RE: Re: a couple of questions - feet turned out

[Guest guest]

Hi Maureen

When was almost 2, I sent Dr Ponseti a video of him walking

because I was concerned that his feet were still turned out quite a bit. His

feet are also pretty 'loose' and can bend back more than you would expect.

Dr Ponseti's reply is below. Following his advice, we adjusted the angle of

's shoes to 55 degrees and dropped the daytime nap wear. Within a month

or 2 's feet gradually went from turned out to almost normal rotation.

As he says in the letter many babies walk 'duck' footed when they are new to

walking and I noted this in my friends babies, but as was 2 they

should have been more pulled in by then.

I think that perhaps a few years ago they would have just taken him out of

the shoes, but now they reduce the angle and wearing time to avoid possible

relapse.

_________________________________________________________________________

" Dear Mrs. Moss:

The video shows that walks and climbs like any normal child, but

his feet are turned out as is often seen in babies when they start to walk,

but usually not at two years of age. How old was he when he started to

walk? How many hours a day does he wear the brace? What degree of outward

rotation are the shoes placed on the bar? It is usually not easy to go by

degrees, but if the shoes are perpendicular to the bar, that would be 12:00,

When the shoes are parallel to the bar, it is 3:00. 's shoes

should be turned out to 1:30 to 2:00 (50-60 degrees). He should wear the

brace at night only for about 10-12 hours.

If he tolerates the brace well, it is better to have him wear it at night

until age 3. Occasionally we have been concerned about the turning out of

the feet when walking but we had some babies that relapsed even after two

years of age when the brace was discontinued so we feel more comfortable if

the brace is worn for 3 years but be sure it is at night only and that the

shoes are not turned out too far. "

Hope this helps,

Steps Charity

www.steps.org.za

> hi there!

> every so often, i hear that the use of dbb was stopped due to loose

> ligaments. what does that mean?

> the reason why i'm asking is that we're starting to get concerned

with

> naomi's feet, we're able to twist them right around so that her toes

are

> facing back and her heels are at the front... is this normal for

babies

> being treated for clubfeet?? are her ligaments too loose?

> also, she went for her 18 month check up this week and she has gone

from

> over the 100th percentile in height to the 40th... it was mentioned

that

> cf babies have shorter legs... is this true?

> thanks for your help,

> maureen

> naomi bcf, dbb nights

[Guest guest]

Hi Maureen

When was almost 2, I sent Dr Ponseti a video of him walking

because I was concerned that his feet were still turned out quite a bit. His

feet are also pretty 'loose' and can bend back more than you would expect.

Dr Ponseti's reply is below. Following his advice, we adjusted the angle of

's shoes to 55 degrees and dropped the daytime nap wear. Within a month

or 2 's feet gradually went from turned out to almost normal rotation.

As he says in the letter many babies walk 'duck' footed when they are new to

walking and I noted this in my friends babies, but as was 2 they

should have been more pulled in by then.

I think that perhaps a few years ago they would have just taken him out of

the shoes, but now they reduce the angle and wearing time to avoid possible

relapse.

_________________________________________________________________________

" Dear Mrs. Moss:

The video shows that walks and climbs like any normal child, but

his feet are turned out as is often seen in babies when they start to walk,

but usually not at two years of age. How old was he when he started to

walk? How many hours a day does he wear the brace? What degree of outward

rotation are the shoes placed on the bar? It is usually not easy to go by

degrees, but if the shoes are perpendicular to the bar, that would be 12:00,

When the shoes are parallel to the bar, it is 3:00. 's shoes

should be turned out to 1:30 to 2:00 (50-60 degrees). He should wear the

brace at night only for about 10-12 hours.

If he tolerates the brace well, it is better to have him wear it at night

until age 3. Occasionally we have been concerned about the turning out of

the feet when walking but we had some babies that relapsed even after two

years of age when the brace was discontinued so we feel more comfortable if

the brace is worn for 3 years but be sure it is at night only and that the

shoes are not turned out too far. "

Hope this helps,

Steps Charity

www.steps.org.za

> hi there!

> every so often, i hear that the use of dbb was stopped due to loose

> ligaments. what does that mean?

> the reason why i'm asking is that we're starting to get concerned

with

> naomi's feet, we're able to twist them right around so that her toes

are

> facing back and her heels are at the front... is this normal for

babies

> being treated for clubfeet?? are her ligaments too loose?

> also, she went for her 18 month check up this week and she has gone

from

> over the 100th percentile in height to the 40th... it was mentioned

that

> cf babies have shorter legs... is this true?

> thanks for your help,

> maureen

> naomi bcf, dbb nights