Re: Getting shoes tight enough

February 16, 2006

I (already) can't remember - are 's feet atypical? Because Hayden's

feet don't go all the way back into the shoes either. Now that he's been in

them for several weeks,k they have moved back slightly but still don't fill the

heel. Is in the Markells or the s? Forgive my memory - it

long since packed it in on me!

artlovr wrote: My baby, , is 8

months old and is in his sixth week in the

Markells. He has had no issues adjusting and his foot is fully

corrected and looks great. (Unilateral on the left, metatarsus on the

right) I have been obsessing about getting the shoes tight enough so

his heel won't move and so he won't get blisters. So far he has been

fine, but I wonder often if his heel is in well enough. He has narrow

heels and they don't fill up the hole in the back of the shoe nor are

they always flat on the bottom of the shoe when he crawls (he has the

open-heeled kind). He is on the small side for an 8 month old baby

and does not have a lot of that baby fat on his feet. When I try to

get the strap into the tightest notch, he fusses quite a bit, I think

because there isn't much fat on his foot to cusion the strap and it

hurts. So, my questions are:

Does his heel need to fill the back up in order to keep his

correction?

or

As long as he is having no problems, things are going ok and I

shouldn't worry?

Thanks, I am so glad you all are here!

and (6-19-05 lcf FAB 23/7)

February 16, 2006

's feet aren't atypical. Once we found the right doctor, they

moved around very nicely and they look like " normal " feet now. It is

amazing to me how perfect his feet look, I love looking at his little

piggies when he is out of the shoes. He is in the Markells. I tried

the strap tighter again this morning but he cried and shook his foot.

He never fusses when I put them on so I really think that extra notch

is just too tight. I also think that if he had more fat on his foot

he wouldn't be bothered.

My baby, , is 8

months old and is in his sixth week in the

> Markells. He has had no issues adjusting and his foot is fully

> corrected and looks great. (Unilateral on the left, metatarsus on

the

> right) I have been obsessing about getting the shoes tight enough

so

> his heel won't move and so he won't get blisters. So far he has

been

> fine, but I wonder often if his heel is in well enough. He has

narrow

> heels and they don't fill up the hole in the back of the shoe nor

are

> they always flat on the bottom of the shoe when he crawls (he has

the

> open-heeled kind). He is on the small side for an 8 month old

baby

> and does not have a lot of that baby fat on his feet. When I try

to

> get the strap into the tightest notch, he fusses quite a bit, I

think

> because there isn't much fat on his foot to cusion the strap and

it

> hurts. So, my questions are:

> Does his heel need to fill the back up in order to keep his

> correction?

> or

> As long as he is having no problems, things are going ok and I

> shouldn't worry?

>

> Thanks, I am so glad you all are here!

> and (6-19-05 lcf FAB 23/7)

>

February 16, 2006

,

Is in a narrow width shoe? If not, that would be my first

suggestion, the Markells come in Narrow, Medium and Wide widths and

although not all orthotists know this they definitely can order them

from Markell. If his foot is staying in the shoes and not getting any

blisters I just don't know if I would be overly concerned. You may

want to run this by his ortho, or Dr. P, or even Dr. Morcuende just

for their thoughts. My inclination is that his foot should grow

quickly enough that this wouldn't be an issue for too long, but then

you don't want him to relapse because the foot is not being held

properly in the shoe.

Oh, another suggestion/question -- are the straps on the shoes in the

lower slots on both the inside and outside of the foot? If not, you

should put them in the lower slots, this will hold the foot more

firmly in the shoe.

Go through the tips document (if you don't have it you can get it at

http://members.tripod.com/ponseti_links-ivil/sitebuildercontent/sitebuilderfiles\

/fab_tips_10_05_05.pdf

) and look for things like how you are applying the shoes; are you

dorsiflexing the foot and really pushing his heel down in there while

tightening the strap? Have you cut the tongue keeper slit so the

tongue will sit down a bit lower? All of these things can help with

the fit of the shoes.

HTH,

Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 14hrs/day)

>

> My baby, , is 8 months old and is in his sixth week in the

> Markells. He has had no issues adjusting and his foot is fully

> corrected and looks great. (Unilateral on the left, metatarsus on the

> right) I have been obsessing about getting the shoes tight enough so

> his heel won't move and so he won't get blisters. So far he has been

> fine, but I wonder often if his heel is in well enough. He has narrow

> heels and they don't fill up the hole in the back of the shoe nor are

> they always flat on the bottom of the shoe when he crawls (he has the

> open-heeled kind). He is on the small side for an 8 month old baby

> and does not have a lot of that baby fat on his feet. When I try to

> get the strap into the tightest notch, he fusses quite a bit, I think

> because there isn't much fat on his foot to cusion the strap and it

> hurts. So, my questions are:

> Does his heel need to fill the back up in order to keep his

> correction?

> or

> As long as he is having no problems, things are going ok and I

> shouldn't worry?

>

> Thanks, I am so glad you all are here!

> and (6-19-05 lcf FAB 23/7)

>

February 17, 2006

From what I understand, it takes a while for the heel to fill out, and the

shoes help this over time it almost seems as if the shoes are showing the

foot where to grow out in the heel, also once the babes are walking and

bearing weight on the heel it fills out in the shoe more. At least this is

what happened with our baby (now 20 months). You can add some plastisoid

padding above the heel to help keep it down but it will move a little as a

baby crawls around, just check if they need tightening as the leather

stretches (usually though the foot grows at a similar speed to the shoe

stretching so we didn¹t need to readjust the fit much).

Tamsin

> I (already) can't remember - are 's feet atypical? Because Hayden's

> feet don't go all the way back into the shoes either. Now that he's been in

> them for several weeks,k they have moved back slightly but still don't fill

> the heel. Is in the Markells or the s? Forgive my memory -

> it long since packed it in on me!

>

> artlovr wrote: My baby, , is 8

> months old and is in his sixth week in the