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Re: First time AFO's

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,

I recently got my first AFO in like 15 years and it's only one foot...I too

have come up against some roadblocks...I normally wear between a 5-1/2 to 6 in

womens

linda

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Sorry ..got distracted and didn't finish what I started..anyway..back to

roadblocks in the shoe department...I've had to have my shoes specially

ordered from New Balance..because the shoe store did not have the size and

width on hand..currently to accommodate the brace, I've had to resort to

special " Pedorthic Shoes " ...ugly but fuctional..with elastic laces.

As for pain...yeah..some pain here too..mainly on the bottom of my foot and

some light swelling if I go overboard with the Velcro straps. I guess we just

have to slowly get used to the fact that our feet are now in the position

that they should be in the first palce..instead of highly arched and

curved..hang in there..

linda

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On the advice of my PT I buy my boys the correct shoe size that they would

wear without an AFO, and just take the padding out of the bottom. Their AFOs

don't hurt them.

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First, did you remove the insole from the shoe, if not this could be

the problem. Second try Spenco (SP?) insoles between your foot and

the AFO, this will absorb the shock of walking on hard plastic. I

could only wear my AFO's a couple of days without them. What a

difference they make. I have mine glued at the toe to prevent

movement, but they can be removed easily, if needed.

Try going to a shoe store where you can try on shoes without hassle

from a salesperson. Professionals don't always know what is best, I

found this out the expensive hard way.

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,

If you say your foot is narrow, I find it hard to believe that your

foot with AFO's could wear a B width. When you say professionals, who are

you referring to?? If it is a pedorthist by chance than I would say they are

correct. Since you are a brand new wearer, I don't think you will know what

will be right until you have tried/experienced some shoes and unfortunately

it might be a trial/and error experience. I know with me it was. I have

worn AFO's 10 years +. With anything new, usually it is trial and error. I

am not sure that it is the shoes.....perhaps it is your feet adjusting to

the AFO's.....there will definitely be an adjustment period, don't think

that you can avoid this. Now, it is possible that either the shoe size/or

width may not be correct. Do you know another professional you can see who

can check it out for you? Please let me know what this professional is?

Terry Little

littlet@...

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Services - for you, your loved ones, the medical community, and anyone

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,

One more thing....if it is just a shoe salesman at a regular shoe store, I

am not so sure his advice would be good. If it is a salesman at a specialty

shoe store that deals with people who wear AFO's and related foot problems,

that would be better, however, I feel that a pedorthist would be the best

recommendation. Usually at these specialty shoe stores like for instance

Richey Shoes there is a pedorthist on hand to guide you through and help you

select the best size/width to accommodate your AFO's. They have been trained

in all aspects of the foot and foot problems. Mine is just so helpful and

one time I bought a pair of shoes he recommended and returned them for 1/2

size smaller and then relized that he was correct....I needed that 1/2 size

larger to accommodate my toes. I had to return them again for the original

pair he sold me. He was right, I was wrong.

Terry Little

littlet@...

-----Original Message-----

From: cindy kruser [mailto:tigerboy@...]

Sent: Thursday, June 20, 2002 12:10 AM

Subject: First time AFO's

I got my first pair of AFO's yesterday, and of course went shoe shopping

after my appointment. I normally wear a women's size 6, narrow width. The

" professional shoe fitters " as they called themselves, put me in a New

Balance size

7 1/2 , D width. I didn't think the shoes felt right, but the

" professionals " said I absolutely needed the larger size and D width to

accomodate the braces. They wouldn't even let me try on a B width, telling

me there's no way they would work. I wore my braces for several hours today,

and my feet feel absolutely horrible tonight - like they're bruised or

something. I personally feel the shoes are too big for me, not allowing the

braces to support my foot and ankle correctly. Am I jumping to conclusions

or should the AFO's hurt that much? I think the AFO's themselves fit me

perfectly. Any suggestions or feedback would be appreciated. Thanks!

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,

I don't know about the width issue - it seems it couldn't have hurt

to let you try a more narrow width just to make sure. For the

record, I normally wear a " wide " shoe, (probably a 6 1/2 or 7 D if

you actually sized it) but with my AFOs I need an 8 1/2 EE. Is the

ankle hinged in your AFO or is it solid? A hinged AFO needs even

more width in a shoe than a solid AFO.

Regarding break-in time, I have always been advised to break in AFOs

SLOWLY!!!!!!!!!

The first day they always tell me to limit wearing time to 20

minutes, and then take them off, check for redness and rubbing and

give the foot a rest.

GRADUALLY, increase the wearing time each day until you work up to

wearing them a full day (about 1 week). Wearing them several hours

at one time the first day was probably too much.

Ruth in Raleigh

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