Re: Re: new to the markells and brace

[Guest guest]

Hi

Thanks for your response. I have taken 2 photos and placed them on the site

in the folder Ethan B. I think the inside heel is in line with the

shoulders. Initially the orthotist had it too wide, but I think it is ok

now. What do you think?

Ethan's doctor is Dr Patel. The left foot is the club foot, however both

feet are at 45 degrees (as opposed to 70 degrees for the club foot). I need

to ask Dr Patel why it is not set at 70, but given that the casting only

went to 45 degrees I can't reset the brace. I think you're correct in

thinking that the problem is something to do with the brace, but I assume

that the 45 degrees would not create discomfort?

Advice/comments appreciated

Colette

>

> Collette,

> Who is Ethan's doctor? We've had some issues in the past with the

> doctors in Australia not following the proper bracing protocol...in

> the end the parents have had to get educated and demand what they

> want for their child.

> Have you seen the tips and tricks document? Do you know how to

> check for the proper width of the shoes and ensuring that the

> outward rotation of the shoes (abduction) is correct?

> Do you have access to a digital camera or a way to share pictures of

> Ethan's feet and brace with us on the yahoo group CFPics?

> This is the fastest way for us to help you troubleshoot the issues!

> Hold the brace up to his back and see how far apart the shoes are.

> The inside edges of the heels of the shoes should be at the same

> distance as the width of his shoulders. This is minimum width. Max

> width would be that the center bolts where the shoes attach are at

> shoulder width. Most kids are happy (comfortable) at some spacing

> between these two points. Shoe on the clubfoot should be at a 70

> degree angle for abduction if this is how the last cast was rotated

> as well.

> There are pictures articles and links under the bracing section

> here: http://members.tripod.com/ponseti_links-ivil

> & (3-16-00, left clubfoot)

>

> >

> > Hi

> > My son, Ethan, has been in the markells and brace for a week and

> is

> > still finding it pretty stressful. The occurrence of a blister on

> his

> > heel within the first 24 hours did little to help the

> introduction. The

> > blister has been treated with duoderm tape, a larger hole cut in

> the

> > back of the boot to relieve the pressure, and ensuring that the

> heel is

> > down in the boot.

> >

> > Despite treating the blister, he still seems frustrated by the

> > restriction presented by the boots. He tenses up as I put the

> boots on

> > him, is prone to having the occasional rigid fit. I think things

> are

> > improving as he adjusts, but it is pretty horrible to see him

> unhappy.

> > Thought you guys might have some tips as to how to help him relax

> > whilst fitting and wearing the boots?

> >

> > Cheers

> > Colette

> > Melbourne, Oz

> >

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