet in the shoes for the first time. We we're warned a few times he > would be MISERABLE, but so far he seems happy to have his legs out of > those casts. > > My questions is, how can you tell if his feet are in there correctly? > When we put them on at first his toes are just about the to the end of > the tongue and then after a few minutes or so they have crepts up a > little bit. Can anyone give me any advice? He doesn't have any > pressure spots so far. > > Thanks for any help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Real quick here - sorry for being breif, low on time right now. A sure way to know is to measure the inside of the heel from the inside sole to the top of the boot at the ankle. Then, put the shoes on like you normally do. Let babe wear them for a little bit, kick around an work into them. Then use a pen and mark at the top of the ankle at the back right above the seam where the top of the boot ends. Mark on baby's foot. Then you measure from that mark to the bottom of the heel. It might be difficult to know where the bottom of the heel is if the heel hasn't form well enough (common -it will form later) but you should be able to see where the sole of the foot is against the ruler or tape. Then compare the measurements. Even a mm or two could be cause for problems. And, as always you can simply cut a hole in the back of the shoe and look inside. This is the best way to tell if it's down or not (especially if nothing else helps). It doesn't hurt the shoes and it always helps in some way. These shoes will likely only last you for a few months anyway, they are disposable in this respect. If baby is upset and you are at your wits end just cut the hole and look inside. There's a reason Markell has mfr. shoes with holes in them in the 4 smallest sizes. Even if all things look good on the outside, measurements seem fine and toes stay in place... if your child is telling you they're in pain, they likely are and you have to take the next step to discovering what's wrong. We cut the hole in one pair of shoes and never have since. But I learned a big lesson (lessons - see DBB tips!) in doing so and I'm very pleased we did it. Kori At 11:34 AM 6/24/2005, you wrote: >My son's looked the same way but it was really just him curling >under his toes a little. I took them off a couple times and redid >them but then I realize the little bugger was just curling his >toes. I do try and pull on the front of his socks once they are in >the shoe to make sure his toes have wiggling room! Evertime I took >his shoes off his feet looked fine and he really never complained >except the first day or so until he got used to them. > >Caroline >Son BCF 23/7 2months so far!! > > > > My son Aidan was just put in the DBB yesterday. So far so >good . . . > > we think. He slept through the whole thing when they we're >fitting his > > feet in the shoes for the first time. We we're warned a few times >he > > would be MISERABLE, but so far he seems happy to have his legs out >of > > those casts. > > > > My questions is, how can you tell if his feet are in there >correctly? > > When we put them on at first his toes are just about the to the >end of > > the tongue and then after a few minutes or so they have crepts up >a > > little bit. Can anyone give me any advice? He doesn't have any > > pressure spots so far. > > > > Thanks for any help. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2005 Report Share Posted June 24, 2005 Real quick here - sorry for being breif, low on time right now. A sure way to know is to measure the inside of the heel from the inside sole to the top of the boot at the ankle. Then, put the shoes on like you normally do. Let babe wear them for a little bit, kick around an work into them. Then use a pen and mark at the top of the ankle at the back right above the seam where the top of the boot ends. Mark on baby's foot. Then you measure from that mark to the bottom of the heel. It might be difficult to know where the bottom of the heel is if the heel hasn't form well enough (common -it will form later) but you should be able to see where the sole of the foot is against the ruler or tape. Then compare the measurements. Even a mm or two could be cause for problems. And, as always you can simply cut a hole in the back of the shoe and look inside. This is the best way to tell if it's down or not (especially if nothing else helps). It doesn't hurt the shoes and it always helps in some way. These shoes will likely only last you for a few months anyway, they are disposable in this respect. If baby is upset and you are at your wits end just cut the hole and look inside. There's a reason Markell has mfr. shoes with holes in them in the 4 smallest sizes. Even if all things look good on the outside, measurements seem fine and toes stay in place... if your child is telling you they're in pain, they likely are and you have to take the next step to discovering what's wrong. We cut the hole in one pair of shoes and never have since. But I learned a big lesson (lessons - see DBB tips!) in doing so and I'm very pleased we did it. Kori At 11:34 AM 6/24/2005, you wrote: >My son's looked the same way but it was really just him curling >under his toes a little. I took them off a couple times and redid >them but then I realize the little bugger was just curling his >toes. I do try and pull on the front of his socks once they are in >the shoe to make sure his toes have wiggling room! Evertime I took >his shoes off his feet looked fine and he really never complained >except the first day or so until he got used to them. > >Caroline >Son BCF 23/7 2months so far!! > > > > My son Aidan was just put in the DBB yesterday. So far so >good . . . > > we think. He slept through the whole thing when they we're >fitting his > > feet in the shoes for the first time. We we're warned a few times >he > > would be MISERABLE, but so far he seems happy to have his legs out >of > > those casts. > > > > My questions is, how can you tell if his feet are in there >correctly? > > When we put them on at first his toes are just about the to the >end of > > the tongue and then after a few minutes or so they have crepts up >a > > little bit. Can anyone give me any advice? He doesn't have any > > pressure spots so far. > > > > Thanks for any help. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 But it's unnecessary. If this was necessary, those of us who have followed the normal schedule should have children with relapsed feet. If you follow the schedule, it is plenty. The problems with relapses are due to docs who reduce too soon, and too much. Going from 23/7 to 12/7 is too drastic and I would hazard a guess that is what your doc was seeing. If the stricter reduction schedule is followed the results should be as good as Dr. Ponseti's research shows. 7-8 mo's is a LONG time in 23/7. I admire that a doc is being cautious, but that's going to be a tough road to follow. It's good for them to be out of the brace after a point, standing without it on is good for their feet. And this way way works, and works well if applied properly. If it didn't, Dr. Ponseti would not say 3mo's 23/7 only whenever a parent has asked him about this. I've seen his replies on this a number of times and he states it's unnecessary each time. This is something you'll have to decide for yourself if it's worth questioning, but if it were me I sure as heck would. I'm a long hour nut... but I wouldn't do 7-8mo 23/7. The schedule is 23/7 for 3 mo, then 18-20 (some go directly to 16-18), 16-18, 14-6 till walking and then 12-14 till release from the brace. Each reduction focusing on the higher number of course. There is also the consideration that if you follow this schedule, you'll be reducing around the time he's walking from 23/7 to the much lower 12-14 so he can get time in on his feet stretching. Which may possibly cause sleeping issues you don't need to have to deal with. I assure you, we wouldn't recommend this schedule if it didn't work. The problems with relapse lie with modifying the Method, following it exactly works and little more is needed for most all clubfeet regardless of severity. Do what you think is best for you and your family, that's what it boils down to of course :~} Kori At 07:02 AM 6/24/2005, you wrote: >Aidan Dr. is Dr. Noonan at the UW Madison. He prefers to keep them in >the DBB full time longer and feels that he sees better results and it >reduces the chances of relapse. I was surprised at first too, but I >feel very confident in his treatment. This is the only thing that >differs with the standard Ponseti method. > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > Shook > > Retail Operations Manager/Baking Instructor > > Vie de France Yamazaki, Inc. > > 2070 Chain Bridge Rd. Suite 500 > > Vienna, VA 22182 > > x374 > > x374 > > fax > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 But it's unnecessary. If this was necessary, those of us who have followed the normal schedule should have children with relapsed feet. If you follow the schedule, it is plenty. The problems with relapses are due to docs who reduce too soon, and too much. Going from 23/7 to 12/7 is too drastic and I would hazard a guess that is what your doc was seeing. If the stricter reduction schedule is followed the results should be as good as Dr. Ponseti's research shows. 7-8 mo's is a LONG time in 23/7. I admire that a doc is being cautious, but that's going to be a tough road to follow. It's good for them to be out of the brace after a point, standing without it on is good for their feet. And this way way works, and works well if applied properly. If it didn't, Dr. Ponseti would not say 3mo's 23/7 only whenever a parent has asked him about this. I've seen his replies on this a number of times and he states it's unnecessary each time. This is something you'll have to decide for yourself if it's worth questioning, but if it were me I sure as heck would. I'm a long hour nut... but I wouldn't do 7-8mo 23/7. The schedule is 23/7 for 3 mo, then 18-20 (some go directly to 16-18), 16-18, 14-6 till walking and then 12-14 till release from the brace. Each reduction focusing on the higher number of course. There is also the consideration that if you follow this schedule, you'll be reducing around the time he's walking from 23/7 to the much lower 12-14 so he can get time in on his feet stretching. Which may possibly cause sleeping issues you don't need to have to deal with. I assure you, we wouldn't recommend this schedule if it didn't work. The problems with relapse lie with modifying the Method, following it exactly works and little more is needed for most all clubfeet regardless of severity. Do what you think is best for you and your family, that's what it boils down to of course :~} Kori At 07:02 AM 6/24/2005, you wrote: >Aidan Dr. is Dr. Noonan at the UW Madison. He prefers to keep them in >the DBB full time longer and feels that he sees better results and it >reduces the chances of relapse. I was surprised at first too, but I >feel very confident in his treatment. This is the only thing that >differs with the standard Ponseti method. > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > Shook > > Retail Operations Manager/Baking Instructor > > Vie de France Yamazaki, Inc. > > 2070 Chain Bridge Rd. Suite 500 > > Vienna, VA 22182 > > x374 > > x374 > > fax > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 I think it also depends on the child and their age too. Dr. Ponseti in our case was very clear that if we had started earlier he would have kept in the shoes 23/7 longer. But because of his age and being past the standing up and walking stage, he kept us in them for 4 1/2 months 23/7 or 22/7 and we opted for the 23/7. And still has relapsed. He was 13 months when he started wearing the s full time. is now walking, but Dr. Ponseti still wants him in the shoes 16 hours a day. But 7-8 months is a very long time. Make sure if you go that long that you spend that full hour out, working on standing, and with the bar on too. That standing time in and out of the shoes is so important. 10-09-03 3 days walking!!! > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > > > > > > > > Shook > > > Retail Operations Manager/Baking Instructor > > > Vie de France Yamazaki, Inc. > > > 2070 Chain Bridge Rd. Suite 500 > > > Vienna, VA 22182 > > > x374 > > > x374 > > > fax > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 I think it also depends on the child and their age too. Dr. Ponseti in our case was very clear that if we had started earlier he would have kept in the shoes 23/7 longer. But because of his age and being past the standing up and walking stage, he kept us in them for 4 1/2 months 23/7 or 22/7 and we opted for the 23/7. And still has relapsed. He was 13 months when he started wearing the s full time. is now walking, but Dr. Ponseti still wants him in the shoes 16 hours a day. But 7-8 months is a very long time. Make sure if you go that long that you spend that full hour out, working on standing, and with the bar on too. That standing time in and out of the shoes is so important. 10-09-03 3 days walking!!! > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > > > > > > > > Shook > > > Retail Operations Manager/Baking Instructor > > > Vie de France Yamazaki, Inc. > > > 2070 Chain Bridge Rd. Suite 500 > > > Vienna, VA 22182 > > > x374 > > > x374 > > > fax > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 Thank you for the advice. Aidan is now just over 3 mos old and was in the casts for almost the full 3 mos. He has bi-lateral clubfoot with a difficult rt foot. He starts physical therapy next week. Is that typical for children with clubfoot? Do they all do physical therapy followig casting?? How many days a week for how long I expect him need the in-clinic sessions? I didn't realize the importance of getting them standing in and out of the brace. Is there anything that I can do with him right now at this young age while he is out of the brace other than dorsiflexing his feet? I am sure that the physcial therapist will have some tips too. Thank you for responding. > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > Shook > > > > Retail Operations Manager/Baking Instructor > > > > Vie de France Yamazaki, Inc. > > > > 2070 Chain Bridge Rd. Suite 500 > > > > Vienna, VA 22182 > > > > x374 > > > > x374 > > > > fax > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 Thank you for the advice. Aidan is now just over 3 mos old and was in the casts for almost the full 3 mos. He has bi-lateral clubfoot with a difficult rt foot. He starts physical therapy next week. Is that typical for children with clubfoot? Do they all do physical therapy followig casting?? How many days a week for how long I expect him need the in-clinic sessions? I didn't realize the importance of getting them standing in and out of the brace. Is there anything that I can do with him right now at this young age while he is out of the brace other than dorsiflexing his feet? I am sure that the physcial therapist will have some tips too. Thank you for responding. > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > Shook > > > > Retail Operations Manager/Baking Instructor > > > > Vie de France Yamazaki, Inc. > > > > 2070 Chain Bridge Rd. Suite 500 > > > > Vienna, VA 22182 > > > > x374 > > > > x374 > > > > fax > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 I don't think a lot of kids go to physical therapy although I personally recommend they do. But my son's were very severe bl atypical. He also has a history of 2 surgeries and almost a full year of casts. Dr. Ponseti got us into physical therapy when we made the first trip out right after the first surgery. was 6 months I think at the time. Maybe 7 by the time we got down there. We were primarily in PT because of the scarring, we had to stretch the scars as well as his feet to loosen them up. Now, we've remained in PT at first it was 4 days a week, then we dropped down to 3, then to 1 because of insurance issues. is 21 months old and finally started walking, so we've dropped PT for the next 2 months to get him walking as much as possible. If his feet don't correct themselves naturally as Dr. P is hoping, then we will need to go down for more casting, then we will start PT back up again. PT is a wonderful thing if you find a good therapist and your insurance covers it. If his feet look good and you are still stretching them at home, you will probably only do 2 days a week if even that. But just keep stretching them, tickle them as often as possible. get him used to standing on different textures and work on those leg muscles, standing and squatting with him. Oh how fun! Just enjoy this time and be faithful with those shoes. And the biggest thing is don't drop down in hours too drastically. We dropped from 23 to 18 for our first drop, and now we're at 16. Aidan is still so young he really hasn't lost much time!! That's awesome! Lord bless you! 10-09-03 s 16 faithfully! > > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain > further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Shook > > > > > Retail Operations Manager/Baking Instructor > > > > > Vie de France Yamazaki, Inc. > > > > > 2070 Chain Bridge Rd. Suite 500 > > > > > Vienna, VA 22182 > > > > > x374 > > > > > x374 > > > > > fax > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2005 Report Share Posted June 26, 2005 I don't think a lot of kids go to physical therapy although I personally recommend they do. But my son's were very severe bl atypical. He also has a history of 2 surgeries and almost a full year of casts. Dr. Ponseti got us into physical therapy when we made the first trip out right after the first surgery. was 6 months I think at the time. Maybe 7 by the time we got down there. We were primarily in PT because of the scarring, we had to stretch the scars as well as his feet to loosen them up. Now, we've remained in PT at first it was 4 days a week, then we dropped down to 3, then to 1 because of insurance issues. is 21 months old and finally started walking, so we've dropped PT for the next 2 months to get him walking as much as possible. If his feet don't correct themselves naturally as Dr. P is hoping, then we will need to go down for more casting, then we will start PT back up again. PT is a wonderful thing if you find a good therapist and your insurance covers it. If his feet look good and you are still stretching them at home, you will probably only do 2 days a week if even that. But just keep stretching them, tickle them as often as possible. get him used to standing on different textures and work on those leg muscles, standing and squatting with him. Oh how fun! Just enjoy this time and be faithful with those shoes. And the biggest thing is don't drop down in hours too drastically. We dropped from 23 to 18 for our first drop, and now we're at 16. Aidan is still so young he really hasn't lost much time!! That's awesome! Lord bless you! 10-09-03 s 16 faithfully! > > > > > Whoa, whoa, whoa, whoa, 7-8 months 23/7?!!!! Please explain > further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Shook > > > > > Retail Operations Manager/Baking Instructor > > > > > Vie de France Yamazaki, Inc. > > > > > 2070 Chain Bridge Rd. Suite 500 > > > > > Vienna, VA 22182 > > > > > x374 > > > > > x374 > > > > > fax > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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