Re: steps for each casting question

[Guest guest]

Dr. Pirani has the model of a skeleton foot and has shown me on several

occasions what bones are moving and why. He has even let me feel on Hayden's

foot the different bones and has explained what is happening and how he wants

things to progress. Also, he works off of the neumonic " CAVE " , which is

" cavus " , " adductus " , " varus " and " equinus " . He has explained the way each

bone corrects to me, but of course - my sleep deprived brain is drawing a

blank. I DO know that it is the " equinus " portion that is corrected with the

tenotomy (referring to horses and how they " toe walk " ). If you like, I can

have him explain it to me again and pass it on to you when he does?

Halley Prestage wrote: Hello,

When I was reading the article that someone posted from Biomechanics, it

talks about exactly how the bones are manipulated during the casting. I

think it also says something about this in the Global booklet. Maybe someone

could confirm if there is a document like that to explain what the basic

steps are for each cast?

I was wondering if any of you actually asked the doctor about what bones he

was manipulating each time and compared it to some sort of Ponseti document

to sort of ensure that he seemed to know what he was doing instead of just

twisting the foot toward the neutral position? Maybe I should just presume

he knows what he is doing but how do you really know that they are

manipulating the bones etc in the correct way?

Thanks very much,

Halley