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Re: Hypotonia / Foot Pronation

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I am assuming you are referring to sure steps or other types of AFO

(ankle foot orthotics)...both of my girls got theirs measured by their

PT. Others go to orthotists to get fitted. Either way, a RX from your

child's pediatrician will be needed for insurance purposes. Check

insurance as not all will cover the whole cost.

Lori

>

> I need to get an insert for my son's shoes to help with his

> hypotonia/foot pronation. Can anyone let me know where I would get

> this for him? Thank you in advance.

>

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You would need an rx for foot orthotics -- afos or asos and then go to an

orthatist.  This is not a doctor.  He makes orthotics.

 

 

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From: lndching <lindaching@...>

Subject: [ ] Hypotonia / Foot Pronation

Date: Monday, February 2, 2009, 4:20 PM

I need to get an insert for my son's shoes to help with his

hypotonia/foot pronation. Can anyone let me know where I would get

this for him? Thank you in advance.

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My daughter just got a pair of sure steps.  She LOVES to wear them!  I called

our local children's hospital orthopedic department and they recommended a brace

shop.  She was measured at the brace shop by an orthotist.  It was easy and

painless and I can't believe how much she loves to wear them!

From: seeramona <lorirosen@...>

Subject: [ ] Re: Hypotonia / Foot Pronation

Date: Monday, February 2, 2009, 7:00 PM

I am assuming you are referring to sure steps or other types of AFO

(ankle foot orthotics).. .both of my girls got theirs measured by their

PT. Others go to orthotists to get fitted. Either way, a RX from your

child's pediatrician will be needed for insurance purposes. Check

insurance as not all will cover the whole cost.

Lori

>

> I need to get an insert for my son's shoes to help with his

> hypotonia/foot pronation. Can anyone let me know where I would get

> this for him? Thank you in advance.

>

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Josh had dafo's when he was little for the pronation and they helped immensely,

but now his arches have fallen and the right foot is pronating again (and he's

sprained his ankle a couple of times this school year) - his PT will be giving

us a referral for an orthotist, or to the orthopedic doc that sees Josh at

Shriner's, so we can go back to wearing something.  Good luck with yours!

Sherry and Josh

________________________________

From: jennifer fisher <jenfromcinci@...>

Sent: Tuesday, February 3, 2009 6:03:24 AM

Subject: Re: [ ] Re: Hypotonia / Foot Pronation

My daughter just got a pair of sure steps.  She LOVES to wear them!  I called

our local children's hospital orthopedic department and they recommended a brace

shop.  She was measured at the brace shop by an orthotist.  It was easy and

painless and I can't believe how much she loves to wear them!

From: seeramona <lorirosenaol (DOT) com>

Subject: [childrensapraxiane t] Re: Hypotonia / Foot Pronation

@groups. com

Date: Monday, February 2, 2009, 7:00 PM

I am assuming you are referring to sure steps or other types of AFO

(ankle foot orthotics).. .both of my girls got theirs measured by their

PT. Others go to orthotists to get fitted. Either way, a RX from your

child's pediatrician will be needed for insurance purposes. Check

insurance as not all will cover the whole cost.

Lori

>

> I need to get an insert for my son's shoes to help with his

> hypotonia/foot pronation. Can anyone let me know where I would get

> this for him? Thank you in advance.

>

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Your child's Physical Therapist should be helping you with this. You

will have to get a prescription from your son's regular pediatrician

to supply to the orthotist and then the physical therapist also has to

supply some papers I think to the orthotist. It is a process for sure.

>

> I need to get an insert for my son's shoes to help with his

> hypotonia/foot pronation. Can anyone let me know where I would get

> this for him? Thank you in advance.

>

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Our experience....the PT recommended an insert. We scheduled an appt at

Hangar Orthotics and Prosthetics

to see an orthotist....we received an off the shelf insert made by Cascade

(they have

3 levels of support depending on what is needed). Insurance did not cover,

but it was only

?$80 for the pair.

On Wed, Feb 4, 2009 at 12:49 AM, raindrop3007 <raindrop3007@...>wrote:

> Your child's Physical Therapist should be helping you with this. You

> will have to get a prescription from your son's regular pediatrician

> to supply to the orthotist and then the physical therapist also has to

> supply some papers I think to the orthotist. It is a process for sure.

>

>

> >

> > I need to get an insert for my son's shoes to help with his

> > hypotonia/foot pronation. Can anyone let me know where I would get

> > this for him? Thank you in advance.

> >

>

>

>

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I think it depends what kind of inserts you are getting. My son has

had some that are only distributed through orthotists. His doctor

wrote a script. He has also had some that the PT was able to orderly

directly, and we were able to skip the ortho step.

Dara

> >

> > I need to get an insert for my son's shoes to help with his

> > hypotonia/foot pronation. Can anyone let me know where I would

get

> > this for him? Thank you in advance.

> >

>

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yikes-- why can't WE get any of those braces?? LOL

Ours have been $4,000 and $1,000 and I think one set was maybe in the

hundreds-- thankfully the insurance actually covered those

Becky

In a message dated 2/5/2009 11:02:38 A.M. Eastern Standard Time,

Jessdion@... writes:

?$80 for the pair.

**************Stay up to date on the latest news - from sports scores to

stocks and so much more. (http://aol.com?ncid=emlcntaolcom00000022)

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I just would recommend making sure it's the right decision. We've had

orthopedic doctors tell us that just a good supportive, but flexible

shoe, with a hightop is all that is needed. Any bracing for foot

pronation and low tone doesn't help. Actually, can be

counterproductive. Then, when we had our son in front of physical

therapists (and of course, the Hangar orthotist who makes and sells

them), they stress the importance of foot braces. We spent a lot of

money and time on various inserts and braces, and now, looking

back...we think it *was* all a waste of time.

Just as the Shriner's orthopedic doctor/surgeon had told us, as our

son matures, his tone will improve. Braces aren't going to make a bit

of difference. Which they didn't. Also, he said he doesn't need PT,

which we also spent a ton of time and money on...all he needs is

general strengthening/conditioning exercise. Just get him off the

couch. Also swimming and hippotherapy are good.

So, it's a lot less stressful, and we can see his severely pronated

fee are already starting to improve. He just turned 5 in December,

and he's getting much stronger on the playground, too.

CJ

>

> I need to get an insert for my son's shoes to help with his

> hypotonia/foot pronation. Can anyone let me know where I would get

> this for him? Thank you in advance.

>

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Yes, there is definitely a difference between braces and orthotics.....and

of course, there is a varying level of tone and pronation....each should

be taken on an individual basis. Some kids even without low tone need to be

in

orthotics- to avoid knee valgus and the subsequent effects up the chain from

the

foot. If kids don't have proper alignment they may injure other areas (esp

the knee)

and the biomechanics are impaired.

We have found an improved endurance with orthotics in...and we have a no

shoe

policy in the house so he has plenty of time out of the supports.

And of course every professional has their own opinion...I guess as long as

they are

showing improvements weekly/monthly then whatever you are doing is working!!

On Fri, Feb 6, 2009 at 1:51 PM, CJ <sandycyn@...> wrote:

> I just would recommend making sure it's the right decision. We've had

> orthopedic doctors tell us that just a good supportive, but flexible

> shoe, with a hightop is all that is needed. Any bracing for foot

> pronation and low tone doesn't help. Actually, can be

> counterproductive. Then, when we had our son in front of physical

> therapists (and of course, the Hangar orthotist who makes and sells

> them), they stress the importance of foot braces. We spent a lot of

> money and time on various inserts and braces, and now, looking

> back...we think it *was* all a waste of time.

>

> Just as the Shriner's orthopedic doctor/surgeon had told us, as our

> son matures, his tone will improve. Braces aren't going to make a bit

> of difference. Which they didn't. Also, he said he doesn't need PT,

> which we also spent a ton of time and money on...all he needs is

> general strengthening/conditioning exercise. Just get him off the

> couch. Also swimming and hippotherapy are good.

>

> So, it's a lot less stressful, and we can see his severely pronated

> fee are already starting to improve. He just turned 5 in December,

> and he's getting much stronger on the playground, too.

>

> CJ

>

>

> >

> > I need to get an insert for my son's shoes to help with his

> > hypotonia/foot pronation. Can anyone let me know where I would get

> > this for him? Thank you in advance.

> >

>

>

>

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My daughter was seen by an orthopedic doctor as well who said there were no

special

shoes or braces it would straighten itself out around age 10. We also saw a

Developmental pediatrician and her staff PT recommended orthotics for her. She

said that

it that it would not be counterproductive and would help. We were sent to

Hangers here

in St. Louis.

We had a unusual experience with them in our case it took even longer to get the

orthotics and I was afraid that her foot would grow. I would not recommend them

as the

orthopedist themselves are responsible for the orders and paperwork and if they

get sick

(in our case) we wound up waiting longer and not kept abreast of the situation.

I was

calling every week. Even though they apologized they didn't really help make

up for our

inconvenience. I was also told that the downtown location was the only one

that had a

pediatric orthopedist and he was only available on " Tuesdays " and then it was

" Wednesdays " ....

I also wonder myself if she really needs the orthotics but her gait seems to be

a litter

smoother.

Lissa

> >

> > I need to get an insert for my son's shoes to help with his

> > hypotonia/foot pronation. Can anyone let me know where I would get

> > this for him? Thank you in advance.

> >

>

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Yep, very similar to our awful Hangar experience. Worse, though, once

we *finally* got them, with time and running in for " adjustments " to

the only location. Not to mention the $1200 cost. Then, after none of

it was working for him, actually making it harder to use stairs, and

causing a pigeon-toe effect, which the orthotist tried to explain

away, etc, and having one leg in an almost up to the knee brace, and

the other foot in just a Surestep-type thing (both feet are the same

btw), and long delays within this whole process for short-staffed,

illness, holiday etc...

We went to Shriner's (free, not trying to sell anything) and the

orthopedic doctor there said what I wrote earlier...and also said when

he hits puberty, his tone will increase a lot. All by itself. (just

keep him conditioned with regular kid climbing, running, swimming)

The most telling thing, was when I called the Hangar office to tell

the orthotist what the Shriner doctor said, the secretary took the

info, and the orthotist NEVER even called us back to talk about it. I

think he was relieved that he didn't have to try anymore, since he

already had our money.

CJ

> > >

> > > I need to get an insert for my son's shoes to help with his

> > > hypotonia/foot pronation. Can anyone let me know where I would get

> > > this for him? Thank you in advance.

> > >

> >

>

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hello my name is corrine and i had to have thought when i was little and i am

now 16 that was 15 years ago i had wights on my feet that is because i walked on

my side of my feet so they have thing out there to help that baby and i would

tell them that there is stuff out there to help my baby and you help her because

that is not right for her to sufer like that and that is how i would say it  

                                                         secerily corrine hosmer

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