Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 We are having a similar problem (with the red marks) with my son, Aleksander. He's a week shy of 16 months, and over the past month or two, he's started to get red marks on the top of his feet. We have brought him in to have his shoes adjusted several times, and finally decided to just try the brace instead. We should be getting it in the next few weeks. The orthotics department told me that they are seeing more and more of these red marks on the older children in the Markell's, even with children who haven't had problems in the past. Aleksander has been fine with the shoes, and still is despite the red marks. I just continue to put the shoes on as tight as possible, and he doesn't get out of them. But, the red marks persist. When your daughter gets the marks, do they bother her at all? If they don't, perhaps you are experiencing the same thing we are, and you can continue to tighten the shoes despite the marks. Aleksander, 11/24/04 bcf > > Hello, > I am the mother of a two year old bilateral little girl. She wears her DBB twleve hours a day. > We usually put her into the shoes and bar at 7:00 pm and we have been having a lot of > trouble with her pulling one foot out during the night. We check on her pretty frequently and > we put the shoe back on, but some nights I am sure that she looses a couple of hours that > she should be in her shoes. I find that if I buckle and lace them tightly enough for her to be > unable to pull a foot out, she has red welts and marks on the tops of her feet. I was > wondering if anyone else has had to deal with this problem and if so, are there any > suggestions? I can't believe it has taken me two years to finally join this web group. Thank > you for any advice or support you might have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 We're dealing with the same thing with my 10 month old daughter. I thought the new Markells with the hole in the heel were suppposed to help keep her foot in, but well, they haven't. So yesterday I took her and the shoes back to the brace guy. He added a piece of foam to the back of the shoe and that held her foot in place last night. He offered two more suggestions in case that didn't work... 1 - Take the tongue piece out and use only the strap. 2 - If that doesn't work, keeping the tongue piece out, lace the shoes backwards starting at the ankle. This is supposed to make a tighter fit around the ankle. She's been kicking out of them for a couple of weeks, so I think we have to get her used to being in them again. I'm sure we have a couple of sleepless nights ahead of us. Of course, you might consider the fit of the shoes and the length of the bar. That started this whole kicking-the-shoe-off charade in the first place. It can be so frusterating! Once you get into a rhythm with good fitting shoes, something comes up and it's like starting all over again. Ugh. Hope this helps. Judith (3) (10 mos. lcf, FAB nights only) > > Hello, > I am the mother of a two year old bilateral little girl. She wears her DBB twleve hours a day. > We usually put her into the shoes and bar at 7:00 pm and we have been having a lot of > trouble with her pulling one foot out during the night. We check on her pretty frequently and > we put the shoe back on, but some nights I am sure that she looses a couple of hours that > she should be in her shoes. I find that if I buckle and lace them tightly enough for her to be > unable to pull a foot out, she has red welts and marks on the tops of her feet. I was > wondering if anyone else has had to deal with this problem and if so, are there any > suggestions? I can't believe it has taken me two years to finally join this web group. Thank > you for any advice or support you might have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 , Can you tell us what kind of shoes your daughter has? I assume they're the Markell straight last Tarso shoes. There was a style change in the Markells not too long ago, and if your orthotist had a bunch of inventory of the old style, you might have an older pair. The new ones have a padded ankle (cuff) area and bumped out heel area. If you go to Markell's website, there are pictures of the shoes. Perhaps you need two different sizes of shoes for her feet? If this just started recently, perhaps the bar is too narrow and needs to be adjusted to accomodate a recent growth spurt. If you hold the brace up to her back/shoulders, the inside edges of the heels of the shoes should be at a distance equal to the width of her shoulders. Any narrower, and she is likely to be able to pull out of the shoes easier. Since she's 2 already, and if you've had little/no problems up until this point, I'm guessing that the brace will continue to work for you, you just need to tweak either the shoe or the length of the bar. Worst case scenario would be that one foot is starting to relapse, but since you didn't mention this, I'm assuming that you haven't noticed a change in her foot that would lead you to believe this is happening. I hope this helps some. There's a bunch of bracing info here (including the link to Markell) under the bracing section: http://members.tripod.com/ponseti_links-ivil We're glad you've joined us! Regards, & (3-16-00, left clubfoot) > > Hello, > I am the mother of a two year old bilateral little girl. She wears her DBB twleve hours a day. > We usually put her into the shoes and bar at 7:00 pm and we have been having a lot of > trouble with her pulling one foot out during the night. We check on her pretty frequently and > we put the shoe back on, but some nights I am sure that she looses a couple of hours that > she should be in her shoes. I find that if I buckle and lace them tightly enough for her to be > unable to pull a foot out, she has red welts and marks on the tops of her feet. I was > wondering if anyone else has had to deal with this problem and if so, are there any > suggestions? I can't believe it has taken me two years to finally join this web group. Thank > you for any advice or support you might have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 - Just to clarify- the hole in the heel of the shoe is supposed to allow the parent a viewing window to ensure that the child's foot is seated correctly in the shoe, and it's only probably necessary for the youngest children just starting out in the brace. There were quite a few changes made to the shoe prior to the release of the " window shoes " though that were supposed to help keep the foot secure without having to use the plastizode inserts (heel counters) that many of us had to use years ago. I hope you get 's brace tweaked just right very soon!!!!!!! & (3-16-00, left clubfoot) > > > > Hello, > > I am the mother of a two year old bilateral little girl. She wears > her DBB twleve hours a day. > > We usually put her into the shoes and bar at 7:00 pm and we have > been having a lot of > > trouble with her pulling one foot out during the night. We check > on her pretty frequently and > > we put the shoe back on, but some nights I am sure that she looses > a couple of hours that > > she should be in her shoes. I find that if I buckle and lace them > tightly enough for her to be > > unable to pull a foot out, she has red welts and marks on the tops > of her feet. I was > > wondering if anyone else has had to deal with this problem and if > so, are there any > > suggestions? I can't believe it has taken me two years to finally > join this web group. Thank > > you for any advice or support you might have. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 , As said, this seems to be a common problem. Do the red marks turn into sores or bother her? Do they go away during the day? My son also gets these red marks but they don't ever get worse and don't seem to bother him at all. When he got his last pair of new shoes we did have one of the marks get a little raised, like a welt, but I just put a bandaid on it and the welt went away in a day. So I continue to tighten the shoes as firmly as needed to keep them on. You may also want to try padding the tongue of the shoe where she gets the marks, I think a lot of people have had luck with moleskin. Hope this helps, allison Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 14hrs/day) > > > > Hello, > > I am the mother of a two year old bilateral little girl. She wears > her DBB twleve hours a day. > > We usually put her into the shoes and bar at 7:00 pm and we have > been having a lot of > > trouble with her pulling one foot out during the night. We check > on her pretty frequently and > > we put the shoe back on, but some nights I am sure that she looses > a couple of hours that > > she should be in her shoes. I find that if I buckle and lace them > tightly enough for her to be > > unable to pull a foot out, she has red welts and marks on the tops > of her feet. I was > > wondering if anyone else has had to deal with this problem and if > so, are there any > > suggestions? I can't believe it has taken me two years to finally > join this web group. Thank > > you for any advice or support you might have. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 My son is also experiencing the red marks. The doc said not to wory about them and that they will fade as time goes on. My son is 18 months and wears the DBB for naps and nighttime. The red marks had faded just a little bit. It bothers me more than anything! What is the brace? > > > > Hello, > > I am the mother of a two year old bilateral little girl. She wears > her DBB twleve hours a day. > > We usually put her into the shoes and bar at 7:00 pm and we have > been having a lot of > > trouble with her pulling one foot out during the night. We check > on her pretty frequently and > > we put the shoe back on, but some nights I am sure that she looses > a couple of hours that > > she should be in her shoes. I find that if I buckle and lace them > tightly enough for her to be > > unable to pull a foot out, she has red welts and marks on the tops > of her feet. I was > > wondering if anyone else has had to deal with this problem and if > so, are there any > > suggestions? I can't believe it has taken me two years to finally > join this web group. Thank > > you for any advice or support you might have. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 Hi , Welcome to the group Our daughter also has these red marks on the tops of her feet although they have gotten better over time and since I put " Mole foam " on the tounge of the shoe where the strap sits. Make sure you don't get the mole skin but the foam as it is thicker and provides good padding. As long as they aren't bothering her, try not to worry too much. Her shoes do need to be tight enough so that she cannot pull her foot out so I'd give the mole foam a try. & Grace 20mos urcf FAB 13hrs > > Hello, > I am the mother of a two year old bilateral little girl. She wears her DBB twleve hours a day. > We usually put her into the shoes and bar at 7:00 pm and we have been having a lot of > trouble with her pulling one foot out during the night. We check on her pretty frequently and > we put the shoe back on, but some nights I am sure that she looses a couple of hours that > she should be in her shoes. I find that if I buckle and lace them tightly enough for her to be > unable to pull a foot out, she has red welts and marks on the tops of her feet. I was > wondering if anyone else has had to deal with this problem and if so, are there any > suggestions? I can't believe it has taken me two years to finally join this web group. Thank > you for any advice or support you might have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 I haven't heard about lacing backwards - what a good idea. My son is now 21/4 years old, bilateral talipes and yep whenever his feet are on a grow, or he's ill and can't be doing with the agro or his feet are too hot, then he kicks them off too. Sorry to say this doesn't get any easier. I've always been a straight talker, I tell how good the shoes are and what a difference they make. Bad end of the scale, I threaten that they will be on all day long if he doesn't wear them at night (this often works at very dire times) and yes I do admit that I hate them too but they are doing a very important job and I will fight him all the way as this is the best solution. They ARE clever little beasties and yes I have been like this with my little very gorgeous monster since the beginning. It's amazing what they understand/grasp. All the best - don't forget the help documents in the Files section mum to bilateral talipes 10-Dec-03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 Those marks... appeared when the new Markell shoes came out in Oct. '03. The tongue used to have no padding at all, just leather and orthotists padded the tongue with plastizode as standard. Markell added padding with the new style shoes so the plastizode wasn't needed on the tongue. At the time, when we started noticing the marks I talked to Jay Markell and he speculated that the padding was too thick... I don't think it's too thick at all. I think it's too thin although there have been no changes to the shoes since that conversation that I know of. Darbi had those marks as long as she was in the Markells although I was able to decrease them some by tightening the strap very tight, then ranking down on the laces and then undoing the strap one hole under the very tight laces. The laces held her foot in but the strap wasn't putting as much pressure on her feet and they did get better... but did not go away entirely. It wasn't till we switched to the PM's that they went away and even after being there on her feet for about 2y (no sores, just marks) they have fully diminished and she has no marks at all now. For whatever that worth... Kori At 09:26 AM 3/16/2006, you wrote: >, >As said, this seems to be a common problem. Do the red >marks turn into sores or bother her? Do they go away during the day? > My son also gets these red marks but they don't ever get worse and >don't seem to bother him at all. When he got his last pair of new >shoes we did have one of the marks get a little raised, like a welt, >but I just put a bandaid on it and the welt went away in a day. So I >continue to tighten the shoes as firmly as needed to keep them on. >You may also want to try padding the tongue of the shoe where she gets >the marks, I think a lot of people have had luck with moleskin. > >Hope this helps, >allison >Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 14hrs/day) > > > > > > > > > Hello, > > > I am the mother of a two year old bilateral little girl. She wears > > her DBB twleve hours a day. > > > We usually put her into the shoes and bar at 7:00 pm and we have > > been having a lot of > > > trouble with her pulling one foot out during the night. We check > > on her pretty frequently and > > > we put the shoe back on, but some nights I am sure that she looses > > a couple of hours that > > > she should be in her shoes. I find that if I buckle and lace them > > tightly enough for her to be > > > unable to pull a foot out, she has red welts and marks on the tops > > of her feet. I was > > > wondering if anyone else has had to deal with this problem and if > > so, are there any > > > suggestions? I can't believe it has taken me two years to finally > > join this web group. Thank > > > you for any advice or support you might have. > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 I'm actually a bit upset about the lack of heel counter in the holed shoes. I did not find that there was much, if any counter in the heel at all and would recommend that any child who wears these should have the plastizode insert installed. They're all floppy in the back, which makes nice and soft but other than the hole itself (which could allow the heel to pouch out the hole in the back... making the top of the hole a natural counter) I see no real heel counter and I'm disappointed in what I saw with these shoes because of this. Too much heel pouching (sticking out of the hole) could cause undue pressure on the heel at the top of the hole's edge I'm afraid. I feel somewhat responsible for the size of the hole that really is only a window for the parent. OK - I've finally put to words publicly what I've been feeling for a long time... I'm sorry everyone!!! I'm pretty sure these shoes were designed around our holed shoe (Markell had pictures of Darbi's holed shoe almost immediately after we holed them and I had quite a few conversations with Jay Markell in respect to issues with sores before they decided to produce them. As far as I know, Darbi was the first child to have her shoe holed to heal a sore and see inside) and possibly some other holed shoe pictures I sent them that were the result of my recommendations for kids who had sores. However a hole to heal a sore is different than a shoe that is holed from the get go in that this manufacturers hole is simply to see inside so you know the heel is down. The hole does not keep the foot in the shoe and babes can absolutely still get sores if the heel rises up regardless of the hole. It probably should be much smaller if this is the only reason it's there and the design of the standard shoes maintained in these altered shoes with the deep pocket and built in heel counter. The holed shoes really are made only for the little fresh out of casts feet and orthotists should absolutely be giving parents instructions to use the hole as a window and not rely on it to hold the foot in better. Then again... expecting them to know this or really anything about keeping these shoes on apparently is pure lunacy since we all know that most orthotists don't know the first thing about how to properly set up the brace and apply it much less providing parents with accurate instructions. grrrrr.... Kori At 07:38 AM 3/16/2006, you wrote: >- >Just to clarify- the hole in the heel of the shoe is supposed to >allow the parent a viewing window to ensure that the child's foot is >seated correctly in the shoe, and it's only probably necessary for >the youngest children just starting out in the brace. There were >quite a few changes made to the shoe prior to the release of >the " window shoes " though that were supposed to help keep the foot >secure without having to use the plastizode inserts (heel counters) >that many of us had to use years ago. >I hope you get 's brace tweaked just right very soon!!!!!!! > > & (3-16-00, left clubfoot) > > > > > > > Hello, > > > I am the mother of a two year old bilateral little girl. She >wears > > her DBB twleve hours a day. > > > We usually put her into the shoes and bar at 7:00 pm and we have > > been having a lot of > > > trouble with her pulling one foot out during the night. We >check > > on her pretty frequently and > > > we put the shoe back on, but some nights I am sure that she >looses > > a couple of hours that > > > she should be in her shoes. I find that if I buckle and lace >them > > tightly enough for her to be > > > unable to pull a foot out, she has red welts and marks on the >tops > > of her feet. I was > > > wondering if anyone else has had to deal with this problem and >if > > so, are there any > > > suggestions? I can't believe it has taken me two years to >finally > > join this web group. Thank > > > you for any advice or support you might have. > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2006 Report Share Posted March 16, 2006 and , We have tried having the tongues padded, but it hasn't helped any. Doesn't hurt, other than making the shoes a little tougher to get on that first day or two until the padding is compressed a bit. But, since the marks haven't bothered Aleksander at all, we haven't worried too much about it. My motivation for looking into the Mitchels was when the red mark started showing up on both feet, instead of just one like it had previously. Aleksander has pretty much had the mark on one of his feet since he got the shoes. That was a lifetime ago, or so it seems, and it hasn't ever bothered him. But, with the appearance of the second mark, I decided it was worth the extra money to try the s. > > > > > > Hello, > > > I am the mother of a two year old bilateral little girl. She wears > > her DBB twleve hours a day. > > > We usually put her into the shoes and bar at 7:00 pm and we have > > been having a lot of > > > trouble with her pulling one foot out during the night. We check > > on her pretty frequently and > > > we put the shoe back on, but some nights I am sure that she looses > > a couple of hours that > > > she should be in her shoes. I find that if I buckle and lace them > > tightly enough for her to be > > > unable to pull a foot out, she has red welts and marks on the tops > > of her feet. I was > > > wondering if anyone else has had to deal with this problem and if > > so, are there any > > > suggestions? I can't believe it has taken me two years to finally > > join this web group. Thank > > > you for any advice or support you might have. > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2006 Report Share Posted March 17, 2006 I posted a question about this as well, but I think it didn't quite make it through. My daughter, 16 months, has started getting red marks on the tops of her feet. Upon examination I noticed that her foot had outgrown the shoe widthwise, which is causing her foot to " bow up " in the shoe. My guess is that is not a good thing and is probably what is causing the red marks. I'm not sure if I am going to stick with the Markell's. I have definitely considered switching to the 's, just not sure how to go about doing it. I was inspired by the idea that by doing so I would be giving her doctor the opportunity to see the brace and then offer it to other children. Do I need to call her doc for a new script? I'll be reading this thread with interest. Thanks to all of you experienced PM users who will help us all figure this out. Donna Re: Taking off her shoes To: nosurgery4clubfoot <span><p><span><p> <tt> My son is also experiencing the red marks. & nbsp; The doc said not to wory <BR> about them and that they will fade as time goes on. & nbsp; My son is 18 <BR> months and wears the DBB for naps and nighttime. & nbsp; The red marks had <BR> faded just a little bit. & nbsp; It bothers me more than anything! & nbsp; What is <BR> the brace?<BR> <BR> <BR> & gt; & gt;<BR> & gt; & gt; Hello,<BR> & gt; & gt; I am the mother of a two year old bilateral little girl. & nbsp; She <BR> wears <BR> & gt; her DBB twleve hours a day. & nbsp; <BR> & gt; & gt; We usually put her into the shoes and bar at 7:00 pm and we have <BR> & gt; been having a lot of <BR> & gt; & gt; trouble with her pulling one foot out during the night. & nbsp; We check <BR> & gt; on her pretty frequently and <BR> & gt; & gt; we put the shoe back on, but some nights I am sure that she <BR> looses <BR> & gt; a couple of hours that <BR> & gt; & gt; she should be in her shoes. & nbsp; I find that if I buckle and lace <BR> them <BR> & gt; tightly enough for her to be <BR> & gt; & gt; unable to pull a foot out, she has red welts and marks on the <BR> tops <BR> & gt; of her feet. & nbsp; I was <BR> & gt; & gt; wondering if anyone else has had to deal with this problem and if <BR> & gt; so, are there any <BR> & gt; & gt; suggestions? & nbsp; I can't believe it has taken me two years to <BR> finally <BR> & gt; join this web group. & nbsp; Thank <BR> & gt; & gt; you for any advice or support you might have.<BR> & gt; & gt; <BR> & gt; & gt;<BR> & gt;<BR> <BR> <BR> <BR> <BR> </tt> <!-- |**|begin egp html banner|**| --> <br><br> <tt> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2006 Report Share Posted March 17, 2006 Donna, We started by calling our insurance company to check to see if the brace would be covered, and at what rate. The codes that I was told the s would be using are L1907 for the shoes and L3150 for the brace. (these codes worked for my insurance company) Once I found out from them where I needed to get the shoes from (we have preferred providers), I contacted the doctor to have her change the script, and then went in to get the molds done. Now, we are just waiting for the shoes. Should be here in the next couple of weeks, I would imagine. I figured we'd have them about a month after we got the molds of Aleksander's feet done. Hope that helps. Aleksander, 11/24/04 bcf <BR> > & gt; & gt;<BR> > & gt; & gt; Hello,<BR> > & gt; & gt; I am the mother of a two year old bilateral little > girl. & nbsp; She <BR> > wears <BR> > & gt; her DBB twleve hours a day. & nbsp; <BR> > & gt; & gt; We usually put her into the shoes and bar at 7:00 pm and we > have <BR> > & gt; been having a lot of <BR> > & gt; & gt; trouble with her pulling one foot out during the > night. & nbsp; We check <BR> > & gt; on her pretty frequently and <BR> > & gt; & gt; we put the shoe back on, but some nights I am sure that she > <BR> > looses <BR> > & gt; a couple of hours that <BR> > & gt; & gt; she should be in her shoes. & nbsp; I find that if I buckle > and lace <BR> > them <BR> > & gt; tightly enough for her to be <BR> > & gt; & gt; unable to pull a foot out, she has red welts and marks on > the <BR> > tops <BR> > & gt; of her feet. & nbsp; I was <BR> > & gt; & gt; wondering if anyone else has had to deal with this problem > and if <BR> > & gt; so, are there any <BR> > & gt; & gt; suggestions? & nbsp; I can't believe it has taken me two years > to <BR> > finally <BR> > & gt; join this web group. & nbsp; Thank <BR> > & gt; & gt; you for any advice or support you might have.<BR> > & gt; & gt; <BR> > & gt; & gt;<BR> > & gt;<BR> > <BR> > <BR> > <BR> > <BR> > </tt> > > > <!-- |**|begin egp html banner|**| --> > > <br><br> > <tt> > Quote Link to comment Share on other sites More sharing options...
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