Guest guest Posted May 2, 2006 Report Share Posted May 2, 2006 jennie billhartz wrote: My son, Evan, is 5 months and has atypcial club feet as well. We live in St. Louis and see Dr. Dobbs who studied under Dr. P and uses his method. We got through the casting phase last week and moved on to the brace. Unfortunately, he developed a nasty sore on the top of his foot and the brace had to come off. Evan is a twin and pretty small (only 9.5-10 lbs) and we knew his size might present a problem with the brace. The good news is that the casting worked very well to correct his feet, we just have to hold off on the braces until he grows a bit. He will go back in casts in the meantime. Even with these complications, we still think Dr. P's non-surgical approach is best. Good luck!! If anyone out there has a child with atypical club feet, is familiar with Dr. Dobbs' brace and has had similar issues I describe above, please let me know. I am struggling a bit with all of this and feel like we did something wrong costing us some time. We think part of the problem was the fit of the socks we used - they have to fit perfectly in the brace; any wrinkle can cause blisters and sores. I had a lot of trouble finding socks to fit my little guy. I thought I found something and then the sores got worse. Anyway, just looking for anyone out there that has had similar experiences. Jennie needing prayers wrote: What a wonderful decision to go see Dr. Ponseti. Good for you for investigating the whole clubfoot thing and finding this group. Thank goodness Dr. P was discovered before the surgery. danaandfamily wrote: Hi everyone, My son Luke is 5 months old. He has bilateral club foot. He started casting after the second day of birth. When Luke was born it was two days before Thanksgiving. Therefore we had to wait a couple days before an orthapedic could come and tell us what was wrong with Lukes feet. The hospital kept me for three nights. Finaly an Orthapedic doc came, Told us Luke has a 95% chance he will not need surgery. That made us happy. The doc says it can be fixed. he explained that castings needed to be done. We had no Idea about clubfoot, I can say the doctor made us feel so much better telling us the things he said, it relaxed us to much. Anyways; We were doing castings every week. The doctor told us his feet are doing wonderfull. We are more than 50% there! That made us feel good. Then the last cast will stay on for 3 Weeks. Well, when we went in to take off the 3 week cast this is when things were not going so good anymore. The doc said his feet are not getting better and he will need surgery. We were so disapointed. We believed for so many weeks our son was doing great. They put more casts on him for two weeks while we waited for his braces. The doc also says he wants to do surgey when he is 9 months old. We got the braces, we hate the braces! We cant keep them on his feet the right way. Anyways this is about the time I start to investigate clubfoot. We decide to go get a second opinion 3 hours away from us. This doc says posterior release as soon as possible. We set the date. 1 week later I joined nosurgery4clubfoot. I recieved info on how to talk with doc Ponseti. I sent him an e mail of Lukes feet. Dr Ponseti says Luke has aytipical clubfoot. He also says to come see him in Iowa. My husband and us are going. After all the good things I hear about his work, I would be crazy not to. We leave thursday. Northern California to Iowa we go. Our appointment is on May 8th. I will post U all soon. Thanks for all the good info. And good luck to us all. Luke's Mommy. Dana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2006 Report Share Posted May 2, 2006 Jennie, I would think that Evan could go into the Ponseti/ brace right now. I think perhaps there was some confusion on the nurse's part in telling you that the P/M brace has a " window " ....perhaps she was referring to the Markell shoes (the standard FAB is the Markell shoes on a bar) that have a hole in the back of them. The Markell shoes are not recommended typically for babies with a-typical feet. They don't hold the foot as well as the P/M brace, which is more like a Birkenstock sandal in design. I know that you can get the P/M brace through Dr. Dobbs office, you'd have to specifically ask for it, though, and work with them, because it's made by MD Orthopaedics in Iowa City, not something that can be fabricated in St. Louis. Or you could order it directly from at MD Orthopaedics. This way he could go into the brace as soon as his sores are healed up and not have to sit in holding casts for too long. I know you'll get more feedback from the families who are using the shoes (P/M brace) and Dobbs' patients. Just wanted to chime in here quickly for you. There's information here under the bracing section: http://members.tripod.com/ponseti_links-ivil Best wishes, & (3-16-00, left clubfoot) Hi everyone, > My son Luke is 5 months old. He has bilateral club foot. He started > casting after the second day of birth. When Luke was born it was two > days before Thanksgiving. Therefore we had to wait a couple days > before an orthapedic could come and tell us what was wrong with Lukes > feet. The hospital kept me for three nights. Finaly an Orthapedic doc > came, Told us Luke has a 95% chance he will not need surgery. That > made us happy. The doc says it can be fixed. he explained that > castings needed to be done. We had no Idea about clubfoot, I can say > the doctor made us feel so much better telling us the things he said, > it relaxed us to much. Anyways; We were doing castings every week. > The doctor told us his feet are doing wonderfull. We are more than > 50% there! That made us feel good. Then the last cast will stay on > for 3 Weeks. Well, when we went in to take off the 3 week cast this > is when things were not going so good anymore. The doc said his feet > are not getting better and he will need surgery. We were so > disapointed. We believed for so many weeks our son was doing great. > They put more casts on him for two weeks while we waited for his > braces. The doc also says he wants to do surgey when he is 9 months > old. We got the braces, we hate the braces! We cant keep them on his > feet the right way. Anyways this is about the time I start to > investigate clubfoot. We decide to go get a second opinion 3 hours > away from us. This doc says posterior release as soon as possible. We > set the date. 1 week later I joined nosurgery4clubfoot. I recieved > info on how to talk with doc Ponseti. I sent him an e mail of Lukes > feet. Dr Ponseti says Luke has aytipical clubfoot. He also says to > come see him in Iowa. My husband and us are going. After all the good > things I hear about his work, I would be crazy not to. We leave > thursday. Northern California to Iowa we go. Our appointment is on > May 8th. I will post U all soon. Thanks for all the good info. And > good luck to us all. Luke's Mommy. Dana > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2006 Report Share Posted May 2, 2006 Yup. I'm getting the names of the braces confused. We have not been good at educating ourselves on alternatives to Dr. Dobbs approach, until now when we are faced with the possibility that his brace won't work for Evan. did talk about the " Birkenstock " type brace/the brace as a possible alternative for us. We will be talking with Dr. Dobbs more next Tuesday about all of this and our alternatives. I want to get more information for myself so I have a better idea what's out there and what questions to ask. Thanks very much!! Jennie jennyandkelly wrote: Jennie, I would think that Evan could go into the Ponseti/ brace right now. I think perhaps there was some confusion on the nurse's part in telling you that the P/M brace has a " window " ....perhaps she was referring to the Markell shoes (the standard FAB is the Markell shoes on a bar) that have a hole in the back of them. The Markell shoes are not recommended typically for babies with a-typical feet. They don't hold the foot as well as the P/M brace, which is more like a Birkenstock sandal in design. I know that you can get the P/M brace through Dr. Dobbs office, you'd have to specifically ask for it, though, and work with them, because it's made by MD Orthopaedics in Iowa City, not something that can be fabricated in St. Louis. Or you could order it directly from at MD Orthopaedics. This way he could go into the brace as soon as his sores are healed up and not have to sit in holding casts for too long. I know you'll get more feedback from the families who are using the shoes (P/M brace) and Dobbs' patients. Just wanted to chime in here quickly for you. There's information here under the bracing section: http://members.tripod.com/ponseti_links-ivil Best wishes, & (3-16-00, left clubfoot) Hi everyone, > My son Luke is 5 months old. He has bilateral club foot. He started > casting after the second day of birth. When Luke was born it was two > days before Thanksgiving. Therefore we had to wait a couple days > before an orthapedic could come and tell us what was wrong with Lukes > feet. The hospital kept me for three nights. Finaly an Orthapedic doc > came, Told us Luke has a 95% chance he will not need surgery. That > made us happy. The doc says it can be fixed. he explained that > castings needed to be done. We had no Idea about clubfoot, I can say > the doctor made us feel so much better telling us the things he said, > it relaxed us to much. Anyways; We were doing castings every week. > The doctor told us his feet are doing wonderfull. We are more than > 50% there! That made us feel good. Then the last cast will stay on > for 3 Weeks. Well, when we went in to take off the 3 week cast this > is when things were not going so good anymore. The doc said his feet > are not getting better and he will need surgery. We were so > disapointed. We believed for so many weeks our son was doing great. > They put more casts on him for two weeks while we waited for his > braces. The doc also says he wants to do surgey when he is 9 months > old. We got the braces, we hate the braces! We cant keep them on his > feet the right way. Anyways this is about the time I start to > investigate clubfoot. We decide to go get a second opinion 3 hours > away from us. This doc says posterior release as soon as possible. We > set the date. 1 week later I joined nosurgery4clubfoot. I recieved > info on how to talk with doc Ponseti. I sent him an e mail of Lukes > feet. Dr Ponseti says Luke has aytipical clubfoot. He also says to > come see him in Iowa. My husband and us are going. After all the good > things I hear about his work, I would be crazy not to. We leave > thursday. Northern California to Iowa we go. Our appointment is on > May 8th. I will post U all soon. Thanks for all the good info. And > good luck to us all. Luke's Mommy. Dana > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2006 Report Share Posted May 2, 2006 Jennie, We see Dr Dobbs at Shriner's. Mollie was five months old when she went into the brace. Her atypical feet were very short and fat and we had trouble with the dobbs brace so they started us with markells and the red adjustable bar. We didn't really have much trouble with it, and I actually like it better. After her feet grew some we were able to transition her to the dobbe=s brace. Also we put two pairs if socks on her. First a pair of slightly thick snug fitting sock (put on wrong side out to keep the fuzzy side off her) then a pair of old navy socks over that. In the beginning the 0-6 month socks were too big, but after we put the shoes on we pull on the toes of the socks to keep the extra sock from being bunched up in her shoe. Hope that helps some. really, I think it's a matter of trying lots of different things till you find what works best for you and your little one. Are you still in the 23 hrs a day? We liked to take them off three times a day for 20 min to check for redness, sore, and to change sweaty socks. Marci & Mollie 5-25-05 bcf dobbs brace 16/7 jennie billhartz wrote: jennie billhartz wrote: My son, Evan, is 5 months and has atypcial club feet as well. We live in St. Louis and see Dr. Dobbs who studied under Dr. P and uses his method. We got through the casting phase last week and moved on to the brace. Unfortunately, he developed a nasty sore on the top of his foot and the brace had to come off. Evan is a twin and pretty small (only 9.5-10 lbs) and we knew his size might present a problem with the brace. The good news is that the casting worked very well to correct his feet, we just have to hold off on the braces until he grows a bit. He will go back in casts in the meantime. Even with these complications, we still think Dr. P's non-surgical approach is best. Good luck!! If anyone out there has a child with atypical club feet, is familiar with Dr. Dobbs' brace and has had similar issues I describe above, please let me know. I am struggling a bit with all of this and feel like we did something wrong costing us some time. We think part of the problem was the fit of the socks we used - they have to fit perfectly in the brace; any wrinkle can cause blisters and sores. I had a lot of trouble finding socks to fit my little guy. I thought I found something and then the sores got worse. Anyway, just looking for anyone out there that has had similar experiences. Jennie needing prayers wrote: What a wonderful decision to go see Dr. Ponseti. Good for you for investigating the whole clubfoot thing and finding this group. Thank goodness Dr. P was discovered before the surgery. danaandfamily wrote: Hi everyone, My son Luke is 5 months old. He has bilateral club foot. He started casting after the second day of birth. When Luke was born it was two days before Thanksgiving. Therefore we had to wait a couple days before an orthapedic could come and tell us what was wrong with Lukes feet. The hospital kept me for three nights. Finaly an Orthapedic doc came, Told us Luke has a 95% chance he will not need surgery. That made us happy. The doc says it can be fixed. he explained that castings needed to be done. We had no Idea about clubfoot, I can say the doctor made us feel so much better telling us the things he said, it relaxed us to much. Anyways; We were doing castings every week. The doctor told us his feet are doing wonderfull. We are more than 50% there! That made us feel good. Then the last cast will stay on for 3 Weeks. Well, when we went in to take off the 3 week cast this is when things were not going so good anymore. The doc said his feet are not getting better and he will need surgery. We were so disapointed. We believed for so many weeks our son was doing great. They put more casts on him for two weeks while we waited for his braces. The doc also says he wants to do surgey when he is 9 months old. We got the braces, we hate the braces! We cant keep them on his feet the right way. Anyways this is about the time I start to investigate clubfoot. We decide to go get a second opinion 3 hours away from us. This doc says posterior release as soon as possible. We set the date. 1 week later I joined nosurgery4clubfoot. I recieved info on how to talk with doc Ponseti. I sent him an e mail of Lukes feet. Dr Ponseti says Luke has aytipical clubfoot. He also says to come see him in Iowa. My husband and us are going. After all the good things I hear about his work, I would be crazy not to. We leave thursday. Northern California to Iowa we go. Our appointment is on May 8th. I will post U all soon. Thanks for all the good info. And good luck to us all. Luke's Mommy. Dana Quote Link to comment Share on other sites More sharing options...
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