Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Those are the same ones I was told to do at Children's, with an additional " arch " stretch that I could show/explain to you. They are very easy and don't take a lot of time and can be done in front of the t.v. or before bedtime, etc. wrote: Ok so I looked in the files section and found a doc. on the Dobb's stretches. Is that it? Just the two listed there, the dorsiflection one and the range of motion stretch. That seems pretty easy, I think I will do this a couple of times a day with Grace. I have been a bit leery of doing stretches because our doctor had told us that they wern't necessary in keeping with dr. Ponseti I guess but if they have been shown to help and don't cause any harm then I am gonna give it a try. I will talk to Dr. Pirani about this study and Dr. Ponseti's approval at our next appt. Thanks for the info =) & Grace 18 mos > > > > > > > > My son got his casts off today and is in the shoes. When > the > > cast on > > > > his right, metatarsus adductus, foot was removed, there was > a > > bump on > > > > the top his foot where it bends. I am so worried that it > might > > be a > > > > sore or become one. It is hard to tell exactly what is > going on > > > because > > > > his feet are still gunky from the cast. What should I look > for > > and/or > > > > what can I do in the meantime to prevent it from getting > worse? > > > > > > > > > > > > lcf 06/19/05 > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Yes, ee, Dobbs does recommend stretching. There is a document in the files section that shows this. I think he is of the opinion that what he is recommending is not time consuming and as long as he shows you what to do, it is not going to hurt, and may help increase/maintain flexibility. number23 wrote: , does Dobbs prescribe stretching and if so, why? s. ----- You know I asked Dr.Ponseti about this b/c my previous dr. told us to do this, and he said no. But, then again is it Dr. Dobbs that does the stretching excercises? Or am I wrong? I thought there was even a file about this? Someone correct me if I am wrong. number23 wrote: Can't help but mention here that no where in the Ponseti Method does Dr. Ponseti suggest/recommend/advise stretching. So why are some parents being told to do so? s. Re: a sore? Good solution to the sore issue-that is one of our favorite techniques for healing the skin. With regards to stiffness, My doctor has us do stretches/massage when david has his free time. I feel this helped loosen his feet and stretch his muscles. His feet were stiff but once he got to be more active on them-they loosened up (he now is too loose-ha ha). Just a thought that some massage may be the way to go! kathleen > > > > My son got his casts off today and is in the shoes. When the cast on > > his right, metatarsus adductus, foot was removed, there was a bump on > > the top his foot where it bends. I am so worried that it might be a > > sore or become one. It is hard to tell exactly what is going on > because > > his feet are still gunky from the cast. What should I look for and/or > > what can I do in the meantime to prevent it from getting worse? > > > > > > lcf 06/19/05 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 ee, You have every right to feel uneasy, we all know what can happen when doctors modify the method. It is also your perogative as a mother to ask Dr. Dobbs all of your questions. He take you seriously and will be glad to answer anything for you. Here's what I can tell you, Dr. Dobbs trained with Dr. P for 7 years, he didn't start out doing surgeries and switch to the P method, this is how he was trained from the get go. Dr. P endorses Dobbs' use of the stretching exercises and the brace, Dr. P even has at least one patient using Dobbs' AFO style shoes on the articulating bar. The one question about the brace has been that due to the articulating aspect, it allowed the child to plantar flex the foot. and I brought this to his attention, and he had already been trying to devise a solution to it. This problem has been addressed and the new bar he is using only articulates one way, so it allows the child to do deep dorsiflexion but no plantarflexion. I like the stretching exercises, helps keep me in touch with how Sammy's foot is doing, I feel like if I wasn't doing those stretches he might relapse or lose dorsiflexion and I might not even notice for weeks or months. We only do them 2x a day, 30-40 dorsiflexion and 20 each way on the inversion and eversion. It takes all of 2 minutes while I am getting him ready for bed and dressed in the morning. Let me know if you have any more questions. Thanks, number23 wrote: Ya - this whole subject makes me feel slightly uneasy. We keep preaching against dr's who modify the method, or in this case it is elloquently refered to as " enhancing " the method and this is creeping in to sounding like the whole Dr. H ordeal where a prince begins reverting back to frog-hood with his enhancments. The first obvious thing to hit my skeptical mind was that Dobbs invented this new brace - and Dobbs prescribes parents to stretch the foot when not in the brace...Soooooo is the brace not doing everything it should? Just midnight questions, gotta get to bed. s. Re: / Dobbs Stretching Ok so I looked in the files section and found a doc. on the Dobb's stretches. Is that it? Just the two listed there, the dorsiflection one and the range of motion stretch. That seems pretty easy, I think I will do this a couple of times a day with Grace. I have been a bit leery of doing stretches because our doctor had told us that they wern't necessary in keeping with dr. Ponseti I guess but if they have been shown to help and don't cause any harm then I am gonna give it a try. I will talk to Dr. Pirani about this study and Dr. Ponseti's approval at our next appt. Thanks for the info =) & Grace 18 mos > > > > > > > > My son got his casts off today and is in the shoes. When > the > > cast on > > > > his right, metatarsus adductus, foot was removed, there was > a > > bump on > > > > the top his foot where it bends. I am so worried that it > might > > be a > > > > sore or become one. It is hard to tell exactly what is > going on > > > because > > > > his feet are still gunky from the cast. What should I look > for > > and/or > > > > what can I do in the meantime to prevent it from getting > worse? > > > > > > > > > > > > lcf 06/19/05 > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Thanks . s. Re: a sore? Good solution to the sore issue-that is one of our favorite techniques for healing the skin. With regards to stiffness, My doctor has us do stretches/massage when david has his free time. I feel this helped loosen his feet and stretch his muscles. His feet were stiff but once he got to be more active on them-they loosened up (he now is too loose-ha ha). Just a thought that some massage may be the way to go! kathleen > > > > My son got his casts off today and is in the shoes. When the cast on > > his right, metatarsus adductus, foot was removed, there was a bump on > > the top his foot where it bends. I am so worried that it might be a > > sore or become one. It is hard to tell exactly what is going on > because > > his feet are still gunky from the cast. What should I look for and/or > > what can I do in the meantime to prevent it from getting worse? > > > > > > lcf 06/19/05 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Yes I can see it being something you wouldn't start with out some professional training. I had to stretch all the time prior to Dr. Ponseti, too. s. Re: / Dobbs Stretching Ok so I looked in the files section and found a doc. on the Dobb's stretches. Is that it? Just the two listed there, the dorsiflection one and the range of motion stretch. That seems pretty easy, I think I will do this a couple of times a day with Grace. I have been a bit leery of doing stretches because our doctor had told us that they wern't necessary in keeping with dr. Ponseti I guess but if they have been shown to help and don't cause any harm then I am gonna give it a try. I will talk to Dr. Pirani about this study and Dr. Ponseti's approval at our next appt. Thanks for the info =) & Grace 18 mos > > > > > > > > My son got his casts off today and is in the shoes. When > the > > cast on > > > > his right, metatarsus adductus, foot was removed, there was > a > > bump on > > > > the top his foot where it bends. I am so worried that it > might > > be a > > > > sore or become one. It is hard to tell exactly what is > going on > > > because > > > > his feet are still gunky from the cast. What should I look > for > > and/or > > > > what can I do in the meantime to prevent it from getting > worse? > > > > > > > > > > > > lcf 06/19/05 > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Can you explain what this means in simpler terms? The one question about the brace has been that due to the articulating aspect, it allowed the child to plantar flex the foot. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2006 Report Share Posted January 19, 2006 Sure, you can see some pics to understand better in the photos section under " Dobbs Brace " . See the one called " dorsiflexion in the brace " - the left foot is in deep dorsiflexion while he is standing, but the right is actually pointing his toe down (plantarflexed). The picture called " standing in the Dobbs brace " shows the version of the brace we have now with the " toe pads " . This keeps him from doing the toe pointing thing when standing. The newest design (not pictured) has an extension on the ends of the bar so it prevents the toe pointing in any position. Does this help? number23 wrote: Can you explain what this means in simpler terms? The one question about the brace has been that due to the articulating aspect, it allowed the child to plantar flex the foot. Quote Link to comment Share on other sites More sharing options...
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