Guest guest Posted June 25, 2006 Report Share Posted June 25, 2006 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. ( > 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2006 Report Share Posted June 25, 2006 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. ( 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2006 Report Share Posted June 26, 2006 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. ( 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2006 Report Share Posted June 26, 2006 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. ( > > 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 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2006 Report Share Posted June 26, 2006 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. ( 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 Quote Link to comment Share on other sites More sharing options...
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