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Christee,

In-toeing is when just the very front of the foot turns in (the

forefoot), MA is when the whole front of the foot and mid foot turns

in making the outer border of the foot curve, making that C shape you

hear talked about. Either can be conditions found in any foot, CF or

not, they can be residual deformities in a CF (things that weren't

fully or properly corrected with the initial correction process) or

they could also be signs of relapse.

I think that if Dr. P says to put her back to 15 hours you will have

to just do it. I know it is easier said than done, but I think you

will need to just let her figure these things out. She will figure

out how to crawl and stand and cruise wearing the brace. Maybe try to

work her brace time around the times she is least active. Think about

the time you kind of start winding down your day and go ahead and put

the brace on then, and then in the a.m. you probably have a little

time when she is eating breakfast and just getting geared up for her

day that she could stay in it, then you stretch this out as long as

you can to get in the full 15 hours.

hope this helps!

>

> Can someone tell me the difference between MA, In-Toeing, and the

sign of relapse? I sent pics to Dr. P and he said to watch her

forefoot close. I only spoke with Joyce, his nurse, so I didnt get

alot of info. I tried calling Dr. P, but have been unable to reach

him. He also meansioned to Joyce to tell me that when Lilee stands and

mostly when she crawls it appeard that she is curling her toes under.

And to try to discourage her for doing so. How do I do that? He also

said to up her brace time to 15hrs instead of 10hrs. This is Ok with

me, but I have been having a hard time with Lilee doing so. It isnt

really that she gets upset. She does a little, but not bad. But rather

that she is so mobile without them on. Crawling (the way she crawls

she can not do with the brace on. 1 leg stuck out sideways), pulling

up and standing, and cruizing. She gets upset that she can do these

things with the brace on well. She actually is hurting herself. She

wacks her shins when going from a sitting to a crawling position. She

slips and falls banding herself all over when she trys to stand. Her

shins, and head look like I beat her. :o(

> I try to supervise her, but with 4 kids that just isnt possible.

She has never learned all this cause she didnt crawl until she was

dropped to 10hrs, which I have only done at night. I put a pad on the

bar, but it hasnt helped much. I am debating putting a non-skid lift

on the shoe to help with imbalance when standing. I just dont know

what to do. She only sleeps during the day taking power naps (20 min,

at a time). HELP!

>

>

> Christee, 3 boys

> Lilee-UCF A-Typical

> P/M's trying to get to 15 hrs again, but more like 10hrs still

>

>

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Hi Christee - Hayden is still in his brace 12-14 hours a day and I get as close

to 14 as I can to be conservative about it. I am totally paranoid about a

relapse so would rather err on the side of caution. What I do is focus the

brace on the times he sleeps. So I aim for at leat 12 of those hours to be

through the night and try to get them on as early as I can before bed (around

6:30-7:00) so that they can come off when he is up for the day. Then the brace

goes on for his first nap which is 1 1/2 to 2 hours long. If he goes over 14

hours in the brace, it's a bonus. For his afternoon nap, I try to let him have

one period of time without the brace so that he at least knows what it is like

to sleep unfettered. If I feel he is going to miss his morning nap for whatever

reason (like on Mondays I go to Stroller Fit), I put the brace on. He is pretty

good about it if he is just sitting in the stroller hanging out. I can

understand Lilee's frustration with crawling in the

brace, but don't be surprised if she figures it out soon enough! But if you

aim for sleep times, would that be easier? Even if she is just power napping,

try to get the brace on say 10-15 minutes before she goes down and then leave it

on for the same length of time once she is up. Unless of course she just

crashes and then maybe you can get it on while she is asleep? Also, does she

not sleep more than ten hours a night? If she sleeps more, keep the brace on

for that whole length of time and it will definitely eat up a lot of that 15

hours! Sometimes Hayden has to have the brace on for up to an hour after he

gets up in the morning depending on what time it went on at bedtime. I have to

watch him like a hawk because he stands up in it and we have wood floors, so it

basically slides out from under him and he has hit his face many times, poor

nubbin. Another reason it is good just to put it on for sleep.

Also, Hayden used to just cat nap until he had the brace and now it almost seems

that getting his brace on is the signal for sleep, because he starts rubbing his

eyes and yawning when I put it on (after the initial freak-out that he does

because he realizes he has to go to bed!!) Now he sleeps very well, twice a

day. In fact, I am hoping to get him down to one long nap in the afternoon

(with brace!) soon.

Anyway, this is just the way I have worked it out and if I was told to extend

his hours again, I'd start putting it on for his afternoon nap to begin with and

go from there. I hope your little sweetie is doing ok! Glad to hear that she

is cruising! Hayden just started also!

Christee Dawson wrote:

Can someone tell me the difference between MA, In-Toeing, and the sign of

relapse? I sent pics to Dr. P and he said to watch her forefoot close. I only

spoke with Joyce, his nurse, so I didnt get alot of info. I tried calling Dr. P,

but have been unable to reach him. He also meansioned to Joyce to tell me that

when Lilee stands and mostly when she crawls it appeard that she is curling her

toes under. And to try to discourage her for doing so. How do I do that? He also

said to up her brace time to 15hrs instead of 10hrs. This is Ok with me, but I

have been having a hard time with Lilee doing so. It isnt really that she gets

upset. She does a little, but not bad. But rather that she is so mobile without

them on. Crawling (the way she crawls she can not do with the brace on. 1 leg

stuck out sideways), pulling up and standing, and cruizing. She gets upset that

she can do these things with the brace

on well. She actually is hurting herself. She wacks her shins when going from a

sitting to a crawling position. She slips and falls banding herself all over

when she trys to stand. Her shins, and head look like I beat her. :o(

I try to supervise her, but with 4 kids that just isnt possible. She has

never learned all this cause she didnt crawl until she was dropped to 10hrs,

which I have only done at night. I put a pad on the bar, but it hasnt helped

much. I am debating putting a non-skid lift on the shoe to help with imbalance

when standing. I just dont know what to do. She only sleeps during the day

taking power naps (20 min, at a time). HELP!

Christee, 3 boys

Lilee-UCF A-Typical

P/M's trying to get to 15 hrs again, but more like 10hrs still

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Christee,

Kelsey did not begin her brace wear until she was 13 months old and well into

the cruising, crawling, and trying to walk. At that time, we had to do the 23

hours a day for 3 months. It was not easy but Kelsey learned how to do

everything she wanted to do pretty quickly and would walk behind push toys and

everything. Lilee will figure it all out pretty quickly. Maybe you could

gradually increase her time. Like an extra hour a day until the 15 hours.

Maybe leave them on an extra hour in the morning or put them on an hour earlier

at night. Then maybe, it would be a little less noticeable for her.

Jenni

Christee Dawson wrote:

Can someone tell me the difference between MA, In-Toeing, and the sign of

relapse? I sent pics to Dr. P and he said to watch her forefoot close. I only

spoke with Joyce, his nurse, so I didnt get alot of info. I tried calling Dr.

P, but have been unable to reach him. He also meansioned to Joyce to tell me

that when Lilee stands and mostly when she crawls it appeard that she is

curling her toes under. And to try to discourage her for doing so. How do I do

that? He also said to up her brace time to 15hrs instead of 10hrs. This is Ok

with me, but I have been having a hard time with Lilee doing so. It isnt really

that she gets upset. She does a little, but not bad. But rather that she is so

mobile without them on. Crawling (the way she crawls she can not do with the

brace on. 1 leg stuck out sideways), pulling up and standing, and cruizing. She

gets upset that she can do

these things with the brace on well. She actually is hurting herself. She

wacks her shins when going from a sitting to a crawling position. She slips and

falls banding herself all over when she trys to stand. Her shins, and head

look like I beat her. :o(

I try to supervise her, but with 4 kids that just isnt possible. She has never

learned all this cause she didnt crawl until she was dropped to 10hrs, which I

have only done at night. I put a pad on the bar, but it hasnt helped much. I am

debating putting a non-skid lift on the shoe to help with imbalance when

standing. I just dont know what to do. She only sleeps during the day taking

power naps (20 min, at a time). HELP!

Christee, 3 boys

Lilee-UCF A-Typical

P/M's trying to get to 15 hrs again, but more like 10hrs still

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Christee,

Just a little clarification here after looking at this a little more

online - in-toeing is actually caused by MA, with the C shape making

the toes point inward.

In-toeing can also be caused by other things besides MA. It can be

diagnosed when the entire foot turns in, not in a C shape, but twisted

in from the tibia (shin bone) - this is called tibal torsion. There

is also a condition called femoral anteversion, where the femur (thigh

bone) twists inward, causing the knees to turn in (knock-knees) and

the feet to turn in.

Hope this helps,

> >

> > Can someone tell me the difference between MA, In-Toeing, and the

> sign of relapse? I sent pics to Dr. P and he said to watch her

> forefoot close. I only spoke with Joyce, his nurse, so I didnt get

> alot of info. I tried calling Dr. P, but have been unable to reach

> him. He also meansioned to Joyce to tell me that when Lilee stands and

> mostly when she crawls it appeard that she is curling her toes under.

> And to try to discourage her for doing so. How do I do that? He also

> said to up her brace time to 15hrs instead of 10hrs. This is Ok with

> me, but I have been having a hard time with Lilee doing so. It isnt

> really that she gets upset. She does a little, but not bad. But rather

> that she is so mobile without them on. Crawling (the way she crawls

> she can not do with the brace on. 1 leg stuck out sideways), pulling

> up and standing, and cruizing. She gets upset that she can do these

> things with the brace on well. She actually is hurting herself. She

> wacks her shins when going from a sitting to a crawling position. She

> slips and falls banding herself all over when she trys to stand. Her

> shins, and head look like I beat her. :o(

> > I try to supervise her, but with 4 kids that just isnt possible.

> She has never learned all this cause she didnt crawl until she was

> dropped to 10hrs, which I have only done at night. I put a pad on the

> bar, but it hasnt helped much. I am debating putting a non-skid lift

> on the shoe to help with imbalance when standing. I just dont know

> what to do. She only sleeps during the day taking power naps (20 min,

> at a time). HELP!

> >

> >

> > Christee, 3 boys

> > Lilee-UCF A-Typical

> > P/M's trying to get to 15 hrs again, but more like 10hrs still

> >

> >

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She sleeps at night usually from 9=10om to 7-8am. So she only sleeps 10hrs at

night unfortunatley

Re: Differences

Hi Christee - Hayden is still in his brace 12-14 hours a day and I get as

close to 14 as I can to be conservative about it. I am totally paranoid about a

relapse so would rather err on the side of caution. What I do is focus the brace

on the times he sleeps. So I aim for at leat 12 of those hours to be through the

night and try to get them on as early as I can before bed (around 6:30-7:00) so

that they can come off when he is up for the day. Then the brace goes on for his

first nap which is 1 1/2 to 2 hours long. If he goes over 14 hours in the brace,

it's a bonus. For his afternoon nap, I try to let him have one period of time

without the brace so that he at least knows what it is like to sleep unfettered.

If I feel he is going to miss his morning nap for whatever reason (like on

Mondays I go to Stroller Fit), I put the brace on. He is pretty good about it if

he is just sitting in the stroller hanging out. I can understand Lilee's

frustration with crawling in the

brace, but don't be surprised if she figures it out soon enough! But if you

aim for sleep times, would that be easier? Even if she is just power napping,

try to get the brace on say 10-15 minutes before she goes down and then leave it

on for the same length of time once she is up. Unless of course she just crashes

and then maybe you can get it on while she is asleep? Also, does she not sleep

more than ten hours a night? If she sleeps more, keep the brace on for that

whole length of time and it will definitely eat up a lot of that 15 hours!

Sometimes Hayden has to have the brace on for up to an hour after he gets up in

the morning depending on what time it went on at bedtime. I have to watch him

like a hawk because he stands up in it and we have wood floors, so it basically

slides out from under him and he has hit his face many times, poor nubbin.

Another reason it is good just to put it on for sleep.

Also, Hayden used to just cat nap until he had the brace and now it almost

seems that getting his brace on is the signal for sleep, because he starts

rubbing his eyes and yawning when I put it on (after the initial freak-out that

he does because he realizes he has to go to bed!!) Now he sleeps very well,

twice a day. In fact, I am hoping to get him down to one long nap in the

afternoon (with brace!) soon.

Anyway, this is just the way I have worked it out and if I was told to extend

his hours again, I'd start putting it on for his afternoon nap to begin with and

go from there. I hope your little sweetie is doing ok! Glad to hear that she is

cruising! Hayden just started also!

Christee Dawson wrote: Can someone tell me the

difference between MA, In-Toeing, and the sign of relapse? I sent pics to Dr. P

and he said to watch her forefoot close. I only spoke with Joyce, his nurse, so

I didnt get alot of info. I tried calling Dr. P, but have been unable to reach

him. He also meansioned to Joyce to tell me that when Lilee stands and mostly

when she crawls it appeard that she is curling her toes under. And to try to

discourage her for doing so. How do I do that? He also said to up her brace time

to 15hrs instead of 10hrs. This is Ok with me, but I have been having a hard

time with Lilee doing so. It isnt really that she gets upset. She does a little,

but not bad. But rather that she is so mobile without them on. Crawling (the way

she crawls she can not do with the brace on. 1 leg stuck out sideways), pulling

up and standing, and cruizing. She gets upset that she can do these things with

the brace

on well. She actually is hurting herself. She wacks her shins when going from

a sitting to a crawling position. She slips and falls banding herself all over

when she trys to stand. Her shins, and head look like I beat her. :o(

I try to supervise her, but with 4 kids that just isnt possible. She has never

learned all this cause she didnt crawl until she was dropped to 10hrs, which I

have only done at night. I put a pad on the bar, but it hasnt helped much. I am

debating putting a non-skid lift on the shoe to help with imbalance when

standing. I just dont know what to do. She only sleeps during the day taking

power naps (20 min, at a time). HELP!

Christee, 3 boys

Lilee-UCF A-Typical

P/M's trying to get to 15 hrs again, but more like 10hrs still

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