Guest guest Posted November 14, 2005 Report Share Posted November 14, 2005 Thanks for the advice. I have insisted that they order the Markell shoes with the hole already there. I am just starting to learn about Shoes. It's strange to me that the heel with the worst damage is the non club foot. I'm going to push for him to be recasted again tomorrow when we see the dr. Thanks again, Re: Re: blisters , Honey it's a big mistake to start at 45 and " move up " to 70 degrees. The process just doesn't work that way. The natural tendency of the cf is to revert to it's cf state - so if you are starting at 45 degrees, that foot is fighting against the 45, trying to turn back in to it's cf shape, therefore trying to wrench it back out to 70 with the shoe is a fight you won't win. The casting process brings the foot out to the 70 degrees - what is called over-correction - because with time, the foot will gradually revert back a little bit (once the FAB is discontinued) to a normal state of correctiveness. Just keep in mind the FAB is used to HOLD correction, it is not designed nor prescribed to GAIN correction. If you go from 45 to 70 degrees with the shoe, you are asking that shoe to gain correction and it's just not built for that. The FAB will only hold the correction the foot had prior to it's use...and with out proper use, it will not hold that much, thus the foot relapses and you've got trouble. I've seen the kind of sore you are talking about, years ago on my oldest cf son. His heel was hamburger with deep black-purple-red infected holes drilled deep in to the heel. This ws prior to knowing about Dr. Ponseti and stuff like that...but the FAB tore him to shreds. I know now it damaged his foot because his foot was not ready for the FAB - it was like putting a square peg in to a round hole and expecting it to fit. More than likely your child will need re-casted to re-gain his proper correction before you use the shoes again. You may consider biting the bullet and buying the shoes if this continues, or try cutting the heel out of your Markell shoes first. Mostly though, be sure the feet are ready for the FAB before you start using it. Hang in there, I promise it'll get better eventually! s. Re: blisters Hi, and welcome to the group! The stretching may help but it's often the case that being out of the shoes for even a short time can result in relapses - do you notice Logan's feet seem to be turning back in already? Is his foot abducted to 70 degrees of outward rotation? Do you feel like his feet were fully corrected? Often the cause of blisters and sores on the feet are not just ill fitting shoes, but feet that are not fully corrected. It is possible that he may not relapse in these few days but your doctor should definitely look at his foot before just getting you the new shoes and sending you on your way. If he sees that the foot is indeed relapsing he should do another cast to regain correction prior to putting Logan back in the shoes. If you are looking to get a second opinion, I don't know of any Ponseti doctors in Connecticut, but there are several in New York and Dr. Herzenberg in Baltimore is one of the best. Hope this helps and if you have any other questions feel free to ask! Thanks, Jenna (7/4/01) & Sammy (9/25/04, RCF, Dobbs' Brace, 16hrs/day) > > Hello, I am new to the group and looking for advice. My son Logan > was born 8/11/05. Despite several level 2 US, we did not know about > the unilateral club foot until he was born. We had not heard of > club foot and were led to believe it was no big deal, just a few > casts and all would be well. We went to the ortho recomended by our > ped and felt he was quite knowlegeable. He told us about the serial > casting and the posibility of his heel cord being cut. We did about > 4 weeks of casting, then the heel cord was cut. After that cast > came off we were fitted for shoes. Logan screamed for about 24 > hours with the FAB, then was generally unhappy for several days. We > had trouble figuring out if his heel was down and back and he was > developing a blister. We went to see the orthotist twice to get > lessons on the shoes. She saw that he was developing a blister. I > asked for the shoes with the open back that I had found on the > Markell site. She ordered these, however by this time there were > several blisters on both feet-seemingly from the padding added by > the orthotist and stitching on the back of the shoe. One foot was > so severe that we had to stop with the shoes and he has a > prescription to help heel the blisters. While with the orthotist, > she could not figure out why 2 pairs of the same size shoe looked so > different. I contacted Markell and discovered that the shoes we > were given were quite out dated, and had we been given the shoe > currently available we could have avoided this. So Logan has been > out of the shoes since Thurs and we see the ortho on Tues. I was > just told to do some stretching with his foot. I am worried that we > are losing ground and he has suffered unnecissarily. We are in CT > and there are no dr's on the Ponseti list. Is there anyone on in > this group that has had a similar experience or could recomend a dr > in CT? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2006 Report Share Posted February 21, 2006 It has been a while since I have posted. My 8 month old has been wearing her shoes only at night and doing really well. We got a new pair of shoes last week, and when she woke up she had a couple of red marks on her feet. I am afraid they will turn into blisters. I was wondering if anyone had any tricks to keep these areas from becoming worse. Thanks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2006 Report Share Posted February 21, 2006 Try Speco 2nd Skin Blister Pads or Burn Pads. I have used both and personally like the Burn Pads as they are softer and thicker. You need to be REAL careful when using the Blister Pads cause you can loosen the top layer skin, then the braces cause a sore! You HAVE to leave those on for 3-5 days before you take them off! The burn pads are great, and only downfall is you need to medical tape them in place cause the stickiness can withstand our active little kids...lol Christee Mother of... *Josh, Central Auditory Processing Disorder/Sensory sensitivity/learning & Speech disorders (9yrs old) **Aspen, Bilateral minor Metatarsus Adductus (5 1/2 yrs old) ***Dylan, (4 yrs old) & ****Lilee ~ Unilateral A-Typical (complex) Club Foot w/Cavus/Plantaris (R foot) & Mild/Moderate Metatarsus Adductus (L foot). *Ponseti/ Brace 18/24. --------------------------------- Relax. Yahoo! Mail virus scanning helps detect nasty viruses! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2006 Report Share Posted February 21, 2006 Blisters/red spots/etc are caused by friction. Since she is in new shoes right now, she probably needs to just get used to them-ie break in the leather-just as if you have bought new shoes. Make sure her foot is in there nice and tight and you have them on nice and tight. Check to make sure her foot doesn't have side to side wiggle room-ie that the width is appropriate for her feet. I wouldn't be too concerned on the red marks as long as they disappear as she has " out " time-to me that would mean her tootsies are just getting used to a new size. Double check the tips/tricks document and see if there is anything in there that you might not already know! HTH, kathleen mom to david fab 12/7 > > It has been a while since I have posted. My 8 month old has been > wearing her shoes only at night and doing really well. We got a new > pair of shoes last week, and when she woke up she had a couple of red > marks on her feet. I am afraid they will turn into blisters. I was > wondering if anyone had any tricks to keep these areas from becoming > worse. Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2006 Report Share Posted February 21, 2006 Hi - We recently got new shoes and my daughter was getting red spots too. I talked to and he suggested putting moleskin on the tongue part. We started doing that 2 days ago and she still has the red spots but they aren't turning into blisters - hopefully the red spots will go away too! -Yuuko and (DOB 8/4/05, P/M 16/7) > > > > It has been a while since I have posted. My 8 month old has been > > wearing her shoes only at night and doing really well. We got a new > > pair of shoes last week, and when she woke up she had a couple of > red > > marks on her feet. I am afraid they will turn into blisters. I was > > wondering if anyone had any tricks to keep these areas from becoming > > worse. Thanks. > > > Quote Link to comment Share on other sites More sharing options...
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