Re: decreasing hours in FAB?

[Guest guest]

Carol, I'm in the same boat. I have the same question as you. My ortho seems to

think that it would be fine to decrease hours to nights/naps after the initial

23/7. We will be in the 23/7 until April 9th. I don't want to go down to just

nights/naps right away. I understand the whole thing about the babies not

complying/fussing if we jump from 23/7 to 12-14/7. But is the baby's

noncompliance the ONLY issue? Or are we talking an increase in possible relapse

by decreasing the hours drastically right away? I, too, don't mind coming down

in hours gradually (that's what I planned on anyway), but I do feel that these

kids need to have some awake time out of the brace to improve their gross motor

skills, crawling, walking, etc. I emailed Dr. P asking what he would recommend

for Marcus as far as coming down in hours. He responded saying that our ortho is

the best one to make that decision. Marcus will be 5 months old when we come out

of the 23/7 brace wear. This is how I am planning on coming

down in hours: 20/7 for one month. 18/7 for another month. 16/7 for about 3

months and then down to 12-14/7. That's the schedule I've made up. If someone

feels that my plan is not the way to go, please chime in. I really would like

some feedback, too.

Carol Shelton wrote: I posted the question below

about a week ago but didn't get an answer. Hoping to get some guidance, as my

doc just gives the standard " nights and naps " answer. I am very concrete and

conservative when it comes to the brace wear so am hoping to get some guidance.

Thanks in advance!

has about a month left in her 23/7 wear. While I LOVE to hold my baby

out of the braces, dress her in " non brace friendly " cute clothes and want her

to have time to practice moving around without it, I won't do anything to

compromise our eventual goal, which is to have straight and fully functional

feet for a lifetime.

Our ortho, approaches this as if he expects parents not to comply with the

bracing schedule. He makes the correct recommendations and then quizzes you on

the next appointment to see what you have ACTUALLY done. LOL He seemed

surprised when I told him that has indeed been in them 23/7 and we would

continue this. I told him that I planned to be conservative with the bracing

hours and perhaps wear the brace longer hours or until she is older than typical

just for insurance. I think he thought, " Yeah, right! We'll see what she

actually does! " He is a wonderful doc, but I think his experience has been that

most parents don't comply with the bracing schedule.

So what seems to be a good conservative bracing schedule for a typical baby who

is ending the 23/7 wear at the age of six months and has some time in them

before walking? (i.e. What hours do we do after 23/7 and for how long? Until

when before lowering them?) I also think that 's feet may be more prone

to relapse because they are a bit atypical, according to Dr. Ponseti. Thanks

for any feedback,

Carol and , bcf, 10-27-05, s 23/7

[Guest guest]

Carol,

After our 23/7 we went to 21/7 for about a month, then to 16-18hours. We are

still at that at age 20 months. You have to remember this is after recasting at

14.5 months. Sorry this isn't much help, someone will chime in here for bracing

for a 6 month old. Good luck

Tabitha

Carol Shelton wrote:

I posted the question below about a week ago but didn't get an answer. Hoping

to get some guidance, as my doc just gives the standard " nights and naps "

answer. I am very concrete and conservative when it comes to the brace wear so

am hoping to get some guidance. Thanks in advance!

has about a month left in her 23/7 wear. While I LOVE to hold my baby

out of the braces, dress her in " non brace friendly " cute clothes and want her

to have time to practice moving around without it, I won't do anything to

compromise our eventual goal, which is to have straight and fully functional

feet for a lifetime.

Our ortho, approaches this as if he expects parents not to comply with the

bracing schedule. He makes the correct recommendations and then quizzes you on

the next appointment to see what you have ACTUALLY done. LOL He seemed

surprised when I told him that has indeed been in them 23/7 and we would

continue this. I told him that I planned to be conservative with the bracing

hours and perhaps wear the brace longer hours or until she is older than typical

just for insurance. I think he thought, " Yeah, right! We'll see what she

actually does! " He is a wonderful doc, but I think his experience has been that

most parents don't comply with the bracing schedule.

So what seems to be a good conservative bracing schedule for a typical baby who

is ending the 23/7 wear at the age of six months and has some time in them

before walking? (i.e. What hours do we do after 23/7 and for how long? Until

when before lowering them?) I also think that 's feet may be more prone

to relapse because they are a bit atypical, according to Dr. Ponseti. Thanks

for any feedback,

Carol and , bcf, 10-27-05, s 23/7

[Guest guest]

Carol,

I'll tell you what we were told, but beep in mind, she wasn't out of the

casts yet when she was your 's age. =0(

Dr. Ponseti had us go from 23/7 to 22/7, and we are now doing 20/7...We did

23/7 for 3 weeks, 22/7 for a month and a half, and then the 22/7 has been

for the last three weeks. My 's are a bit atypical, also. He had us

drop down to 20/7 after I sent him pics of what I thought to be swelling

after the tentomy, and a little in-toeing. He didn't seem to think that it

was a big deal, and told me to take her down to 20/7, and encourage her to

stand as much as possible both with and without the brace. Your is

probably still too young for you to stand her up and have her hold on to

something, so that probably doesn't apply to you.

Now that she has been standing more and more, I do notice that the in-toeing

is pretty much non-existant! We are doing the 20/7 (Most days it's more like

21/7 because I am so worried that we have gotten her this far, I don't want

to risk screwing things up!) until her next appointment w/ Dr. Ponseti at

the end of April.

I know that your situation will probably be a little different because of

's age, but then again, maybe not. I'm sure that someone with a baby

younger than mine will chime in, but just wanted to give you an example of

what Dr. P has said about hours.

( 2/1/05)

>

>Reply-To: nosurgery4clubfoot

>To: " nosurgery4clubfoot " <nosurgery4clubfoot >

>Subject: decreasing hours in FAB?

>Date: Wed, 29 Mar 2006 11:59:37 -0600

>

>I posted the question below about a week ago but didn't get an answer.

>Hoping to get some guidance, as my doc just gives the standard " nights and

>naps " answer. I am very concrete and conservative when it comes to the

>brace wear so am hoping to get some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to hold my

>baby out of the braces, dress her in " non brace friendly " cute clothes and

>want her to have time to practice moving around without it, I won't do

>anything to compromise our eventual goal, which is to have straight and

>fully functional feet for a lifetime.

>

>Our ortho, approaches this as if he expects parents not to comply with the

>bracing schedule. He makes the correct recommendations and then quizzes

>you on the next appointment to see what you have ACTUALLY done. LOL He

>seemed surprised when I told him that has indeed been in them 23/7

>and we would continue this. I told him that I planned to be conservative

>with the bracing hours and perhaps wear the brace longer hours or until she

>is older than typical just for insurance. I think he thought, " Yeah,

>right! We'll see what she actually does! " He is a wonderful doc, but I

>think his experience has been that most parents don't comply with the

>bracing schedule.

>

>So what seems to be a good conservative bracing schedule for a typical baby

>who is ending the 23/7 wear at the age of six months and has some time in

>them before walking? (i.e. What hours do we do after 23/7 and for how

>long? Until when before lowering them?) I also think that 's feet

>may be more prone to relapse because they are a bit atypical, according to

>Dr. Ponseti. Thanks for any feedback,

>

>Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

My daughters feet are also A-Typical. Here is the schedule that he has given me.

Hope this helps...

23/7 3 months

18/7 1 month

18-16/7 till standing/walking

14/7 1 yr

10-12/7 until age 5

Christee

Mother of...

*Josh~Learning/Speech Delays (9)

**Aspen~ Bilateral Metatarsus Adductus (6)

***Dylan~PTSD/Anxiety (4)

****Lilee~A-Typical UCF w/Plantaris ® & Metatarsus Adductus (L)

*P/M Brace 16-18/24.Struggling w/pressure sores (8 months)

Concidering Dobbs bar & braces

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

New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

[Guest guest]

Thanks Christee. It helps me.

Christee wrote: My daughters feet are also

A-Typical. Here is the schedule that he has given me. Hope this helps...

23/7 3 months

18/7 1 month

18-16/7 till standing/walking

14/7 1 yr

10-12/7 until age 5

Christee

Mother of...

*Josh~Learning/Speech Delays (9)

**Aspen~ Bilateral Metatarsus Adductus (6)

***Dylan~PTSD/Anxiety (4)

****Lilee~A-Typical UCF w/Plantaris ® & Metatarsus Adductus (L)

*P/M Brace 16-18/24.Struggling w/pressure sores (8 months)

Concidering Dobbs bar & braces

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

New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

[Guest guest]

Thanks Christee!

Re: decreasing hours in FAB?

My daughters feet are also A-Typical. Here is the schedule that he has given

me. Hope this helps...

23/7 3 months

18/7 1 month

18-16/7 till standing/walking

14/7 1 yr

10-12/7 until age 5

Christee

Mother of...

*Josh~Learning/Speech Delays (9)

**Aspen~ Bilateral Metatarsus Adductus (6)

***Dylan~PTSD/Anxiety (4)

****Lilee~A-Typical UCF w/Plantaris ® & Metatarsus Adductus (L)

*P/M Brace 16-18/24.Struggling w/pressure sores (8 months)

Concidering Dobbs bar & braces

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

New Yahoo! Messenger with Voice. Call regular phones from your PC and save

big.

[Guest guest]

Thanks for sharing your schedule, . It is good to hear the different

schedules.

Carol

decreasing hours in FAB?

>Date: Wed, 29 Mar 2006 11:59:37 -0600

>

>I posted the question below about a week ago but didn't get an answer.

>Hoping to get some guidance, as my doc just gives the standard " nights and

>naps " answer. I am very concrete and conservative when it comes to the

>brace wear so am hoping to get some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to hold my

>baby out of the braces, dress her in " non brace friendly " cute clothes and

>want her to have time to practice moving around without it, I won't do

>anything to compromise our eventual goal, which is to have straight and

>fully functional feet for a lifetime.

>

>Our ortho, approaches this as if he expects parents not to comply with the

>bracing schedule. He makes the correct recommendations and then quizzes

>you on the next appointment to see what you have ACTUALLY done. LOL He

>seemed surprised when I told him that has indeed been in them 23/7

>and we would continue this. I told him that I planned to be conservative

>with the bracing hours and perhaps wear the brace longer hours or until she

>is older than typical just for insurance. I think he thought, " Yeah,

>right! We'll see what she actually does! " He is a wonderful doc, but I

>think his experience has been that most parents don't comply with the

>bracing schedule.

>

>So what seems to be a good conservative bracing schedule for a typical baby

>who is ending the 23/7 wear at the age of six months and has some time in

>them before walking? (i.e. What hours do we do after 23/7 and for how

>long? Until when before lowering them?) I also think that 's feet

>may be more prone to relapse because they are a bit atypical, according to

>Dr. Ponseti. Thanks for any feedback,

>

>Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

Hi Carole,

If you look in the links section, there is a link to an email from

Dr. Ponseti regarding bracing protocol. I think the heading

is " bracing protocol as per Dr. Ponseti " .

I would follow his guidlines and be conservative esp. if 's

feet have been said to be a bit complex.

HTH,

& Grace 20mos

urcf FAB 13hrs

>

> I posted the question below about a week ago but didn't get an

answer. Hoping to get some guidance, as my doc just gives the

standard " nights and naps " answer. I am very concrete and

conservative when it comes to the brace wear so am hoping to get some

guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to

hold my baby out of the braces, dress her in " non brace friendly "

cute clothes and want her to have time to practice moving around

without it, I won't do anything to compromise our eventual goal,

which is to have straight and fully functional feet for a lifetime.

>

> Our ortho, approaches this as if he expects parents not to comply

with the bracing schedule. He makes the correct recommendations and

then quizzes you on the next appointment to see what you have

ACTUALLY done. LOL He seemed surprised when I told him that

has indeed been in them 23/7 and we would continue this. I told him

that I planned to be conservative with the bracing hours and perhaps

wear the brace longer hours or until she is older than typical just

for insurance. I think he thought, " Yeah, right! We'll see what she

actually does! " He is a wonderful doc, but I think his experience

has been that most parents don't comply with the bracing schedule.

>

> So what seems to be a good conservative bracing schedule for a

typical baby who is ending the 23/7 wear at the age of six months and

has some time in them before walking? (i.e. What hours do we do

after 23/7 and for how long? Until when before lowering them?) I

also think that 's feet may be more prone to relapse because

they are a bit atypical, according to Dr. Ponseti. Thanks for any

feedback,

>

> Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

Hi - our doctor, Dr. Pirani told me that he likes the babies to be in

the FAB 23/7 for two months post tenotomy casts and then reduces to 12-14

hours/day. Hayden also has atypical feet and has been in them slightly longer

- he'll be coming out of them full time in a couple of days! Yay! I am also

very conservative with the shoes - I'd rather err on the side of caution and a

few times when he's been out of them for longer (eg. at emergency being treated

for bronchiolitis just recently and he had to have the O-Sat on his toe), I

have felt nauseous and anxious because we've had such a battle with his feet

and relaspe would about near kill me! Dr. Pirani did not specify to me if the

12-14 should be consecutive or broken up with naps - I think he leaves it up to

the parent.

I hope this helps!

Carol Shelton wrote: I posted the question below

about a week ago but didn't get an answer. Hoping to get some guidance, as my

doc just gives the standard " nights and naps " answer. I am very concrete and

conservative when it comes to the brace wear so am hoping to get some guidance.

Thanks in advance!

has about a month left in her 23/7 wear. While I LOVE to hold my baby

out of the braces, dress her in " non brace friendly " cute clothes and want her

to have time to practice moving around without it, I won't do anything to

compromise our eventual goal, which is to have straight and fully functional

feet for a lifetime.

Our ortho, approaches this as if he expects parents not to comply with the

bracing schedule. He makes the correct recommendations and then quizzes you on

the next appointment to see what you have ACTUALLY done. LOL He seemed

surprised when I told him that has indeed been in them 23/7 and we would

continue this. I told him that I planned to be conservative with the bracing

hours and perhaps wear the brace longer hours or until she is older than

typical just for insurance. I think he thought, " Yeah, right! We'll see what

she actually does! " He is a wonderful doc, but I think his experience has been

that most parents don't comply with the bracing schedule.

So what seems to be a good conservative bracing schedule for a typical baby

who is ending the 23/7 wear at the age of six months and has some time in them

before walking? (i.e. What hours do we do after 23/7 and for how long? Until

when before lowering them?) I also think that 's feet may be more prone

to relapse because they are a bit atypical, according to Dr. Ponseti. Thanks

for any feedback,

Carol and , bcf, 10-27-05, s 23/7

[Guest guest]

I think in general, a parent has to gauge where they are at right now

(if in 23/7) in relation to when the child *should* walk. Now, that

point is rather arbitrary... kids walk at different ages of course

and any parent of more than one child will likely tell you they all

walked at different ages. However there is a general range where

most kids walk and it's somewhere between 11 and 14mo's on average.

So, take where you are now and add up the next few months till you

get to that range. Divide up the reductions (4 hours for the first

one, then 2hr each reduction afterwards till the 14-16 hour phase)

and see where each reduction would fall. I went with the 14mo

guideline since Darbi walked so darn early (10.5mo's) and I wanted

her to have the most conservative bracing possible (so we stayed at

14-16 till about 14mo's and then dropped to 12-14).

So for example, if your child is 6mo's old at the end of the 23/7

(which the age where most babes who are treated from the get go with

Ponseti Method will be) figure 8 more months till 12-14. So there's

reductions of 18-20, 16-18, and 14-16 to go through in those 8

months. 8 divided by 3 is just a little over 2.5 (actually

2.6666....). So, approximately every 2.5mo's you should feel free

about reducing by another 2 hours.

When you do get to the 14-16, then wait... till walking. If it's 12

mo's and doc thinks it's fine and you feel comfortable then go to

12-14. If you want to wait a little longer... those extra couple of

hours aren't going to hinder a walker and may even do some good. If,

come 14mo's and your child isn't walking yet... you're right where

you need to be at 14-16 waiting for them to walk and when they do get

that down, going to 12-14 could be immediate.

I dunno... this question is hard to answer because ages are

different, feet are different and it's really hard to know when the

child will walk. But I think it's a good plan to plan on your child

being average and aim for that till you know differently. I was

ultra paranoid... still am actually and often she gets at least 14

if not more hours per day but that's because we get busy and leave

her in till later like 10:30 or so. Then again... I have also been

allowing her to take them off at 8 or 9am lately when she asks

because I know she's got her 10 in and Morcuende told me 10 was

ok. I'm *starting* to be able to do 10 and not freak LOL.

hope that helps for anyone who is wondering what the schedule should

be. It's my take on how to determine it and it's not scientific but

it kinda makes sense this way, at least to me.

Kori

.At 09:59 AM 3/29/2006, you wrote:

>I posted the question below about a week ago but didn't get an

>answer. Hoping to get some guidance, as my doc just gives the

>standard " nights and naps " answer. I am very concrete and

>conservative when it comes to the brace wear so am hoping to get

>some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to

>hold my baby out of the braces, dress her in " non brace friendly "

>cute clothes and want her to have time to practice moving around

>without it, I won't do anything to compromise our eventual goal,

>which is to have straight and fully functional feet for a lifetime.

>

>Our ortho, approaches this as if he expects parents not to comply

>with the bracing schedule. He makes the correct recommendations and

>then quizzes you on the next appointment to see what you have

>ACTUALLY done. LOL He seemed surprised when I told him that

>has indeed been in them 23/7 and we would continue this. I told him

>that I planned to be conservative with the bracing hours and perhaps

>wear the brace longer hours or until she is older than typical just

>for insurance. I think he thought, " Yeah, right! We'll see what

>she actually does! " He is a wonderful doc, but I think his

>experience has been that most parents don't comply with the bracing schedule.

>

>So what seems to be a good conservative bracing schedule for a

>typical baby who is ending the 23/7 wear at the age of six months

>and has some time in them before walking? (i.e. What hours do we do

>after 23/7 and for how long? Until when before lowering them?) I

>also think that 's feet may be more prone to relapse because

>they are a bit atypical, according to Dr. Ponseti. Thanks for any feedback,

>

>Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

Well, I feel a little better knowing our doctor isn't the only one reducing

hours from 23/7 to 12-14/7. I can't wait to reduce Marcus' hours even to 18/7.

It will feel like such a treat!

Cohen wrote: Hi - our doctor, Dr. Pirani

told me that he likes the babies to be in the FAB 23/7 for two months post

tenotomy casts and then reduces to 12-14 hours/day. Hayden also has atypical

feet and has been in them slightly longer - he'll be coming out of them full

time in a couple of days! Yay! I am also very conservative with the shoes -

I'd rather err on the side of caution and a few times when he's been out of

them for longer (eg. at emergency being treated for bronchiolitis just recently

and he had to have the O-Sat on his toe), I have felt nauseous and anxious

because we've had such a battle with his feet and relaspe would about near kill

me! Dr. Pirani did not specify to me if the 12-14 should be consecutive or

broken up with naps - I think he leaves it up to the parent.

I hope this helps!

Carol Shelton wrote: I posted the question below

about a week ago but didn't get an answer. Hoping to get some guidance, as my

doc just gives the standard " nights and naps " answer. I am very concrete and

conservative when it comes to the brace wear so am hoping to get some guidance.

Thanks in advance!

has about a month left in her 23/7 wear. While I LOVE to hold my baby

out of the braces, dress her in " non brace friendly " cute clothes and want her

to have time to practice moving around without it, I won't do anything to

compromise our eventual goal, which is to have straight and fully functional

feet for a lifetime.

Our ortho, approaches this as if he expects parents not to comply with the

bracing schedule. He makes the correct recommendations and then quizzes you on

the next appointment to see what you have ACTUALLY done. LOL He seemed

surprised when I told him that has indeed been in them 23/7 and we would

continue this. I told him that I planned to be conservative with the bracing

hours and perhaps wear the brace longer hours or until she is older than

typical just for insurance. I think he thought, " Yeah, right! We'll see what

she actually does! " He is a wonderful doc, but I think his experience has been

that most parents don't comply with the bracing schedule.

So what seems to be a good conservative bracing schedule for a typical baby

who is ending the 23/7 wear at the age of six months and has some time in them

before walking? (i.e. What hours do we do after 23/7 and for how long? Until

when before lowering them?) I also think that 's feet may be more prone

to relapse because they are a bit atypical, according to Dr. Ponseti. Thanks

for any feedback,

Carol and , bcf, 10-27-05, s 23/7

[Guest guest]

Weird, Dr. Pirani had us at 23/7 for 3 mos and said that that was the

norm...hmmmm. He also told us 12-14 but that longer is better and

stressed (as humble as he is) that as the parent we do 95% of the job

with brace compliance and he did 5% with correcting graces foot.

& Grace 20mos

urcf FAB 13hrs

I posted the question

below about a week ago but didn't get an answer. Hoping to get some

guidance, as my doc just gives the standard " nights and naps "

answer. I am very concrete and conservative when it comes to the

brace wear so am hoping to get some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to

hold my baby out of the braces, dress her in " non brace friendly "

cute clothes and want her to have time to practice moving around

without it, I won't do anything to compromise our eventual goal,

which is to have straight and fully functional feet for a lifetime.

>

> Our ortho, approaches this as if he expects parents not to comply

with the bracing schedule. He makes the correct recommendations

and then quizzes you on the next appointment to see what you have

ACTUALLY done. LOL He seemed surprised when I told him that

has indeed been in them 23/7 and we would continue this. I

told him that I planned to be conservative with the bracing hours

and perhaps wear the brace longer hours or until she is older than

typical just for insurance. I think he thought, " Yeah, right!

We'll see what she actually does! " He is a wonderful doc, but I

think his experience has been that most parents don't comply with

the bracing schedule.

>

> So what seems to be a good conservative bracing schedule for a

typical baby who is ending the 23/7 wear at the age of six months

and has some time in them before walking? (i.e. What hours do we do

after 23/7 and for how long? Until when before lowering them?) I

also think that 's feet may be more prone to relapse because

they are a bit atypical, according to Dr. Ponseti. Thanks for any

feedback,

>

> Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

My doc explained it like this when I asked him what " night and nap "

should equal in actual hours.....as your child grows older he will

naturally adjust his time in the shoes based on the amount of sleep

he needs. This will gradually reduce the hours in the shoes as he

gets older. Also, children tend to sleep (and eat) more during a

growth spurt. This means your child will naturally wear the shoes

longer during a growth spurt which is good because the shoes guide

the feet to grow correctly. Hope this helps you! Eventhough I still

don't know what night and nap equals in hours, the explanation made

sense to me:-)

Kristy

Mason 6 months old

BCF

Night & Nap FAB

I posted the question

below about a week ago but didn't get an answer. Hoping to get some

guidance, as my doc just gives the standard " nights and naps "

answer. I am very concrete and conservative when it comes to the

brace wear so am hoping to get some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to

hold my baby out of the braces, dress her in " non brace friendly "

cute clothes and want her to have time to practice moving around

without it, I won't do anything to compromise our eventual goal,

which is to have straight and fully functional feet for a lifetime.

>

> Our ortho, approaches this as if he expects parents not to comply

with the bracing schedule. He makes the correct recommendations

and then quizzes you on the next appointment to see what you have

ACTUALLY done. LOL He seemed surprised when I told him that

has indeed been in them 23/7 and we would continue this. I

told him that I planned to be conservative with the bracing hours

and perhaps wear the brace longer hours or until she is older than

typical just for insurance. I think he thought, " Yeah, right!

We'll see what she actually does! " He is a wonderful doc, but I

think his experience has been that most parents don't comply with

the bracing schedule.

>

> So what seems to be a good conservative bracing schedule for a

typical baby who is ending the 23/7 wear at the age of six months

and has some time in them before walking? (i.e. What hours do we do

after 23/7 and for how long? Until when before lowering them?) I

also think that 's feet may be more prone to relapse because

they are a bit atypical, according to Dr. Ponseti. Thanks for any

feedback,

>

> Carol and , bcf, 10-27-05, s 23/7

>

>

[Guest guest]

I think Kori's response is a good one. Wow, figuring that out mathematically is

mindblowing, but it makes complete sense. So THANK YOU. I think it really does

rely on the child and parents. I realize as parents we want to be conservative

as possible for no possibility of a relapse; and also keep in mind of the

temperment of child and freedom of the FAB. My daughter, she is 7 months,

recently went to night/naps in her s. Her doctor said to just go

nights/naptimes. And to be honest, he wasn't really specific with exact times.

My husband and I decided to just put on her brace at 6 or 7 every night and then

her daycare provider takes it off at lunchtime, usually around 11:30-12:00.

That way we know she is getting 17-18 hours. Then we would wait 2-3 months and

reduce to 14-16. And we are just playing it by ear.

It is funny b/c when she is out of the brace she moves around like she has it

on. When she is on her side, she has her feet positioned as if she is doing leg

lift--and she is braceless! Hope feedback helps.

frogabog wrote:

I think in general, a parent has to gauge where they are at right now

(if in 23/7) in relation to when the child *should* walk. Now, that

point is rather arbitrary... kids walk at different ages of course

and any parent of more than one child will likely tell you they all

walked at different ages. However there is a general range where

most kids walk and it's somewhere between 11 and 14mo's on average.

So, take where you are now and add up the next few months till you

get to that range. Divide up the reductions (4 hours for the first

one, then 2hr each reduction afterwards till the 14-16 hour phase)

and see where each reduction would fall. I went with the 14mo

guideline since Darbi walked so darn early (10.5mo's) and I wanted

her to have the most conservative bracing possible (so we stayed at

14-16 till about 14mo's and then dropped to 12-14).

So for example, if your child is 6mo's old at the end of the 23/7

(which the age where most babes who are treated from the get go with

Ponseti Method will be) figure 8 more months till 12-14. So there's

reductions of 18-20, 16-18, and 14-16 to go through in those 8

months. 8 divided by 3 is just a little over 2.5 (actually

2.6666....). So, approximately every 2.5mo's you should feel free

about reducing by another 2 hours.

When you do get to the 14-16, then wait... till walking. If it's 12

mo's and doc thinks it's fine and you feel comfortable then go to

12-14. If you want to wait a little longer... those extra couple of

hours aren't going to hinder a walker and may even do some good. If,

come 14mo's and your child isn't walking yet... you're right where

you need to be at 14-16 waiting for them to walk and when they do get

that down, going to 12-14 could be immediate.

I dunno... this question is hard to answer because ages are

different, feet are different and it's really hard to know when the

child will walk. But I think it's a good plan to plan on your child

being average and aim for that till you know differently. I was

ultra paranoid... still am actually and often she gets at least 14

if not more hours per day but that's because we get busy and leave

her in till later like 10:30 or so. Then again... I have also been

allowing her to take them off at 8 or 9am lately when she asks

because I know she's got her 10 in and Morcuende told me 10 was

ok. I'm *starting* to be able to do 10 and not freak LOL.

hope that helps for anyone who is wondering what the schedule should

be. It's my take on how to determine it and it's not scientific but

it kinda makes sense this way, at least to me.

Kori

.At 09:59 AM 3/29/2006, you wrote:

>I posted the question below about a week ago but didn't get an

>answer. Hoping to get some guidance, as my doc just gives the

>standard " nights and naps " answer. I am very concrete and

>conservative when it comes to the brace wear so am hoping to get

>some guidance. Thanks in advance!

>

> has about a month left in her 23/7 wear. While I LOVE to

>hold my baby out of the braces, dress her in " non brace friendly "

>cute clothes and want her to have time to practice moving around

>without it, I won't do anything to compromise our eventual goal,

>which is to have straight and fully functional feet for a lifetime.

>

>Our ortho, approaches this as if he expects parents not to comply

>with the bracing schedule. He makes the correct recommendations and

>then quizzes you on the next appointment to see what you have

>ACTUALLY done. LOL He seemed surprised when I told him that

>has indeed been in them 23/7 and we would continue this. I told him

>that I planned to be conservative with the bracing hours and perhaps

>wear the brace longer hours or until she is older than typical just

>for insurance. I think he thought, " Yeah, right! We'll see what

>she actually does! " He is a wonderful doc, but I think his

>experience has been that most parents don't comply with the bracing schedule.

>

>So what seems to be a good conservative bracing schedule for a

>typical baby who is ending the 23/7 wear at the age of six months

>and has some time in them before walking? (i.e. What hours do we do

>after 23/7 and for how long? Until when before lowering them?) I

>also think that 's feet may be more prone to relapse because

>they are a bit atypical, according to Dr. Ponseti. Thanks for any feedback,

>

>Carol and , bcf, 10-27-05, s 23/7

>

>