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Sw we started the Dennis Browne Boots yesterday and na's doctor that we

were seeing told me she has to wear them @ nite and the AFO's during the

day.......na is fine with the AFO's ........but the Boots and Bars are

a whole nother story. I put them on her for her nap..she woke up ten mins

later so I put her back to sleep and she woke up 5 mins later and wouldnt go

back to sleep....she hates the bar. This same thing happened for her second

nap and then nite time too..........Is this normal?????? Does it get any

better????

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Re: Types of boots

>Date: Tue, 24 Jan 2006 16:16:07 -0000

>

>,

>

>I am sure that you will get TONS of responses, but in the links

>section of this group, the web addresses for both are listed. The

>Markell Shoe site is: http://www.markellshoe.com

>These shoes are boot-tyoe shoes that come in different designs,

>depending on what your doctor perscribes. They have straight last

>shoes, which look like they don't have a defined toe section, and

>reserve last (which my daughter used to wear), which look like the

>shoes are on the wrong feet. They are attached to a bar (often

>called

>a DBB or Denis Browne Bar) that keeps the feet seperated and at the

>correct degree/angle.

>The s (sometimes referred to as P/M) are a sandal-type shoes

>where the insides are molded to the shape of each child's foot.

>These

>shoes are also attached to a bar to hold the correction to reduce

>the

>chance of regression. The site for these is

>http://www.mdorthopaedics.com/

>Some babies are able to toloerate the Markells without problems.

>However, some just have an awful time adjusting to them. The leather

>tends to be stiff and difficult to get into (this was our

>experience,

>but then again, others have had no problem).

>Hope this helps!

> ( 2/1/05)

>

>

>

> >

> > I was just wonderin if anyone has any links as to what the

>different

> > types of shoes look like----- and Markell etc

> > I looked but couldn't find anything myself. And what is the

> > difference betweeen them all????

> >

>

>

>

>

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Once her feet are properly corrected, you won't have any

problems!!!!! You may need the shoes for na but they

can be ordered when she is actually ready to be in the shoes.

I am sure will pipe in here but Dr. Alvarez put her son Hayden in the

brace well well well before his feet were fully corrected with

distasterous results.

I am just so frustrated that Dr. Pirani is away right now! I am

wondering if I should call him on his cell and ask him if you should

just let her feet relapse a bit until he gets back because the LAST

thing you want to do is have her in the shoes before her feet are

fully corrected.

Maybe you could see our orthotist who is very experienced with

the Markell's and the Ponseti method and she could set your shoes to

the degree of outward rotation that na has been casted to, yes I

think that this a better idea since Dr. Pirani won't be able to do

anything from so far away.

, all I can see is frustration and possible blisters and or

sores by keeping you daughter in these shoes when her feet are most

likely NOT ready for them, PLEASE give me a call at home and let's

get you and Brinna in to see to fit the shoes the best they can

until Dr. Pirani gets back.

My home # is 604 942-6645

Hugs,

michelle & grace

> > >

> > > I was just wonderin if anyone has any links as to what the

> >different

> > > types of shoes look like----- and Markell etc

> > > I looked but couldn't find anything myself. And what is the

> > > difference betweeen them all????

> > >

> >

> >

> >

> >

>

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Awww poor little thing, hope your doc finds that she's ok!!!!!!!

I totally hear ya , you have been through a LOT to get to

where you are at! If the shoes are set at a 45 degree angle then

thats what she was probably corrected to and hopefully she will be ok

in them. I would keep her in the shoes as much as possible as opposed

to the AFO's, if she is tolerating them during the day with no

prob's, great! Try to get in as many hours as you can.

I wouldn't advise keeping her in the AFO's on for long periods esp.

if she has some skin irritation due to improper casting...have you

talked to about the difference she has seen between Dr.

Alvarez' and Dr. Pirani's casts?

Just Please know that it will get better, Dr. Pirani will be able to

get na on track in no time!!! So glad that you found this group

=)

& Grace

> > > > >

> > > > > I was just wonderin if anyone has any links as to what the

> > > >different

> > > > > types of shoes look like----- and Markell etc

> > > > > I looked but couldn't find anything myself. And what is the

> > > > > difference betweeen them all????

> > > > >

> > > >

> > > >

> > > >

> > > >

> > >

> > >

_________________________________________________________________

> > > Take charge with a pop-up guard built on patented Microsoft®

> >SmartScreen

> > > Technology.

> > > http://join.msn.com/?pgmarket=en-

>

>ca & page=byoa/prem & xAPID=1994 & DI=1034 & SU=http://hotmail.com/enca & HL=Ma

r

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> > > Start enjoying all the benefits of MSN® Premium right now and

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> >the

> > > first two months FREE*.

> > >

> >

> >

> >

> >

>

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I didn't know that you had posted pics...she is just tooo cute =)

Looks like she has lots of socks lol, all our babies do me thinks. At

least they are always matching right?

had the same prob with the set up of her brace at Children's

(with dr. alvarez), the shoes are waaay to close together! No wonder

she was uncomfortable + I am pretty sure that her feet wern't ready

for them anyway but MAN someone has to teach them to set up a brace

properly! At least Dr. Pirani has cc'd her on everything he has done

for Hayden and will do the same for na I'm sure - not that it

will probably change anything - but at least it's there on record for

her to see.

She is really so cute ! Love that pink hat too!

& Grace

>

> Thanks for the compliments :)

>

> Yeah, at the orthotists office after na's surgery, we fitted

her for

> the Dennis Browne boots however she was very sensitive and screamed

so we

> decided not to go with them and finish the AFO's instead. The next

day we

> went to her appt with Dr. Alvarez and her and the orthotist both

decided

> that we could try to put the AFO's inside the boots and bars to see

if that

> would work. Of course it didnt. na just kicked them off

along with

> her AFO's. So those were only used for one day. So we went back

after the

> weekend and she was fitted again for the boots and bars and thats

when the

> problems started that I already mentioned.

> >

>

>

>

>

>

>

>

>

> >Candi,

> >I just happened to run across na's pictures that you put in

the

> >photos section of the group. First let me say what a beautiful

girl

> >she is! She is so adorable in that little pink outfit!

> >A couple things I noticed in the pictures that I wanted to mention

or

> >ask about.

> >First, it looks like her bar width is REALLY narrow. I don't know

if

> >you've tried holding them up to her shoulders but it looks like the

> >heels of her shoes are very close together, which as you know can

> >really cause discomfort.

> >The second thing I wanted to ask about is about the use of the

AFO's

> >inside the Markell shoes. I've never seen this or heard of this

being

> >done. I'm mainly curious on this one and wondering if anyone else

has

> >had experience with this type of set up. Did the Dr. or orthotist

> >tell you to do this? Was this the way they measured her for the

> >shoes, with the AFO's on? Did they tell you what they were trying

to

> >accomplish by having her wear them like this? Sorry for all the

> >questions, this just really peaked my curiosity.

> >

> >Thanks,

> >

> >

>

> _________________________________________________________________

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