Guest guest Posted September 11, 2005 Report Share Posted September 11, 2005 That's a great question and I'm looking forward to the responses. Ian has incredibly narrow heels and flat pronated feet too. My ped has currently only suggested I buy him New Balance shoes (he's only age two) as I guess they give great support. But, again - I'm looking forward to hearing what everyone says because I've been thinking orthotics might be a better option for him. Thanks for posting this question! - H > Lindsey has unusually narrow heels and flat pronated feet. At her physical > the ped wanted her in orhtotics to prevent trouble when she's older. > > She's had orthotics when she was younger so its nothing new for her, but I'm > wondering what type seems to work out for your children if they wear them. > > Thanks, Jennie > > Lindsey- age 9 > RSS -? > Verbal apraxia > developmental delay > > And the light of my life. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2005 Report Share Posted September 11, 2005 Hi! also have flat, narrow feet, very difficult to find shoes that fit, or that may be comefortable for her. I think orthotics is the best way to go, because it can help with good body posture, spesially where there is a differance in leg length, it can make the walking so much better and can be made to your childs aquirements. Elize --- advocate22003 wrote: > That's a great question and I'm looking forward to > the responses. > Ian has incredibly narrow heels and flat pronated > feet too. My ped > has currently only suggested I buy him New Balance > shoes (he's only > age two) as I guess they give great support. But, > again - I'm > looking forward to hearing what everyone says > because I've been > thinking orthotics might be a better option for him. > Thanks for > posting this question! > > - H > > > > Lindsey has unusually narrow heels and flat > pronated feet. At > her physical > > the ped wanted her in orhtotics to prevent trouble > when she's > older. > > > > She's had orthotics when she was younger so its > nothing new for > her, but I'm > > wondering what type seems to work out for your > children if they > wear them. > > > > Thanks, Jennie > > > > Lindsey- age 9 > > RSS -? > > Verbal apraxia > > developmental delay > > > > And the light of my life. > > > > > > > > > > > > > > [Non-text portions of this message have been > removed] > > > > ______________________________________________________ Yahoo! for Good Watch the Hurricane Katrina Shelter From The Storm concert http://advision.webevents.yahoo.com/shelter Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2005 Report Share Posted September 11, 2005 Max has narrow heels and pronated feet. As a toddler and preschooler, he had orthotics that went up past his ankles with a velcro strap around the top to place his feet in the correct position. He always complained that his feet hurt and he walked funny. This also affected the way he ran, jumped, climbed, etc. As he got older, the orthotics got shorter. He wore a " heel cup " for awhile. That gave him just enough support and was not visible when he wore shoes/sneakers. When Max was older, more like in upper elementary school, he was switched to shoe inserts for just the bottom of his shoes. They were difficult to deal with because he curled his toes and they did not stay in the right place because of it. We took him to another doctor, a podiatrist, who recommended surgery to implant metal rods which would stabilize his arches. He also noticed that Max's achilles tendons were too tight so he lengthened them during surgery as well. Max has done pretty well since then. It took awhile to recover from it, though. He was in a wheelchair and had considerable pain. He has never regretted it, though. But we sure felt badly for putting him through it! Now he wears nothing. He could have inserts made again, but he says he does not want them. His feet don't really hurt and his posture is okay. He rarely walks around without shoes, though. He needs that support, I guess. And he won't wear sandals. That's a support issue, too. Again, the pronated feet issue was something that Dr. H. wondered about for our RSS/SGA children when Max was a baby. As time has gone on and she has seen more of this, she has concluded that this is something else that must be looked out for in our kids. It's not unique to RSS, but our kids are prone to it (pardon the pun), so it must be monitored. I hope this helps some of you who are asking about this condition. Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2005 Report Share Posted September 11, 2005 Jodi - thank you - this is very helpful information. I've been considering discussing it with our Pediatrician because it seems Ian could use something more than tennis shoes. Your post is much appreciated. - H > Max has narrow heels and pronated feet. As a toddler and > preschooler, he had orthotics that went up past his ankles with a > velcro strap around the top to place his feet in the correct > position. He always complained that his feet hurt and he walked > funny. This also affected the way he ran, jumped, climbed, etc. > > As he got older, the orthotics got shorter. He wore a " heel cup " > for awhile. That gave him just enough support and was not visible > when he wore shoes/sneakers. > > When Max was older, more like in upper elementary school, he was > switched to shoe inserts for just the bottom of his shoes. They > were difficult to deal with because he curled his toes and they did > not stay in the right place because of it. We took him to another > doctor, a podiatrist, who recommended surgery to implant metal rods > which would stabilize his arches. He also noticed that Max's > achilles tendons were too tight so he lengthened them during surgery > as well. > > Max has done pretty well since then. It took awhile to recover from > it, though. He was in a wheelchair and had considerable pain. He > has never regretted it, though. But we sure felt badly for putting > him through it! Now he wears nothing. He could have inserts made > again, but he says he does not want them. His feet don't really > hurt and his posture is okay. He rarely walks around without shoes, > though. He needs that support, I guess. And he won't wear > sandals. That's a support issue, too. > > Again, the pronated feet issue was something that Dr. H. wondered > about for our RSS/SGA children when Max was a baby. As time has > gone on and she has seen more of this, she has concluded that this > is something else that must be looked out for in our kids. It's not > unique to RSS, but our kids are prone to it (pardon the pun), so it > must be monitored. > > I hope this helps some of you who are asking about this condition. > > Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2005 Report Share Posted September 11, 2005 Sheryl, If Dakoda is falling so often and it does not matter what kind of shoes he is wearing, then he needs to be evaluated for his gait. That means someone needs to assess his posture and position of his legs when he walks and the actual movement of his muscles and placement of his feet as they move. That would be the PT who should do that. Without seeing Dakoda, it is difficult to say exactly what is going on or what to do about it, but I have not heard of anyone saying that a child with pronated feet should not have orthotics. I know that as they get older, like Max's age of 17, the use of orthotics is not as frequent, but in a younger child, it would seem to me to be very important. He needs that support in order to help his balance and gait and to learn to not fall down and bump himself, etc. I'm not a professional in this area, so it's just from experience that I speak. Now, if you were asking about something educational, I could probably write reams! Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2005 Report Share Posted September 12, 2005 If a child has been diagnosed with assymetry then that should be the first issue to be addressed. Orthotics will not work properly without built up shoes. What can happen without the build up is that the foot on the longer leg pronates to lower the arch and effectively shorten the leg (it reduces the distance between the hip and the floor). On the short side the foot can supinate to make the arch higher and increasing the distance between the hip and the floor. This also involves tilting and rotating the pelvis, and the associated spinal regions which over time result in postural problems. You know the old song about the foot bone connected to the leg bone ...... and so on. Well its true, especially with these children. Then once we have the correct build up added to a supportive lace or velcro fastening shoe with a strong heel counter (you should not be able to easily push down or squash the back of the shoe with your fingers)then you can start to think about orthotics. As if we don't have enough to deal with your assymetric child also has flat or pronated hypermobile feet. Even though they are only half the weight of their peers they make twice as much noise when they run down the hall. Stand them up in their built up shoes, get down on your hands and knees in front of them and look at their kneecaps. They should be pointing straight ahead. If their feet are pronated then the kneecaps will be looking towards each other. If you drew eyes on their knees they would have cross-eyed knees. When you see this then it is time to get some orthotics. More on types of orthotics later, but Liam just got new ones and is going great with them. Damian just my opinion - some of you know what it's worth. > Sheryl, > > If Dakoda is falling so often and it does not matter what kind of > shoes he is wearing, then he needs to be evaluated for his gait. > That means someone needs to assess his posture and position of his > legs when he walks and the actual movement of his muscles and > placement of his feet as they move. That would be the PT who should > do that. > > Without seeing Dakoda, it is difficult to say exactly what is going > on or what to do about it, but I have not heard of anyone saying > that a child with pronated feet should not have orthotics. I know > that as they get older, like Max's age of 17, the use of orthotics > is not as frequent, but in a younger child, it would seem to me to > be very important. He needs that support in order to help his > balance and gait and to learn to not fall down and bump himself, > etc. > > I'm not a professional in this area, so it's just from experience > that I speak. Now, if you were asking about something educational, > I could probably write reams! > > Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2005 Report Share Posted September 12, 2005 Thank you very much for this great information. It is greatly appreciated. Something else for me to think about. Thank you. - H > > Sheryl, > > > > If Dakoda is falling so often and it does not matter what kind of > > shoes he is wearing, then he needs to be evaluated for his gait. > > That means someone needs to assess his posture and position of his > > legs when he walks and the actual movement of his muscles and > > placement of his feet as they move. That would be the PT who > should > > do that. > > > > Without seeing Dakoda, it is difficult to say exactly what is > going > > on or what to do about it, but I have not heard of anyone saying > > that a child with pronated feet should not have orthotics. I know > > that as they get older, like Max's age of 17, the use of orthotics > > is not as frequent, but in a younger child, it would seem to me to > > be very important. He needs that support in order to help his > > balance and gait and to learn to not fall down and bump himself, > > etc. > > > > I'm not a professional in this area, so it's just from experience > > that I speak. Now, if you were asking about something > educational, > > I could probably write reams! > > > > Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2005 Report Share Posted September 12, 2005 Hi, My non-RSS son had severe hypotonia and pronated almost to the point of walking on his ankles! (this is why I got Emerence into PT at age 3 months). Anywya, he used SMOs, hard plastic cups taht came up over his ankles, than later shorter cups and has used " cookies " inside his shoes until this pair, which we just bought. He is 5 1/2 now and still is weak but doing much better. He did not walk until age 26 months. Emerence has very narrow feet as well but only pronates slightly. the best thing I ever did was take to a mom and pop shoe store where they really paid attention to his feet. New Balance work really well for both of my kids...narrower and very supportive. megan, mom to 5 and Emerence 2.5 > Lindsey has unusually narrow heels and flat pronated feet. At her physical > the ped wanted her in orhtotics to prevent trouble when she's older. > > She's had orthotics when she was younger so its nothing new for her, but I'm > wondering what type seems to work out for your children if they wear them. > > Thanks, Jennie > > Lindsey- age 9 > RSS -? > Verbal apraxia > developmental delay > > And the light of my life. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2005 Report Share Posted September 12, 2005 Thank you Jodi, I believe I will have him evaluated by last p/t , whom is also a friend. I dn't blv the p/t at school is very experienced , very young but sweet and means well.He also fell at school again today cutting the same knee bk open. but goodness he never sits down anymore. and at one time we wished for this. Also will add he is still top heavy and head is still large compared to body but getting better. Thanks again for advise Sheryl Jodi Zwain wrote: Sheryl, If Dakoda is falling so often and it does not matter what kind of shoes he is wearing, then he needs to be evaluated for his gait. That means someone needs to assess his posture and position of his legs when he walks and the actual movement of his muscles and placement of his feet as they move. That would be the PT who should do that. Without seeing Dakoda, it is difficult to say exactly what is going on or what to do about it, but I have not heard of anyone saying that a child with pronated feet should not have orthotics. I know that as they get older, like Max's age of 17, the use of orthotics is not as frequent, but in a younger child, it would seem to me to be very important. He needs that support in order to help his balance and gait and to learn to not fall down and bump himself, etc. I'm not a professional in this area, so it's just from experience that I speak. Now, if you were asking about something educational, I could probably write reams! Jodi Z Quote Link to comment Share on other sites More sharing options...
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