Re: HELP! Markell shoes and a heel blister that is causing great pain

[Guest guest]

,

Did you see Kathleen's response to you here:

http://health.groups.yahoo.com/group/nosurgery4clubfoot/message/45181

This method will show you exactly what part of the shoe is rubbing

his foot. Cutting out the offending part of the shoe is a tried and

true solution. If you can cut out the part of the shoe that is

rubbing on his foot you may be able to, with our help be able to keep

his foot in for the weekend but because you also said the shoe is too

big for his tiny foot, I'm thinking that mostly what you need is a

different shoe! What size is it? The shoes come as small as a

0000. Many orthotists do not know this but they can be ordered

directly from Markell in sizes 0000, 000, 00, 0, etc.

Staying out of the shoes will almost certainly cause him to relapse

at this early stage of the game. Here's what I would do, call the

orthotist and tell them you need the size 0000 shoe (assuming he's

not already in that size) or whatever the next size smaller is from

what you already have. If he is already in a 0000 then I would talk

to your doctor immediately about putting him in holding casts until

his feet grow enough to wear the smallest shoe. The foot will not

stay in the shoe and will not remain corrected if it is not the right

size. If the orthotist does not have the 0000's then I would also

have the doc put him back in a cast until the shoes come in. Oh, and

if his other foot fits in the shoes you have make sure they split the

sizes for you, they can and should do this so that each foot is

properly fitted.

There is no real answer to your question about how long he can stay

out of the shoes " without messing up his treatment " -- feet have been

known to relapse in a matter of hours if they are particularly

resistant. The good news is that you won't be messing up his

treatment, just a tiny delay. He can always have another cast to

correct anything that is lost these few days, it is just important

that any relapse that does happen (if it does) is recognized by the

doctor and the cast is applied before going into the correct size

shoes.

I hope this is helpful to you and if you need more info or have more

questions please feel free to ask us!

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

>

> My 2 month old son has a clubfoot, and has now been wearing the

> Markell shoes for a little over 2 weeks. Unfortunately, his foot

is

> so small it doesn't really fit in the smallest Markells, and has

> developed a nasty blister on his heel. This has been causing him

> great pain, so he has been crying hysterically when wearing the

shoes

> (which of couse is causing us great distress!!!). This is the

third

> day he hasn't been wearing them, because we're trying to let the

> blister heal.

>

> I know we need to get the shoes back on as soon as possible. Any

> suggestions on how to do this will a heel sore?!?! How long can he

go

> without the shoes without messing up his treatment?

>

> Thanks!!!

>

> -

>

[Guest guest]

Going even 3 days can cause a relapse unfortunatley. There is something call

DuoDerm pads. You can get them from a medical supply or maybe some pharmacys.

They can work if caught soon enough. They are a little spendy, but all worth it!

My daughter is currently healing what my Dr. called a " pressure ulcer " which is

a little worse than a blister! The DuoDerm is healing her great! She hasnt been

out of the shoes any longer than an hour or so longer each day that she is

supposed to be. I would truely try this stuff. Then if it doesnt work, then you

will need to put him in a healing cast!

Christee

Mother of...

*Josh, Central Auditory Processing Disorder/Sensory sensitivity/learning &

Speech disorders (9yrs old)

**Aspen, Bilateral minor Metatarsus Adductus (5 1/2 yrs old)

***Dylan, (4 yrs old)

&

****Lilee ~ Unilateral A-Typical (complex) Club Foot w/Cavus/Plantaris (R

foot) & Mild/Moderate Metatarsus Adductus (L foot).

*Ponseti/ Brace 18/24.

---------------------------------

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[Guest guest]

I would suggest that you go in to see your son's doctor, and ask

about having your son put in healing casts. Since he has been out of

the shoes now for few days, he's likely lost correction, and getting

the shoes back on now will only be more difficult.

My son had to be put into healing casts as well. He had the

beginnings of pressure sores on his heals. He was in those casts for

2 - 3 weeks. Once he was out, he went right back into the FAB, and

hasn't had any problems since.

The healing casts aren't a big deal, and they really do help get rid

of sores that wouldn't heal when in the shoes.

Aleksander, 11/24/04, bcf

>

> My 2 month old son has a clubfoot, and has now been wearing the

> Markell shoes for a little over 2 weeks. Unfortunately, his foot

is

> so small it doesn't really fit in the smallest Markells, and has

> developed a nasty blister on his heel. This has been causing him

> great pain, so he has been crying hysterically when wearing the

shoes

> (which of couse is causing us great distress!!!). This is the

third

> day he hasn't been wearing them, because we're trying to let the

> blister heal.

>

> I know we need to get the shoes back on as soon as possible. Any

> suggestions on how to do this will a heel sore?!?! How long can he

go

> without the shoes without messing up his treatment?

>

> Thanks!!!

>

> -

>