Guest guest Posted May 17, 2009 Report Share Posted May 17, 2009 Not all Shriners have Mehta trained docs..... We were referred over and over to 2 docs in NYC who did not do anything like our Mehta doc in Rochester NY. A Cotrel cast and casting table is not like the Mehta method and AMIL frame, which are specifically designed to help derotate the spine, correct the assymetry in the ribcage and straighten the spine itself. Other types of casts can cause damage to the chest wall and don't address all aspects of EDF. The Mehta method is meant to be a a long gentle process, but well worth it. You can send your daughter's medical info to a mehta doc for an evaluation before you go and they will call you with their recommendations free of charge..... It's definately worth the second opinion. Please keep me posted, Steph Subject: Re: New to group-sortaTo: infantile_scoliosis Date: Sunday, May 17, 2009, 4:39 PM We are at Miami Children's Hospital. Should I mention the dr's name? I thought that was a no-no. She went from 77-34 in the first two weeks of the cast. After that, for the next 10 weeks there was no improvement. He said a third cast would be "overkill." He told us after seeing that one week out of the cast she went from 34-66 that obviously she wasn't his typical toddler case and that more casting would be necessary. So we are on a casting indefinitely (no timetable) to keep her as straight as possible. The brace was useless for her. I don't know anything about EDF or Metha casting but hers is a Cotrel cast. Does that mean anything to anyone out there?I have been looking for another pedi ortho down here but everyone, i mean everyone, refers me to this guy.I will look into the Shriners in Greenville too. I thought there was a Shriner's in Tampa? Gotta look into it more.Thanks!Oh and I will post pictures soon so you all can see her.> > > From: Take a guess? <angie815@.. .>> Subject: [infantile_scoliosi s] New to group-sorta> To: infantile_scoliosis @yahoogroups. com> Date: Sunday, May 17, 2009, 11:13 AM> > > > > > > > > Hi all,> > I have been a "member" of this group for a little bit now - maybe a month or so. I have been in and out but haven't had a chance to post our story. So here goes:> > Isabel is currently 29 months (tomorrow ) We noticed her back was curving around 3 months. Her pedi hadn't noticed it. When we noticed it he referred us to a ped. ortho. at Miami Children's Hospital. This was at about 6 months. He told us to basically "wait and see." That as she starts being more mobile, the muscles in her back could cause her spine to straighten out. I was looking for a more proactive approach but my husband wasn't. He wanted to avoid anything if possible. I understood his logic and let it go. PLUS, everytime we mentioned she had scoliosis to someone, they recommended this guy. This guy is supposedly the BEST of the BEST in Florida. Someone (an adult Ortho) even said he was among the best two in the nation. So we took his word and waited and waited. We had appointments every 3-6 months. This past December (08) she turned 2. On her bday we took her for an appt. Her back had progressed from ~30something to late 60s in 6 months! So he> (the ortho) then suggested casting. He didn't explain anything as to how the cast would be and I wasn't there (had a newborn 12/2 at home) so I didn't ask everything I wanted to. Anyway, they casted her 2/2/08 with her first cast. Her back was at 77 degrees then. Noone ever mentioned to me that her organs could be compromised or any consequence of her scoliosis. I was severely depressed to see her suffering so much after the first cast. She couldn't walk and was just miserable. But we took her to her weekly PT and they helped with her balance. I am severely disappointed in the information the doctors failed to give. So, she was in her first cast for 6 weeks. They knocked her out 3/18 and replaced it. Her back was at 34 degrees 2 weeks after the first cast. They removed the cast 4/28 and the ortho told us that 34 degrees was as good as it was going to get and that we would maintain it with a brace. He even had them expedite her brace and we had her> Milwaukee brace by 5/1 (Friday). She hated hated hated the brace bc she knew it could come on and off. BUT we did get to put out the little pool and she had a blast. She had a super hard time learning how to walk again (without the cast) and seemed super uncomfortable in her own skin. Then we went to see the ortho again on the following Tuesday 5/5 and her back had gone from 34 to 66!!!!! In a week!!! So her third cast was put on 5/6 and she seems so much happier IN the cast then out of it. She does anything any other rambunctious toddler does, including touching her toes! A week later her back was back at 27 degrees in the cast. So here we are...3rd cast, 27 degrees, appt next tuesday again, still not thrilled but hoping to avoid surgery. The dr seems to think that regardless we will have back surgery when she is 8-10 yrs old. I am relying on the little bit of faith I've got left to hope she won't. > > I am super glad to have found this group.> > ~Angie> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2009 Report Share Posted May 17, 2009 Hey, I check into the Tampa Shriners and they do not have the Mehta casting. The Shriners in greenville Sc does. If that helps at all. amy~ To: infantile_scoliosis Sent: Sunday, May 17, 2009 12:53:00 PMSubject: Re: Re: New to group-sorta Not all Shriners have Mehta trained docs..... We were referred over and over to 2 docs in NYC who did not do anything like our Mehta doc in Rochester NY. A Cotrel cast and casting table is not like the Mehta method and AMIL frame, which are specifically designed to help derotate the spine, correct the assymetry in the ribcage and straighten the spine itself. Other types of casts can cause damage to the chest wall and don't address all aspects of EDF. The Mehta method is meant to be a a long gentle process, but well worth it. You can send your daughter's medical info to a mehta doc for an evaluation before you go and they will call you with their recommendations free of charge..... It's definately worth the second opinion. Please keep me posted, Steph From: Take a guess? <angie815yahoo (DOT) com>Subject: [infantile_scoliosi s] Re: New to group-sortaTo: infantile_scoliosis @yahoogroups. comDate: Sunday, May 17, 2009, 4:39 PM We are at Miami Children's Hospital. Should I mention the dr's name? I thought that was a no-no. She went from 77-34 in the first two weeks of the cast. After that, for the next 10 weeks there was no improvement. He said a third cast would be "overkill." He told us after seeing that one week out of the cast she went from 34-66 that obviously she wasn't his typical toddler case and that more casting would be necessary. So we are on a casting indefinitely (no timetable) to keep her as straight as possible. The brace was useless for her. I don't know anything about EDF or Metha casting but hers is a Cotrel cast. Does that mean anything to anyone out there?I have been looking for another pedi ortho down here but everyone, i mean everyone, refers me to this guy.I will look into the Shriners in Greenville too. I thought there was a Shriner's in Tampa? Gotta look into it more.Thanks!Oh and I will post pictures soon so you all can see her.> > > From: Take a guess? <angie815@.. .>> Subject: [infantile_scoliosi s] New to group-sorta> To: infantile_scoliosis @yahoogroups. com> Date: Sunday, May 17, 2009, 11:13 AM> > > > > > > > > Hi all,> > I have been a "member" of this group for a little bit now - maybe a month or so. I have been in and out but haven't had a chance to post our story. So here goes:> > Isabel is currently 29 months (tomorrow ) We noticed her back was curving around 3 months. Her pedi hadn't noticed it. When we noticed it he referred us to a ped. ortho. at Miami Children's Hospital. This was at about 6 months. He told us to basically "wait and see." That as she starts being more mobile, the muscles in her back could cause her spine to straighten out. I was looking for a more proactive approach but my husband wasn't. He wanted to avoid anything if possible. I understood his logic and let it go. PLUS, everytime we mentioned she had scoliosis to someone, they recommended this guy. This guy is supposedly the BEST of the BEST in Florida. Someone (an adult Ortho) even said he was among the best two in the nation. So we took his word and waited and waited. We had appointments every 3-6 months. This past December (08) she turned 2. On her bday we took her for an appt. Her back had progressed from ~30something to late 60s in 6 months! So he> (the ortho) then suggested casting. He didn't explain anything as to how the cast would be and I wasn't there (had a newborn 12/2 at home) so I didn't ask everything I wanted to. Anyway, they casted her 2/2/08 with her first cast. Her back was at 77 degrees then. Noone ever mentioned to me that her organs could be compromised or any consequence of her scoliosis. I was severely depressed to see her suffering so much after the first cast. She couldn't walk and was just miserable. But we took her to her weekly PT and they helped with her balance. I am severely disappointed in the information the doctors failed to give. So, she was in her first cast for 6 weeks. They knocked her out 3/18 and replaced it. Her back was at 34 degrees 2 weeks after the first cast. They removed the cast 4/28 and the ortho told us that 34 degrees was as good as it was going to get and that we would maintain it with a brace. He even had them expedite her brace and we had her> Milwaukee brace by 5/1 (Friday). She hated hated hated the brace bc she knew it could come on and off. BUT we did get to put out the little pool and she had a blast. She had a super hard time learning how to walk again (without the cast) and seemed super uncomfortable in her own skin. Then we went to see the ortho again on the following Tuesday 5/5 and her back had gone from 34 to 66!!!!! In a week!!! So her third cast was put on 5/6 and she seems so much happier IN the cast then out of it. She does anything any other rambunctious toddler does, including touching her toes! A week later her back was back at 27 degrees in the cast. So here we are...3rd cast, 27 degrees, appt next tuesday again, still not thrilled but hoping to avoid surgery. The dr seems to think that regardless we will have back surgery when she is 8-10 yrs old. I am relying on the little bit of faith I've got left to hope she won't. > > I am super glad to have found this group.> > ~Angie> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2009 Report Share Posted May 19, 2009 Cotrel is the name of one of the ortho surgeons in France that developed EDF casting for juveniles/adolescents with scoliosis. The goal being to correct or at least maintain the curves of older children/adults. EDF casting is an improvement to the Risser technique, as it has the ability to correct/maintain lordosis. The Risser technique does not have this ability. EDF was not developed by Mehta. Mehta discovered that by applying EDF jackets early, the spine could be channeled to grow straight by harnessing the childs rapid rate of growth. She also found it necessary to modify the EDF cast to properly fit the body of an infant, which is quite different from that of an adolescent or juvenile. HRH From: infantile_scoliosis [mailto:infantile_scoliosis ] On Behalf Of Kauffunger Sent: Sunday, May 17, 2009 10:53 AM To: infantile_scoliosis Subject: Re: Re: New to group-sorta Not all Shriners have Mehta trained docs..... We were referred over and over to 2 docs in NYC who did not do anything like our Mehta doc in Rochester NY. A Cotrel cast and casting table is not like the Mehta method and AMIL frame, which are specifically designed to help derotate the spine, correct the assymetry in the ribcage and straighten the spine itself. Other types of casts can cause damage to the chest wall and don't address all aspects of EDF. The Mehta method is meant to be a a long gentle process, but well worth it. You can send your daughter's medical info to a mehta doc for an evaluation before you go and they will call you with their recommendations free of charge..... It's definately worth the second opinion. Please keep me posted, Steph From: Take a guess? <angie815> Subject: Re: New to group-sorta To: infantile_scoliosis Date: Sunday, May 17, 2009, 4:39 PM We are at Miami Children's Hospital. Should I mention the dr's name? I thought that was a no-no. She went from 77-34 in the first two weeks of the cast. After that, for the next 10 weeks there was no improvement. He said a third cast would be " overkill. " He told us after seeing that one week out of the cast she went from 34-66 that obviously she wasn't his typical toddler case and that more casting would be necessary. So we are on a casting indefinitely (no timetable) to keep her as straight as possible. The brace was useless for her. I don't know anything about EDF or Metha casting but hers is a Cotrel cast. Does that mean anything to anyone out there? I have been looking for another pedi ortho down here but everyone, i mean everyone, refers me to this guy. I will look into the Shriners in Greenville too. I thought there was a Shriner's in Tampa? Gotta look into it more. Thanks! Oh and I will post pictures soon so you all can see her. > > > From: Take a guess? <angie815@.. .> > Subject: [infantile_scoliosi s] New to group-sorta > To: infantile_scoliosis @yahoogroups. com > Date: Sunday, May 17, 2009, 11:13 AM > > > > > > > > > Hi all, > > I have been a " member " of this group for a little bit now - maybe a month or so. I have been in and out but haven't had a chance to post our story. So here goes: > > Isabel is currently 29 months (tomorrow ) We noticed her back was curving around 3 months. Her pedi hadn't noticed it. When we noticed it he referred us to a ped. ortho. at Miami Children's Hospital. This was at about 6 months. He told us to basically " wait and see. " That as she starts being more mobile, the muscles in her back could cause her spine to straighten out. I was looking for a more proactive approach but my husband wasn't. He wanted to avoid anything if possible. I understood his logic and let it go. PLUS, everytime we mentioned she had scoliosis to someone, they recommended this guy. This guy is supposedly the BEST of the BEST in Florida. Someone (an adult Ortho) even said he was among the best two in the nation. So we took his word and waited and waited. We had appointments every 3-6 months. This past December (08) she turned 2. On her bday we took her for an appt. Her back had progressed from ~30something to late 60s in 6 months! So he > (the ortho) then suggested casting. He didn't explain anything as to how the cast would be and I wasn't there (had a newborn 12/2 at home) so I didn't ask everything I wanted to. Anyway, they casted her 2/2/08 with her first cast. Her back was at 77 degrees then. Noone ever mentioned to me that her organs could be compromised or any consequence of her scoliosis. I was severely depressed to see her suffering so much after the first cast. She couldn't walk and was just miserable. But we took her to her weekly PT and they helped with her balance. I am severely disappointed in the information the doctors failed to give. So, she was in her first cast for 6 weeks. They knocked her out 3/18 and replaced it. Her back was at 34 degrees 2 weeks after the first cast. They removed the cast 4/28 and the ortho told us that 34 degrees was as good as it was going to get and that we would maintain it with a brace. He even had them expedite her brace and we had her > Milwaukee brace by 5/1 (Friday). She hated hated hated the brace bc she knew it could come on and off. BUT we did get to put out the little pool and she had a blast. She had a super hard time learning how to walk again (without the cast) and seemed super uncomfortable in her own skin. Then we went to see the ortho again on the following Tuesday 5/5 and her back had gone from 34 to 66!!!!! In a week!!! So her third cast was put on 5/6 and she seems so much happier IN the cast then out of it. She does anything any other rambunctious toddler does, including touching her toes! A week later her back was back at 27 degrees in the cast. So here we are...3rd cast, 27 degrees, appt next tuesday again, still not thrilled but hoping to avoid surgery. The dr seems to think that regardless we will have back surgery when she is 8-10 yrs old. I am relying on the little bit of faith I've got left to hope she won't. > > I am super glad to have found this group. > > ~Angie > Quote Link to comment Share on other sites More sharing options...
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