Could pain in feet be the first sign of relapsing?

December 28, 2005

Dear parents,

Here I am writing again to ask for your advice.

Here is a letter I wrote to Dr.P this evening. I hope some of you

help me figure out what is going on with my son's feet.

Thanks a lot

Idit, mom to Oshri, 2.4 years. BL clubfeet.

" Dear Dr. Ponseti,

You have helped us previously with valuable advice and information,

and we are more than grateful for you kind support. Now we are

writing again to ask your advice re. the clubfeet condition of our

son. He is 2.4 years old, bilateral clubfoot, and treated since

birth in the Ponseti method. Since age 3 months he wears the DB

brace, currently for 10 hours a day (when he sleeps). In the last

three months, he persistently reports pains in his feet. His

language skills are very developed, and we have a good reason to

believe that he does not confuse the feet pain with other feelings.

Sometimes he wakes up during night and complains about pain, and

then we remove the DB.

During the last three months we changed his Markell shoes to a

larger size, changed the length of the DB bar back and forth in

order to find the " optimal " length, and bought him new day/walking

shoes. In addition, we massage his feet every night for 10 minutes.

We are not sure how relevant is this, but our son also has hyper-

flexibility of muscles.

Last week he was examined by his orthopedist doctor (Dr. Ron Lamdan,

from the Hadassah Hospital in Jerusalem, Israel) , who says that the

correction of his clubfeet is perfect. The doctor saw his DB bar

and his Markell shoes, and said that everything is in the right size

and measure. The doctor also said that he cannot think of any cause

for the pain of our child.

Our questions are: Is there any reason to suspect that these pains

might indicate a relapse of the clubfoot? Is there anything we

should do right now? "

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