Re: Re: kicking out of shoes

[Guest guest]

What said.. 'cept this...

> 1-800-PONSETI

it's 1-877-PONSETI to get to MD Orthopaedics

Kaci, let us know about the tongue keeper slit and the lower

hole. If you haven't tried these things yet, give them a try to see

if they can help. You can also lace them in the second from top

holes, pull really tight on the laces.

As asked, can you pull him out of them at all at the heel

after you put them on? If so, they will always be too loose. You've

got to go tighter if this happens. typically if it seems too tight

yet baby is slipping, this means the heel is not seated fully. Once

you get the heel down there, it isn't too tight anymore.

A mama knows when her child is in pain, we do not doubt you at

all. But there's a reason he's in pain, we need to figure out why

and get that fixed. If there's nothing else to try and he still

slips, perhaps we're looking at an atypical foot? If so, he'll need

the PM's because these feet do not stay in Markells.

Have you considered cutting a small hole in the back to see if his

heel is really seated properly? This could really clear up some of

your questions with this. It does not harm the shoes.

let us know what you find out, and how any of what said works

for you. Hang in there, it can be solved!

Kori

>: )

>

>

>

> > > >

> > > > Here we go AGAIN! About a month ago, was kicking out of

> > his

> > > > shoes a lot. I posted then and got a lot of help, so now I am

> > > > pretty confident that everything is like it should be. Dr.

> > Ponseti

> > > > said his feet look well corrected, we set the bar length to

> > shoulder

> > > > width apart, we reviewed the tips document and are positive his

> > feet

> > > > are well down in the shoes. Fast forward to last

> > Thursday...

> > > > started kicking out of the right shoe about every hour. He

> > > > actually 'digs' the left foot into the floor (or whatever

> > surface he

> > > > can find) and pulls the right leg up to work his foot out. Then

> > > > when he gets the right foot out, he presses on the bar with that

> > > > foot and pulls on the left one. We finally managed to tighten

> > the

> > > > strap tighter but that makes him scream and it is causing a sore

> > on

> > > > his foot where the strap crosses. He also kicks out of that,

> > but it

> > > > takes a little longer.

> > > >

> > > > We are now at a point where he is getting out of the shoe every

> > 15-

> > > > 20 minutes when in the 8th hole, and every hour when in the 9th

> > > > (plus a lot of crying in this hole). We saw the orthotist

> > yesterday

> > > > & she added some angle to the bar, adjusted the length, and told

> > us

> > > > that we need a bigger pair of shoes. She said the changes she

> > made

> > > > should hold us over until our appt with the ped ortho on May

> > 31st,

> > > > then we can get a script for the shoes. Unfortunately, he is

> > swill

> > > > getting out of the shoes constantly!

> > > >

> > > > In your experience does a bigger pair of shoes help this? Any

> > > > suggestions on what we can do? I am really at my wit's end

> > here,

> > > > but trying very hard to comply.

> > > >

> > > > Thanks,

> > > > Kaci (mom to , 12/17/05, bcf, DBB 23/7)

> > > >

> > >

> >

>

>

>

>

>

>

>

>

>

[Guest guest]

what about right after you get him all buckled in and laced? Does

the heel move at all when you pull on the shoes (at the heel, try to

pull him out).

If it moves, that's what you need to look at. Can you see under his

heel to the sole of the shoe through the hole? What you're looking

for is not necessarily that the heel is back, so much as is the

foot/sole flat on the bottom of the shoe? no gaps other than right

at the back where the rounded part of the heel is. Depending on how

freshly corrected he is, the round part of the heel may be up

further, yet it will drop flatter in the back over time. Initially

though, it does not exactly sit right in the back/bottom of the

shoes. It can take weeks or a couple/few months for it to drop fully.

Kori

At 01:08 PM 5/12/2006, you wrote:

>I am sure the bar was about 1/2 " wider than his shoulders, from heel

>to heel - it was the first thing I checked when he started kicking

>out of them again. We've got the tongue keeper slit, I've tried the

>laces in all sorts of configurations...skipping top hole, skipping

>bottom hole, laced from top to bottom, and bottom to top. We moved

>the strap to the lower hole on the buckle side and he still gets

>out. Can't move the other side because it is stitched down.

>

>I am pretty sure the heel is where it should be. Our orthotist

>actually drilled a hole in the back when we got the shoes - I look

>and can usually feel by putting my pinky finger at the hole. My

>fingernail touches his heel right away through the hole.

>

>I wondered about the atypical feet, not sure how to tell that, but I

>would have thought Dr. Ponseti would have commented on that? But

>then again, he's a busy man so maybe he didn't notice since I wasn't

>asking that question.

>

>Our ortho is trying to work with the orthotics co to order the

>PM's. I am hoping he will tell us at our follow up that they have

>worked out the details. Or maybe we will volunteer to be his guinea

>pig

>

>Thanks for the suggestions...keep 'em coming if you have any more

>thoughts!

>Kaci

>

>

>

> > > > > >

> > > > > > Here we go AGAIN! About a month ago, was kicking

>out of

> > > > his

> > > > > > shoes a lot. I posted then and got a lot of help, so now

>I am

> > > > > > pretty confident that everything is like it should be. Dr.

> > > > Ponseti

> > > > > > said his feet look well corrected, we set the bar length to

> > > > shoulder

> > > > > > width apart, we reviewed the tips document and are

>positive his

> > > > feet

> > > > > > are well down in the shoes. Fast forward to last

> > > > Thursday...

> > > > > > started kicking out of the right shoe about every hour. He

> > > > > > actually 'digs' the left foot into the floor (or whatever

> > > > surface he

> > > > > > can find) and pulls the right leg up to work his foot

>out. Then

> > > > > > when he gets the right foot out, he presses on the bar

>with that

> > > > > > foot and pulls on the left one. We finally managed to

>tighten

> > > > the

> > > > > > strap tighter but that makes him scream and it is causing

>a sore

> > > > on

> > > > > > his foot where the strap crosses. He also kicks out of

>that,

> > > > but it

> > > > > > takes a little longer.

> > > > > >

> > > > > > We are now at a point where he is getting out of the shoe

>every

> > > > 15-

> > > > > > 20 minutes when in the 8th hole, and every hour when in

>the 9th

> > > > > > (plus a lot of crying in this hole). We saw the orthotist

> > > > yesterday

> > > > > > & she added some angle to the bar, adjusted the length,

>and told

> > > > us

> > > > > > that we need a bigger pair of shoes. She said the changes

>she

> > > > made

> > > > > > should hold us over until our appt with the ped ortho on

>May

> > > > 31st,

> > > > > > then we can get a script for the shoes. Unfortunately, he

>is

> > > > swill

> > > > > > getting out of the shoes constantly!

> > > > > >

> > > > > > In your experience does a bigger pair of shoes help this?

>Any

> > > > > > suggestions on what we can do? I am really at my wit's end

> > > > here,

> > > > > > but trying very hard to comply.

> > > > > >

> > > > > > Thanks,

> > > > > > Kaci (mom to , 12/17/05, bcf, DBB 23/7)

> > > > > >

> > > > >

> > > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Kaci,

Consider enlarging the hole so you can see a little better. You're

really *shoving* him into them right? Pushing hard on the knee while

dorsiflexing and pushing against the heel area with your other

hand? Do you take the shoes off the bar or not? Sorry, can't

remember if you have the red or gold bar at the moment.

let us know how it's goin. You'll get it, it may just take some time

and watching to see how it moves and why.

Why is the strap stitched so close to the slot? who did that? They

don't come this way. You may have better results if you can loosen

that stitching (assuming it was added) and going through that lower

slot on both sides.

You're doing good mama, I know it's ARGH but we'll get you figured

out. Did you find out about if insurance will pay for the PM's?

Kori

At 02:14 PM 5/12/2006, you wrote:

>As luck would have it I just had to put a shoe on. I checked the

>heel very carefully and cannot slide it immediately after I put it

>in. I checked the other foot and can move it a little (it has been

>in the shoe for about 4 hours).

>

>I can see just a tiny amount of the sole where his heel curves, but

>not much at all. He is already " working it " so I'll check in about

>30 minutes and see how much it has changed. I know if I had his

>feet in there right, it wouldn't change, but I can't for the life of

>me figure out what I'm doing wrong.

>

>ARGH!

>Kaci

>

>

>

> >

> > what about right after you get him all buckled in and laced? Does

> > the heel move at all when you pull on the shoes (at the heel, try

>to

> > pull him out).

> >

> > If it moves, that's what you need to look at. Can you see under

>his

> > heel to the sole of the shoe through the hole? What you're

>looking

> > for is not necessarily that the heel is back, so much as is the

> > foot/sole flat on the bottom of the shoe? no gaps other than

>right

> > at the back where the rounded part of the heel is. Depending on

>how

> > freshly corrected he is, the round part of the heel may be up

> > further, yet it will drop flatter in the back over time.

>Initially

> > though, it does not exactly sit right in the back/bottom of the

> > shoes. It can take weeks or a couple/few months for it to drop

>fully.

> >

> > Kori

> >

> >

>

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