Guest guest Posted November 2, 2005 Report Share Posted November 2, 2005 Zoe, My daughter has unilateral A-Typical CF. She uses the s also. I HATED the Markells as they are not good fits for A-Typical. They were like torcher chanbers! Anyhow, it IS normal for the heel not to completely fill the back at first. Dr. Ponseti says,and I have seen it 1st hand with my daughter, that is takes about 2 weeks for the heel for form back there in the afo. No worries. You mentioned that you wanted a 2nd opinion on the correction of her foot...how far dorsoflexed (upwards) and abducted (outwards) is it? Fully corrected should be at 15%dorsoflexed, and 60-70% abducted. If you have any more questions feel free to call me... Christee Oregon Lilee ~ Unilateral A-Typical CF w/Plantaris theresazoe1 wrote: Hello all, I'm new to this site and am wondering if anyone can give me any input. Its been comforting to read other posts and find so many people who have been dealing with the same frustrations as we have! Here is a quick version of our story--Our daughter Sophie was born in July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland Clinic who is not on the Ponseti List but who introduced us to the method and seemed very knowledgeable. We've also been in contact with the Ponseti institute from time to time. Her feet were corrected in 4 casts but Ballock recommended heel-cord release be performed, after our planned move to South Carolina. We moved shortly thereafter when she was 6 wks old (whew, its been quite a year)and began seeing Dr Gross in ton. He performed the heel cord release, recasted, moved her into the Markell shoes, which slipped off constantly day and night. At the next appt he recasted her bc her feet had started to revert, and in the meantime we ordered and received the AFO from . At todays appt, Gross removed the casts and we began using the new shoes and brace which seem much more comfortable and do not slip off, at least so far. However, her heels do not seem to fit down in the shoes completely. We've tried dorsiflexing them as much as possible but she is still able to pull up her heels so they dont sit flat. My question is to anyone with experience with this brace, any tips to get the feet dorsiflexed properly? Ive read Kori's tips in the files section which are great; would people recommend I try to get pads for the sole, and if so where does one find them? We also wonder if maybe her feet are not fully corrected enough, and that is why they will not sit flat in the shoes.We want to get a second opinion as Gross seems a very nice man and well respected in other areas but not fully up to date on Ponseti. I have family in Baltimore and was thinking of trying to see Herzenberg at Sinai. If for some reason we cant get in, has anyone had good experiences with any doctor in the Savannah/ton area? (I know none are listed on Ponseti's list, and I believe Gross is the only pediatric orthopedist in ton, but am not sure) Sorry this turned out to be a bit more long-winded than I meant it to be. Any advice or comments anyone has would be welcome! Thanks, Zoe mom of Sophie 7/16/05 bilateral CF, 7/3/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2005 Report Share Posted November 2, 2005 Hi Zoe, Welcome to the group, glad to have you here. When you say her heel will not sit down in the shoe all the way, do you mean it doesn't go all the way back, or that it doesn't sit all the way flat in the bottom of the shoe? From what you are describing it sounds like the latter. If so, and I am not an expert on 's shoes so you all can correct me if I am wrong, I am a bit concerned that Sophie's feet might not fully corrected. Is her foot able to dorsiflex at least 10- 15 degrees? If you hold her upright in a weight bearing position do her heels touch the ground? If these things look okay, my suggestion would be to just email Dr. P himself, or even and ask, just to give yourself the peace of mind. I don't think you should need to put in any type of pad, if this is normal then I think it will resolve itself - definitely as she starts more weight bearing activities. Hope this helps, > > Hello all, > I'm new to this site and am wondering if anyone can give me any > input. Its been comforting to read other posts and find so many > people who have been dealing with the same frustrations as we have! > > Here is a quick version of our story--Our daughter Sophie was born in > July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland > Clinic who is not on the Ponseti List but who introduced us to the > method and seemed very knowledgeable. We've also been in contact with > the Ponseti institute from time to time. Her feet were corrected in 4 > casts but Ballock recommended heel-cord release be performed, after > our planned move to South Carolina. We moved shortly thereafter when > she was 6 wks old (whew, its been quite a year)and began seeing Dr > Gross in ton. He performed the heel cord release, recasted, > moved her into the Markell shoes, which slipped off constantly day > and night. At the next appt he recasted her bc her feet had started > to revert, and in the meantime we ordered and received the AFO from > . At todays appt, Gross removed the casts and we began > using the new shoes and brace which seem much more comfortable and do > not slip off, at least so far. However, her heels do not seem to fit > down in the shoes completely. We've tried dorsiflexing them as much > as possible but she is still able to pull up her heels so they dont > sit flat. > > My question is to anyone with experience with this brace, any tips to > get the feet dorsiflexed properly? Ive read Kori's tips in the files > section which are great; would people recommend I try to get pads for > the sole, and if so where does one find them? > > We also wonder if maybe her feet are not fully corrected enough, and > that is why they will not sit flat in the shoes.We want to get a > second opinion as Gross seems a very nice man and well respected in > other areas but not fully up to date on Ponseti. I have family in > Baltimore and was thinking of trying to see Herzenberg at Sinai. If > for some reason we cant get in, has anyone had good experiences with > any doctor in the Savannah/ton area? (I know none are listed > on Ponseti's list, and I believe Gross is the only pediatric > orthopedist in ton, but am not sure) > > Sorry this turned out to be a bit more long-winded than I meant it to > be. Any advice or comments anyone has would be welcome! > > Thanks, > Zoe > mom of Sophie 7/16/05 bilateral CF, 7/3/02 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Zoe, We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good at correcting feet using the method. Isn't his staff wonderful as well? Did he introduce you to the shoes? He'd not seen them before we ordered them and when he saw them he absolutely loved them. However he wasn't experienced at atypical feet and our daughter's are VERY atypical so we've been out to see Dr. P several times. Dr. Ballock keeps up to date on how her treatment is progressing and the two of them are planning on how we can get 's ATTT done in Iowa with immediate follow ups here in Cleveland. You can't beat that for cooperation! Anyway, that's not what you asked about. LOL Initially the heels do not need to sit fully down in the sandals. Our daughters always did but it took me a bit of time to figure out how to get them that way. I recall Dr. Ponseti seeing them on her and saying " Wow. You really get her heel down in there, don't you? " and me laughing because it took awhile to get them there. Just be sure the feet are in the shoes correctly and on as tightly as they can be. If you have to punch extra holes in the straps to make them tight enough then feel free. If you have to trim the strap width to do that then do that as well so it fits through the buckle. If you have any questions about it then take a picture of your child's foot in the shoe and send it to or Dr. P. They'll tell you if you are doing it correctly. Chris brace/doctors Hello all, I'm new to this site and am wondering if anyone can give me any input. Its been comforting to read other posts and find so many people who have been dealing with the same frustrations as we have! Here is a quick version of our story--Our daughter Sophie was born in July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland Clinic who is not on the Ponseti List but who introduced us to the method and seemed very knowledgeable. We've also been in contact with the Ponseti institute from time to time. Her feet were corrected in 4 casts but Ballock recommended heel-cord release be performed, after our planned move to South Carolina. We moved shortly thereafter when she was 6 wks old (whew, its been quite a year)and began seeing Dr Gross in ton. He performed the heel cord release, recasted, moved her into the Markell shoes, which slipped off constantly day and night. At the next appt he recasted her bc her feet had started to revert, and in the meantime we ordered and received the AFO from . At todays appt, Gross removed the casts and we began using the new shoes and brace which seem much more comfortable and do not slip off, at least so far. However, her heels do not seem to fit down in the shoes completely. We've tried dorsiflexing them as much as possible but she is still able to pull up her heels so they dont sit flat. My question is to anyone with experience with this brace, any tips to get the feet dorsiflexed properly? Ive read Kori's tips in the files section which are great; would people recommend I try to get pads for the sole, and if so where does one find them? We also wonder if maybe her feet are not fully corrected enough, and that is why they will not sit flat in the shoes.We want to get a second opinion as Gross seems a very nice man and well respected in other areas but not fully up to date on Ponseti. I have family in Baltimore and was thinking of trying to see Herzenberg at Sinai. If for some reason we cant get in, has anyone had good experiences with any doctor in the Savannah/ton area? (I know none are listed on Ponseti's list, and I believe Gross is the only pediatric orthopedist in ton, but am not sure) Sorry this turned out to be a bit more long-winded than I meant it to be. Any advice or comments anyone has would be welcome! Thanks, Zoe mom of Sophie 7/16/05 bilateral CF, 7/3/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Hi I have a similar situation, where my son's heel on the left foot sits fully down no problem but the right heel is always tricking, I can get it down after about four tries. Could you offer some instruction on how you did get the heel all the way down, maybe you have some special tricks we could all benefit from. Thanks much, Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs wrote: > Zoe, > We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good > at correcting feet using the method. Isn't his staff wonderful as > well? Did he introduce you to the shoes? He'd not seen them > before we ordered them and when he saw them he absolutely loved > them. However he wasn't experienced at atypical feet and our > daughter's are VERY atypical so we've been out to see Dr. P several > times. Dr. Ballock keeps up to date on how her treatment is > progressing and the two of them are planning on how we can get 's > ATTT done in Iowa with immediate follow ups here in Cleveland. You > can't beat that for cooperation! Anyway, that's not what you asked > about. LOL > > Initially the heels do not need to sit fully down in the > sandals. Our daughters always did but it took me a bit of time to > figure out how to get them that way. I recall Dr. Ponseti seeing them > on her and saying " Wow. You really get her heel down in there, don't > you? " and me laughing because it took awhile to get them there. Just > be sure the feet are in the shoes correctly and on as tightly as they > can be. If you have to punch extra holes in the straps to make them > tight enough then feel free. If you have to trim the strap width to > do that then do that as well so it fits through the buckle. If you > have any questions about it then take a picture of your child's foot > in the shoe and send it to or Dr. P. They'll tell you if you are > doing it correctly. > Chris > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Isis, I think the best thing to do is bend the knee and grasp her lower leg and 'set' the foot. When you bend the knee it sets the heel down in the shoe without a problem. I also made sure that her foot was flat and not turning any and held it that way as I pulled the tongue over. I just do the middle buckle and then she can unbend her knee for the rest. Does that make sense? Chris Re: brace/doctors Hi I have a similar situation, where my son's heel on the left foot sits fully down no problem but the right heel is always tricking, I can get it down after about four tries. Could you offer some instruction on how you did get the heel all the way down, maybe you have some special tricks we could all benefit from. Thanks much, Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs wrote: > Zoe, > We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good > at correcting feet using the method. Isn't his staff wonderful as > well? Did he introduce you to the shoes? He'd not seen them > before we ordered them and when he saw them he absolutely loved > them. However he wasn't experienced at atypical feet and our > daughter's are VERY atypical so we've been out to see Dr. P several > times. Dr. Ballock keeps up to date on how her treatment is > progressing and the two of them are planning on how we can get 's > ATTT done in Iowa with immediate follow ups here in Cleveland. You > can't beat that for cooperation! Anyway, that's not what you asked > about. LOL > > Initially the heels do not need to sit fully down in the > sandals. Our daughters always did but it took me a bit of time to > figure out how to get them that way. I recall Dr. Ponseti seeing them > on her and saying " Wow. You really get her heel down in there, don't > you? " and me laughing because it took awhile to get them there. Just > be sure the feet are in the shoes correctly and on as tightly as they > can be. If you have to punch extra holes in the straps to make them > tight enough then feel free. If you have to trim the strap width to > do that then do that as well so it fits through the buckle. If you > have any questions about it then take a picture of your child's foot > in the shoe and send it to or Dr. P. They'll tell you if you are > doing it correctly. > Chris > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Yes, it makes perfect sense, ah, the trick is to bend the knee. I will try that this evening. Thanks again for the wealth of information everyone shares! -Isis wrote: > Isis, > I think the best thing to do is bend the knee and grasp her lower leg > and 'set' the foot. When you bend the knee it sets the heel down in > the shoe without a problem. I also made sure that her foot was flat > and not turning any and held it that way as I pulled the tongue over. > I just do the middle buckle and then she can unbend her knee for the > rest. Does that make sense? > Chris > Re: brace/doctors > > > Hi > > I have a similar situation, where my son's heel on the left foot sits > fully down no problem but the right heel is always tricking, I can get > it down after about four tries. Could you offer some instruction on > how > you did get the heel all the way down, maybe you have some special > tricks we could all benefit from. > > Thanks much, > > Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Thanks so much for your message! Yes we did love Dr. Ballock and feel so lucky to have found him bc Im not sure we would have found about Ponseti were it not for him. He is also the one who told us about the shoes. We brought them to the most recent appt with dr. gross here in ton and he was also flabbergasted to look at them. We definitely miss the Cleveland Clinic, the quality of care and facilities are so good....well, at least for the all important first 6 weeks of care we were up there! Thanks also for the tips about the shoes, that is reassuring to know other people have had the same experience. I will try to keep getting those heels down in them. Even so, they are SO much better then the Markell shoes for us. Sophie's feet, while not atypical, are very small, and they slipped out as soon as we tied them in. I think the 2 wks she was in them (if you can call it that) were the hardest in my life! All the same we may take pictures and send them just to be sure. thanks again, Zoe > > Zoe, > We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good at correcting feet using the method. Isn't his staff wonderful as well? Did he introduce you to the shoes? He'd not seen them before we ordered them and when he saw them he absolutely loved them. However he wasn't experienced at atypical feet and our daughter's are VERY atypical so we've been out to see Dr. P several times. Dr. Ballock keeps up to date on how her treatment is progressing and the two of them are planning on how we can get 's ATTT done in Iowa with immediate follow ups here in Cleveland. You can't beat that for cooperation! Anyway, that's not what you asked about. LOL > > Initially the heels do not need to sit fully down in the sandals. Our daughters always did but it took me a bit of time to figure out how to get them that way. I recall Dr. Ponseti seeing them on her and saying " Wow. You really get her heel down in there, don't you? " and me laughing because it took awhile to get them there. Just be sure the feet are in the shoes correctly and on as tightly as they can be. If you have to punch extra holes in the straps to make them tight enough then feel free. If you have to trim the strap width to do that then do that as well so it fits through the buckle. If you have any questions about it then take a picture of your child's foot in the shoe and send it to or Dr. P. They'll tell you if you are doing it correctly. > Chris > > brace/doctors > > > Hello all, > I'm new to this site and am wondering if anyone can give me any > input. Its been comforting to read other posts and find so many > people who have been dealing with the same frustrations as we have! > > Here is a quick version of our story--Our daughter Sophie was born in > July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland > Clinic who is not on the Ponseti List but who introduced us to the > method and seemed very knowledgeable. We've also been in contact with > the Ponseti institute from time to time. Her feet were corrected in 4 > casts but Ballock recommended heel-cord release be performed, after > our planned move to South Carolina. We moved shortly thereafter when > she was 6 wks old (whew, its been quite a year)and began seeing Dr > Gross in ton. He performed the heel cord release, recasted, > moved her into the Markell shoes, which slipped off constantly day > and night. At the next appt he recasted her bc her feet had started > to revert, and in the meantime we ordered and received the AFO from > . At todays appt, Gross removed the casts and we began > using the new shoes and brace which seem much more comfortable and do > not slip off, at least so far. However, her heels do not seem to fit > down in the shoes completely. We've tried dorsiflexing them as much > as possible but she is still able to pull up her heels so they dont > sit flat. > > My question is to anyone with experience with this brace, any tips to > get the feet dorsiflexed properly? Ive read Kori's tips in the files > section which are great; would people recommend I try to get pads for > the sole, and if so where does one find them? > > We also wonder if maybe her feet are not fully corrected enough, and > that is why they will not sit flat in the shoes.We want to get a > second opinion as Gross seems a very nice man and well respected in > other areas but not fully up to date on Ponseti. I have family in > Baltimore and was thinking of trying to see Herzenberg at Sinai. If > for some reason we cant get in, has anyone had good experiences with > any doctor in the Savannah/ton area? (I know none are listed > on Ponseti's list, and I believe Gross is the only pediatric > orthopedist in ton, but am not sure) > > Sorry this turned out to be a bit more long-winded than I meant it to > be. Any advice or comments anyone has would be welcome! > > Thanks, > Zoe > mom of Sophie 7/16/05 bilateral CF, 7/3/02 > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Thanks Christee for the support. Sophie's feet are 70% abducted and I'm not sure on the dorsiflexion. We will check tonight when we take her out of the shoes. I dont want to do it unless I have to at this pt, it is such a production getting them back in. She is a wiggler. Hopefully Ill get better with time but yes we also HATED the Markells, they were a total joke for us. Apparently some people can use them ok, and Im glad to hear it bc if everyone had our experience, the shoes would be a huge scam. Thanks again for your input, it helps so much to hear other peoples experience! Zoe > Hello all, > I'm new to this site and am wondering if anyone can give me any > input. Its been comforting to read other posts and find so many > people who have been dealing with the same frustrations as we have! > > Here is a quick version of our story--Our daughter Sophie was born in > July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland > Clinic who is not on the Ponseti List but who introduced us to the > method and seemed very knowledgeable. We've also been in contact with > the Ponseti institute from time to time. Her feet were corrected in 4 > casts but Ballock recommended heel-cord release be performed, after > our planned move to South Carolina. We moved shortly thereafter when > she was 6 wks old (whew, its been quite a year)and began seeing Dr > Gross in ton. He performed the heel cord release, recasted, > moved her into the Markell shoes, which slipped off constantly day > and night. At the next appt he recasted her bc her feet had started > to revert, and in the meantime we ordered and received the AFO from > . At todays appt, Gross removed the casts and we began > using the new shoes and brace which seem much more comfortable and do > not slip off, at least so far. However, her heels do not seem to fit > down in the shoes completely. We've tried dorsiflexing them as much > as possible but she is still able to pull up her heels so they dont > sit flat. > > My question is to anyone with experience with this brace, any tips to > get the feet dorsiflexed properly? Ive read Kori's tips in the files > section which are great; would people recommend I try to get pads for > the sole, and if so where does one find them? > > We also wonder if maybe her feet are not fully corrected enough, and > that is why they will not sit flat in the shoes.We want to get a > second opinion as Gross seems a very nice man and well respected in > other areas but not fully up to date on Ponseti. I have family in > Baltimore and was thinking of trying to see Herzenberg at Sinai. If > for some reason we cant get in, has anyone had good experiences with > any doctor in the Savannah/ton area? (I know none are listed > on Ponseti's list, and I believe Gross is the only pediatric > orthopedist in ton, but am not sure) > > Sorry this turned out to be a bit more long-winded than I meant it to > be. Any advice or comments anyone has would be welcome! > > Thanks, > Zoe > mom of Sophie 7/16/05 bilateral CF, 7/3/02 > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Thanks Christee for the support. Sophie's feet are 70% abducted and I'm not sure on the dorsiflexion. We will check tonight when we take her out of the shoes. I dont want to do it unless I have to at this pt, it is such a production getting them back in. She is a wiggler. Hopefully Ill get better with time but yes we also HATED the Markells, they were a total joke for us. Apparently some people can use them ok, and Im glad to hear it bc if everyone had our experience, the shoes would be a huge scam. Thanks again for your input, it helps so much to hear other peoples experience! Zoe > Hello all, > I'm new to this site and am wondering if anyone can give me any > input. Its been comforting to read other posts and find so many > people who have been dealing with the same frustrations as we have! > > Here is a quick version of our story--Our daughter Sophie was born in > July 05 with bilateral clubfeet. She saw Dr Ballock at the Cleveland > Clinic who is not on the Ponseti List but who introduced us to the > method and seemed very knowledgeable. We've also been in contact with > the Ponseti institute from time to time. Her feet were corrected in 4 > casts but Ballock recommended heel-cord release be performed, after > our planned move to South Carolina. We moved shortly thereafter when > she was 6 wks old (whew, its been quite a year)and began seeing Dr > Gross in ton. He performed the heel cord release, recasted, > moved her into the Markell shoes, which slipped off constantly day > and night. At the next appt he recasted her bc her feet had started > to revert, and in the meantime we ordered and received the AFO from > . At todays appt, Gross removed the casts and we began > using the new shoes and brace which seem much more comfortable and do > not slip off, at least so far. However, her heels do not seem to fit > down in the shoes completely. We've tried dorsiflexing them as much > as possible but she is still able to pull up her heels so they dont > sit flat. > > My question is to anyone with experience with this brace, any tips to > get the feet dorsiflexed properly? Ive read Kori's tips in the files > section which are great; would people recommend I try to get pads for > the sole, and if so where does one find them? > > We also wonder if maybe her feet are not fully corrected enough, and > that is why they will not sit flat in the shoes.We want to get a > second opinion as Gross seems a very nice man and well respected in > other areas but not fully up to date on Ponseti. I have family in > Baltimore and was thinking of trying to see Herzenberg at Sinai. If > for some reason we cant get in, has anyone had good experiences with > any doctor in the Savannah/ton area? (I know none are listed > on Ponseti's list, and I believe Gross is the only pediatric > orthopedist in ton, but am not sure) > > Sorry this turned out to be a bit more long-winded than I meant it to > be. Any advice or comments anyone has would be welcome! > > Thanks, > Zoe > mom of Sophie 7/16/05 bilateral CF, 7/3/02 > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Isis, Let me know how it goes! Chris PS - this is a wonderful place for info and support, isn't it? Re: brace/doctors > > > Hi > > I have a similar situation, where my son's heel on the left foot sits > fully down no problem but the right heel is always tricking, I can get > it down after about four tries. Could you offer some instruction on > how > you did get the heel all the way down, maybe you have some special > tricks we could all benefit from. > > Thanks much, > > Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 , You asked very good questions; I will check tonight when we take off her shoes on the degree of dorsiflexion. Off the top of my head they may go up 5 or 10% but I'll have to look for sure, along with your question about whether her heels touch the ground in a weight bearing position. That I think will be iffy. I think we will also take pictures and send them to or Dr Ponseti to have their opinion on whether the feet need more correction or whether it is simply an issue of her heel coming down naturally. Thanks again for the replies, Zoe > > > > Hello all, > > I'm new to this site and am wondering if anyone can give me any > > input. Its been comforting to read other posts and find so many > > people who have been dealing with the same frustrations as we have! > > > > Here is a quick version of our story--Our daughter Sophie was born > in > > July 05 with bilateral clubfeet. She saw Dr Ballock at the > Cleveland > > Clinic who is not on the Ponseti List but who introduced us to the > > method and seemed very knowledgeable. We've also been in contact > with > > the Ponseti institute from time to time. Her feet were corrected in > 4 > > casts but Ballock recommended heel-cord release be performed, after > > our planned move to South Carolina. We moved shortly thereafter > when > > she was 6 wks old (whew, its been quite a year)and began seeing Dr > > Gross in ton. He performed the heel cord release, recasted, > > moved her into the Markell shoes, which slipped off constantly day > > and night. At the next appt he recasted her bc her feet had > started > > to revert, and in the meantime we ordered and received the AFO from > > . At todays appt, Gross removed the casts and we began > > using the new shoes and brace which seem much more comfortable and > do > > not slip off, at least so far. However, her heels do not seem to > fit > > down in the shoes completely. We've tried dorsiflexing them as much > > as possible but she is still able to pull up her heels so they dont > > sit flat. > > > > My question is to anyone with experience with this brace, any tips > to > > get the feet dorsiflexed properly? Ive read Kori's tips in the > files > > section which are great; would people recommend I try to get pads > for > > the sole, and if so where does one find them? > > > > We also wonder if maybe her feet are not fully corrected enough, > and > > that is why they will not sit flat in the shoes.We want to get a > > second opinion as Gross seems a very nice man and well respected in > > other areas but not fully up to date on Ponseti. I have family in > > Baltimore and was thinking of trying to see Herzenberg at Sinai. If > > for some reason we cant get in, has anyone had good experiences > with > > any doctor in the Savannah/ton area? (I know none are listed > > on Ponseti's list, and I believe Gross is the only pediatric > > orthopedist in ton, but am not sure) > > > > Sorry this turned out to be a bit more long-winded than I meant it > to > > be. Any advice or comments anyone has would be welcome! > > > > Thanks, > > Zoe > > mom of Sophie 7/16/05 bilateral CF, 7/3/02 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Yes, bend the knee as you apply the shoe. I set the middle strap first. s. Re: brace/doctors > > > Hi > > I have a similar situation, where my son's heel on the left foot sits > fully down no problem but the right heel is always tricking, I can get > it down after about four tries. Could you offer some instruction on how > you did get the heel all the way down, maybe you have some special > tricks we could all benefit from. > > Thanks much, > > Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs > > wrote: > > > Zoe, > > We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good > > at correcting feet using the method. Isn't his staff wonderful as > > well? Did he introduce you to the shoes? He'd not seen them > > before we ordered them and when he saw them he absolutely loved > > them. However he wasn't experienced at atypical feet and our > > daughter's are VERY atypical so we've been out to see Dr. P several > > times. Dr. Ballock keeps up to date on how her treatment is > > progressing and the two of them are planning on how we can get 's > > ATTT done in Iowa with immediate follow ups here in Cleveland. You > > can't beat that for cooperation! Anyway, that's not what you asked > > about. LOL > > > > Initially the heels do not need to sit fully down in the > > sandals. Our daughters always did but it took me a bit of time to > > figure out how to get them that way. I recall Dr. Ponseti seeing them > > on her and saying " Wow. You really get her heel down in there, don't > > you? " and me laughing because it took awhile to get them there. Just > > be sure the feet are in the shoes correctly and on as tightly as they > > can be. If you have to punch extra holes in the straps to make them > > tight enough then feel free. If you have to trim the strap width to > > do that then do that as well so it fits through the buckle. If you > > have any questions about it then take a picture of your child's foot > > in the shoe and send it to or Dr. P. They'll tell you if you are > > doing it correctly. > > Chris > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Interestingly enough, when we got the PM's I found that if I point her toes after I lay her foot into the shoe and press, it sets the heel right back there in the heel nicely. Quite the opposite of the Markell's. I point the foot, set the tongue and tighten the middle strap. Then I dorsiflex her foot and do the top and then bottom straps. Her heels are always right there in the back deeply. But then again... she didn't start wearing them till she was over 2 and her heel is nicely developed. I don't know if this works with infants fresh out of casts. was interested to know that her heel sits deeply in the shoes every time last time I talked to him. I should find an infant to experiment with on this before I decide if it works for everyone... Kori (who hasn't been around because the school auction is SATURDAY this week and I've been up to my ears in database design for it. Once that's over... I'll see y'all more, sorry!) At 08:53 AM 11/3/2005, you wrote: >Isis, >I think the best thing to do is bend the knee and grasp her lower >leg and 'set' the foot. When you bend the knee it sets the heel >down in the shoe without a problem. I also made sure that her foot >was flat and not turning any and held it that way as I pulled the >tongue over. I just do the middle buckle and then she can unbend >her knee for the rest. Does that make sense? >Chris > Re: brace/doctors > > > Hi > > I have a similar situation, where my son's heel on the left foot sits > fully down no problem but the right heel is always tricking, I can get > it down after about four tries. Could you offer some instruction on how > you did get the heel all the way down, maybe you have some special > tricks we could all benefit from. > > Thanks much, > > Isis mom to Isaiah, 12/14/05, s w/Ponseti bar 20hrs > > wrote: > > > Zoe, > > We loved Dr. Ballock. He was trained by Dr. Ponseti and is very good > > at correcting feet using the method. Isn't his staff wonderful as > > well? Did he introduce you to the shoes? He'd not seen them > > before we ordered them and when he saw them he absolutely loved > > them. However he wasn't experienced at atypical feet and our > > daughter's are VERY atypical so we've been out to see Dr. P several > > times. Dr. Ballock keeps up to date on how her treatment is > > progressing and the two of them are planning on how we can get 's > > ATTT done in Iowa with immediate follow ups here in Cleveland. You > > can't beat that for cooperation! Anyway, that's not what you asked > > about. LOL > > > > Initially the heels do not need to sit fully down in the > > sandals. Our daughters always did but it took me a bit of time to > > figure out how to get them that way. I recall Dr. Ponseti seeing them > > on her and saying " Wow. You really get her heel down in there, don't > > you? " and me laughing because it took awhile to get them there. Just > > be sure the feet are in the shoes correctly and on as tightly as they > > can be. If you have to punch extra holes in the straps to make them > > tight enough then feel free. If you have to trim the strap width to > > do that then do that as well so it fits through the buckle. If you > > have any questions about it then take a picture of your child's foot > > in the shoe and send it to or Dr. P. They'll tell you if you are > > doing it correctly. > > Chris > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.