Re: Re: Dimeglio's French Method Slide Presentation

[Guest guest]

How do they get the casts off with the French method?

[Guest guest]

If I am not mistaken,the French method has always utilized casting over the

weekend. Also, the foot IS mobilized with optimum stretch after every

manipulation utilizing taping and splinting. As I have explained, Quinn

receives a cast every Friday, and it is removed on Monday and fashioned into

a splint. This is the French method.

The plaster he is referring to is Scotchcast(brand name) casting. It is not

plaster, but a lightweight fiberglass type material. Plaster is considered

too heavy and is credited with causing knee and hip abnormalities in

infants. Scotchcast weighs almost nothing and is just as strong as plaster,

if not more durable and convenient.

Re: Dimeglio's French Method Slide

Presentation

> Something at Dr. Dimeglio's web site and something that Jody

> mentioned about the French Method occasionally using plaster casts

> got my attention in the last few days. In Dr. Dimeglio's slide

> presentation towards the end, he mentions that " Plaster in between

> has substantially improved our results " . I do not remember Holly

> at Dallas Scotish Rite ever mentioning in my one

> conversation with her that plaster casting was a part of their French

> Physiotherapy method although maybe they always have done that (or at

> least after Dimeglio added that to his treatment method). Also, when

> I had asked Dr. Herzenberg a year or so ago about the French methods,

> he had mentioned that he felt that Dallas had modified Dimeglio's

> method to adapt it to use in the US.

>

> I assume that Dr. Dimeglio means by " Plaster in between has

> substantially improved our results " that using plaster casting in

> between manipulations as they may now do on a weekly basis. I don't

> know, but perhaps this is what they began doing in 1997 that

> increased their non-surgical success.

>

> I had always had some questions about manipulation without casting

> because of Dr. Ponseti's statement regarding what he felt were common

> errors in attempts to non-surgically treat clubfoot. At his web site

> he essentially repeats what he stated in his 1996 book regarding it

> being his opinion that less non-surgical success would exist if there

> were " #4. Frequent manipulations not followed by immobilization. The

> foot should be immobilized with the contracted ligaments at the

> maximum stretch obtained after each manipulation. Plaster casts

> applied between manipulations serve to keep the ligaments stretched,

> and to loosen them sufficiently to facilitate further stretching in

> the manipulations following at intervals of five to seven days [11]. "

> http://www.vh.org/Providers/Textbooks/Clubfoot/Clubfoot.html

>

> As to whether the plaster casts used by the Dimeglio method are to

> " serve to keep the ligaments stretched and loosen them sufficiently " ,

> to use the casts as a removable AFO type brace, for some other reason

> or some combination of reasons.

>

> I know that Dr. Ponseti has been to Montpelier, France and assume

> that he met with Dimeglio there, but I don't know when their first

> conversations concerning treatment methods may have begun. As to

> whether Dr. Ponseti made that observation in his book because of

> seeing the good but then not great non-surgical statistical results

> of the French method before 1997 or whether Dr. Dimeglio may have

> taken a suggestion from Dr. Ponseti or his 1996 book that

> immobilization by casting had some potential to help improve his

> non-surgical statistical results, who knows. Probably neither, but

> interesting to wonder about. HUMMM!

>

> and (3-17-99)

>

>

>

>

>

> > I was looking at Dr. Dimeglio's Web site in Montpelier, France

> > tonight and noticed that his site has a slide presentation on his

> > French Physiotherapy method. It is found at his site under the

> > Presentations section, then click on the words " Le Pied Bot "

> > http://opm.ifrance.com/opm/Pages/onglet.html

> >

> > I thought that some might be interested in looking at it.

> >

> > and (3-17-99)

>

>

>

>

[Guest guest]

We use scissors......sharp ones. Tongue depressors are used to keep the

scissors away from the babies leg. It is so easy...it takes about 1 minute

to do. Then I fashion it, put some Velcro straps on and, presto, we have a

splint for the week.

Re: Re: Dimeglio's French Method Slide

Presentation

> How do they get the casts off with the French method?

>

>

>

[Guest guest]

That is nothing like the soaking off of the baby casts when you have to soak

them off for at least a half hour once you get the hang of putting a little

vinager on a cloth and holding it to the cast ahead of time. Some casts

before we changed to the Ponseti Method took us a hour and a half to soak off

depending on who put it on the week before.

Your way seems so much easier. I did not know about the French method before

Zach had changed to the Ponseti Method and now he is doing great and is 15

months old . Do babies have to start at birth for that to work?

[Guest guest]

Those pre-ponseti casts were a pain! You're right, it totally depended on

who put them on, in most of our cases they kept layering on more plaster

because the casts would have " weak " areas on them. We would have our doctor

do the manipulating and a resident would do the wrapping and we could always

tell if the resident had any experience doing it before or not. One time our

doctor was away from the office for 2 weeks and a resident did the whole

thing, the cast was so big a few days later if fell right off! So, I look at

it now as it sits on 's dresser as an ornament, as big as it was back

then, it looks so tiny now! We got pretty good at soaking and peeling the

casts off, by the time we reached the 10th and last casts I was taking them

off by myself. It took forever and was really messy!

Our Ponseti casts were big since was older and quite the chubby girl,

thank god we did'nt have to remove those things ourselves!

Re: Re: Dimeglio's French Method Slide

Presentation

>That is nothing like the soaking off of the baby casts when you have to

soak

>them off for at least a half hour once you get the hang of putting a little

>vinager on a cloth and holding it to the cast ahead of time. Some casts

>before we changed to the Ponseti Method took us a hour and a half to soak

off

>depending on who put it on the week before.

>Your way seems so much easier. I did not know about the French method

before

>Zach had changed to the Ponseti Method and now he is doing great and is 15

>months old . Do babies have to start at birth for that to work?

>

>

>

[Guest guest]

It works best when they are started as early as possible. After about 3-4

months it is difficult to work with the kids because they get so strong and

really kick. So, this method is most successful from birth.

But our therapists have worked with kids that they got late, and were able

to really help them. It reduces the amount of surgery that was needed, and

the feet had more muscle mass and less scarring than children who were not

manipulated.

Re: Re: Dimeglio's French Method Slide

Presentation

> That is nothing like the soaking off of the baby casts when you have to

soak

> them off for at least a half hour once you get the hang of putting a

little

> vinager on a cloth and holding it to the cast ahead of time. Some casts

> before we changed to the Ponseti Method took us a hour and a half to soak

off

> depending on who put it on the week before.

> Your way seems so much easier. I did not know about the French method

before

> Zach had changed to the Ponseti Method and now he is doing great and is 15

> months old . Do babies have to start at birth for that to work?

>

>

>

[Guest guest]

Why aren't the doctors removing them with an electric cast saw? Seems like

soaking them puts unnecessary strain on the parents and kiddos.

Re: Re: Dimeglio's French Method Slide

> Presentation

>

>

> >That is nothing like the soaking off of the baby casts when you have to

> soak

> >them off for at least a half hour once you get the hang of putting a

little

> >vinager on a cloth and holding it to the cast ahead of time. Some casts

> >before we changed to the Ponseti Method took us a hour and a half to soak

> off

> >depending on who put it on the week before.

> >Your way seems so much easier. I did not know about the French method

> before

> >Zach had changed to the Ponseti Method and now he is doing great and is

15

> >months old . Do babies have to start at birth for that to work?

> >

> >

> >

[Guest guest]

Hi Jody,

All our doctor ever told us was that they preferred not to use the saw with

the little babies, I don't know if it was the noise or because it made the

people who removed them in the cast room nervous. As much as a pain as it

was removing them I was so glad they let us do the soaking and avoided the

saw. I talked to a mom resently who's little boy was " knicked " while they

removed his last cast, she was so upset. That was what I was mostly worried

about, the noise itself used to actually put to sleep, is'nt that

funny!

By the way, Quinn is your little boy is'nt he? I hope I'm not making a

mistake on that. Anyway, I looked at his pictures in his file and his feet

look great! He has nice size feet and heals and it's amazing what they (and

you of course!) have done for him!!!! Just wanted to remark on how good he

looks.

Holly and

Re: Re: Dimeglio's French Method Slide

Presentation

>Why aren't the doctors removing them with an electric cast saw? Seems like

>soaking them puts unnecessary strain on the parents and kiddos.

> Re: Re: Dimeglio's French Method Slide

>> Presentation

>>

>>

>> >That is nothing like the soaking off of the baby casts when you have to

>> soak

>> >them off for at least a half hour once you get the hang of putting a

>little

>> >vinager on a cloth and holding it to the cast ahead of time. Some casts

>> >before we changed to the Ponseti Method took us a hour and a half to

soak

>> off

>> >depending on who put it on the week before.

>> >Your way seems so much easier. I did not know about the French method

>> before

>> >Zach had changed to the Ponseti Method and now he is doing great and is

>15

>> >months old . Do babies have to start at birth for that to work?

>> >

>> >

>> >

[Guest guest]

Thanks so much Holly! We feel so blessed that his therapy has worked for

him. We are also so glad that the Botox worked. I am glad I didn't let the

fear keep us from going with the Botox. We believe (dare I say it out loud)

that he is not going to need any surgery. We see his doctor next week, so

we will see what he says. His therapist wants him to be a 0-1 on the 0-20

scale, so we have a bit more work to do. He is a 3 now, and 0-5 is

considered non-surgical! Yippee!!! But, we will see. So far so good.

I wonder if they could use the tongue depressors between the cast and skin

to avoid cutting the babies. Although, I guess they are not that thick, and

the saw could very well cut through them, too. How does Dr. Ponseti remove

the casts?

Jody

Re: Re: Dimeglio's French Method Slide

> >> Presentation

> >>

> >>

> >> >That is nothing like the soaking off of the baby casts when you have

to

> >> soak

> >> >them off for at least a half hour once you get the hang of putting a

> >little

> >> >vinager on a cloth and holding it to the cast ahead of time. Some

casts

> >> >before we changed to the Ponseti Method took us a hour and a half to

> soak

> >> off

> >> >depending on who put it on the week before.

> >> >Your way seems so much easier. I did not know about the French method

> >> before

> >> >Zach had changed to the Ponseti Method and now he is doing great and

is

> >15

> >> >months old . Do babies have to start at birth for that to work?

> >> >

> >> >

> >> >

[Guest guest]

Wow, 3 is amazing, your almost there! I'll keep my fingers crossed!

When we had to remove the casts in Iowa we would soak 's legs in the

bathtub for 20 minutes and then wrap them in wet towels and put plastic bags

over them then go to the hospital and they used a cast knife to remove them.

If we did a good soaking job they came off real easy, if we did'nt they

would have to pour warm water over them and then they would be able to cut

them easier. The first visit we soaked her at the hospital, after that time

they asked us to do it beforehand if we could, I think at around that time

business was really getting busy! The first 2 visits we did'nt see any other

clubfoot families while we were there, after that every time we went there

have been at least 3. It was amazing to see all these people going to Iowa

for the same thing. It really did warm my heart.

Of course all of our weekly appointments were in the summertime, so I don't

know how everyone does it in the cold months, I would think they would have

to do the whole removing process in the hospital?

Take Care,

Holly and

Re: Re: Dimeglio's French Method Slide

Presentation

>Thanks so much Holly! We feel so blessed that his therapy has worked for

>him. We are also so glad that the Botox worked. I am glad I didn't let

the

>fear keep us from going with the Botox. We believe (dare I say it out

loud)

>that he is not going to need any surgery. We see his doctor next week, so

>we will see what he says. His therapist wants him to be a 0-1 on the 0-20

>scale, so we have a bit more work to do. He is a 3 now, and 0-5 is

>considered non-surgical! Yippee!!! But, we will see. So far so good.

>

>I wonder if they could use the tongue depressors between the cast and skin

>to avoid cutting the babies. Although, I guess they are not that thick,

and

>the saw could very well cut through them, too. How does Dr. Ponseti remove

>the casts?

>

>Jody

> Re: Re: Dimeglio's French Method Slide

>> >> Presentation

>> >>

>> >>

>> >> >That is nothing like the soaking off of the baby casts when you have

>to

>> >> soak

>> >> >them off for at least a half hour once you get the hang of putting a

>> >little

>> >> >vinager on a cloth and holding it to the cast ahead of time. Some

>casts

>> >> >before we changed to the Ponseti Method took us a hour and a half to

>> soak

>> >> off

>> >> >depending on who put it on the week before.

>> >> >Your way seems so much easier. I did not know about the French

method

>> >> before

>> >> >Zach had changed to the Ponseti Method and now he is doing great and

>is

>> >15

>> >> >months old . Do babies have to start at birth for that to work?

>> >> >

>> >> >

>> >> >

[Guest guest]

In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

jody2ms@... writes:

<< In Dr. Dimeglio's slide >>

Is this something that can be downloaded or? If so, can someone tell me where

I could find it? Thanks.

+

Bilateral Clubfoot

1st surgery April 17th right foot

2nd surgery June 1st left foot

Cast Free July 27th

Further Surgery Pending

[Guest guest]

In a message dated 02/08/2001 3:51:20 PM Eastern Standard Time,

jody2ms@... writes:

<< The link and directions to Dr. Dimeglio's slide presentation can

> > be >>

Thank you :-)~

+

Bilateral Clubfoot

1st surgery April 17th right foot

2nd surgery June 1st left foot

Cast Free July 27th

Further Surgery Pending

Our homepage= hometown.aol.com/ladycub119/myhomepage/index.html

[Guest guest]

VERY nicely said, Traci! Thank you very much for taking the words right out

of my mouth!!

Jody

Re: Re: Dimeglio's French Method Slide

Presentation

> ,

>

> The tenotomy is still considered a surgical procedure. You say that this

is

> required 75% of the time with the Ponseti method. With the French method,

> 75% of the time complete correction is acheived without any surgery

> whatsoever. With the 25% using the French method that does require

surgery,

> the extent of the surgery is dramatically decreased after the therapy.

>

> Traci

>

> Egbert wrote:

>

> > ,

> >

> > The link and directions to Dr. Dimeglio's slide presentation can be

> > seen through the links at

> > http://groups.yahoo.com/group/nosurgery4clubfoot/message/5684

> >

> > Although I think that Dr. Dimeglio's methods seems to work pretty

> > well in avoiding the surgery, in fact probably better than any other

> > treatment method other than the Ponseti method, we should remember

> > that even in the best year of 1997 in Montpelier, France that 12% of

> > children still needed the surgery that at his clinic in France. That

> > is still 2-3 times more likely that a child will need the surgery

> > with the Dimeglio method used by it's creator than if the Ponseti

> > method was used.

> >

> > In the US when the best rates of non-surgical success with the French

> > method would be that 25% would need to have the surgery at Dallas and

> > another doctor that I talked to in Texas thought that he felt

> > that 40% of children he treated with the French method would need the

> > surgery. That would mean that in the US, that for a child using the

> > French method, they would be 5 to 8 times more likely to need the

> > surgery than if the Ponseti method were used.

> >

> > I assume that it is possible that for children where the French

> > method didn't work, that if they were aware of that by between 3-6

> > months that the parents could still go to Iowa and use the Ponseti

> > method to avoid the surgery.

> >

> > But most of those practitioners that I had talked to who used the

> > French method had never done and were nervous about the tenotomy

> > which is used for the Ponseti method about 75% of the time, even

> > though it has been used by others since the 1800's.

> >

> > and (3-17-99)

> >

> >

> > > In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

> > > jody2ms@n... writes:

> > >

> > > << In Dr. Dimeglio's slide >>

> > >

> > > Is this something that can be downloaded or? If so, can someone

> > tell me where

> > > I could find it? Thanks.

> > >

> > > +

> > > Bilateral Clubfoot

> > > 1st surgery April 17th right foot

> > > 2nd surgery June 1st left foot

> > > Cast Free July 27th

> > > Further Surgery Pending

> >

> >

> >

[Guest guest]

I guess the question that I must ask you is this;

Since the Ponseti method has been around for 40 years, why are so few ortho

doctors using it???? I mean, surely after 40 years of tried and true

results a majority of ortho docs would be using it by now. There has just

got to be something to this. I mean, certainly there are other doctors who

are as smart, if not more so, than Dr. Ponseti.

Jody

Re: Dimeglio's French Method Slide

Presentation

> ,

>

> The link and directions to Dr. Dimeglio's slide presentation can be

> seen through the links at

> http://groups.yahoo.com/group/nosurgery4clubfoot/message/5684

>

> Although I think that Dr. Dimeglio's methods seems to work pretty

> well in avoiding the surgery, in fact probably better than any other

> treatment method other than the Ponseti method, we should remember

> that even in the best year of 1997 in Montpelier, France that 12% of

> children still needed the surgery that at his clinic in France. That

> is still 2-3 times more likely that a child will need the surgery

> with the Dimeglio method used by it's creator than if the Ponseti

> method was used.

>

> In the US when the best rates of non-surgical success with the French

> method would be that 25% would need to have the surgery at Dallas and

> another doctor that I talked to in Texas thought that he felt

> that 40% of children he treated with the French method would need the

> surgery. That would mean that in the US, that for a child using the

> French method, they would be 5 to 8 times more likely to need the

> surgery than if the Ponseti method were used.

>

> I assume that it is possible that for children where the French

> method didn't work, that if they were aware of that by between 3-6

> months that the parents could still go to Iowa and use the Ponseti

> method to avoid the surgery.

>

> But most of those practitioners that I had talked to who used the

> French method had never done and were nervous about the tenotomy

> which is used for the Ponseti method about 75% of the time, even

> though it has been used by others since the 1800's.

>

> and (3-17-99)

>

>

>

> > In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

> > jody2ms@n... writes:

> >

> > << In Dr. Dimeglio's slide >>

> >

> > Is this something that can be downloaded or? If so, can someone

> tell me where

> > I could find it? Thanks.

> >

> > +

> > Bilateral Clubfoot

> > 1st surgery April 17th right foot

> > 2nd surgery June 1st left foot

> > Cast Free July 27th

> > Further Surgery Pending

>

>

>

>

[Guest guest]

Try and keep that thought for a moment.......how do you think it would feel

to have YOUR leg cut open and your achilles severed....with nothing more

than a topical anesthetic. I mean, REALLY think about it.

Jody

Re: Dimeglio's French Method Slide

Presentation

> Traci,

>

> Technically a tenotomy could be considered a surgical procedure since

> is uses a blade that goes through the skin. That is why I have

> typically put " non-surgical " in quotes when discussing the Ponseti

> method. But it is typically done without a general anesthesia in

> about 5-10 minutes and the incision is so small that it doesn't

> require stitches or leave a visible scar. Some other studies I have

> seen have said that unlike an open incision surgical procedure that a

> tenotomy hardly leaves any internal scaring. For our child, other

> than needing to have a cast on for 3 weeks, it seemed similar in

> discomfort to having your baby get shots.

>

> Also at the Wheeless Textbook of orthopedics, they list a tenotomy in

> their section on Non-Operative methods of treatment for clubfoot.

> http://medmedia.com/o14/120.htm

>

> I believe that Dr. Herzenberg mentioned at his book review at

> Amazaon.com that he felt that a tenotomy " ... is, after all, less

> invasive than a circumcision. "

> http://www.amazon.com/exec/obidos/ASIN/0192627651/upcapstoliclife/105-

> 2271920-4675915

>

> In addition, Dr. Ponseti has used tenotomies for 50 years and shown

> positive long term outcomes related to their use. My impression is

> that if there was a choice between having a tenotomy and having a

> posterior release type of surgery, that the tenotomy would have fewer

> potential risks and complications. But I agree that if there was a

> choice to avoid the tenotomy and not be at additional risk for the

> posterior release surgery, that would be nice. But in Dr. Posneti's

> long term outcome studies, the difference in the outcomes for those

> who had and didn't have the tenotomy was about 1 on a scale of 100.

> As to whether that one percent difference was because of the tenotomy

> or because the feet needing a tenotomy were by definition more severe

> is not discussed.

>

> and (3-17-99)

>

>

>

>

> > > > In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

> > > > jody2ms@n... writes:

> > > >

> > > > << In Dr. Dimeglio's slide >>

> > > >

> > > > Is this something that can be downloaded or? If so, can someone

> > > tell me where

> > > > I could find it? Thanks.

> > > >

> > > > +

> > > > Bilateral Clubfoot

> > > > 1st surgery April 17th right foot

> > > > 2nd surgery June 1st left foot

> > > > Cast Free July 27th

> > > > Further Surgery Pending

> > >

> > >

> > >

[Guest guest]

Also, try and imagine having your foot abducted out to 70-90

degrees.......forcefully (since a normal foot is not able to go out that

far).

Re: Dimeglio's French Method Slide

> Presentation

>

>

> > Traci,

> >

> > Technically a tenotomy could be considered a surgical procedure since

> > is uses a blade that goes through the skin. That is why I have

> > typically put " non-surgical " in quotes when discussing the Ponseti

> > method. But it is typically done without a general anesthesia in

> > about 5-10 minutes and the incision is so small that it doesn't

> > require stitches or leave a visible scar. Some other studies I have

> > seen have said that unlike an open incision surgical procedure that a

> > tenotomy hardly leaves any internal scaring. For our child, other

> > than needing to have a cast on for 3 weeks, it seemed similar in

> > discomfort to having your baby get shots.

> >

> > Also at the Wheeless Textbook of orthopedics, they list a tenotomy in

> > their section on Non-Operative methods of treatment for clubfoot.

> > http://medmedia.com/o14/120.htm

> >

> > I believe that Dr. Herzenberg mentioned at his book review at

> > Amazaon.com that he felt that a tenotomy " ... is, after all, less

> > invasive than a circumcision. "

> > http://www.amazon.com/exec/obidos/ASIN/0192627651/upcapstoliclife/105-

> > 2271920-4675915

> >

> > In addition, Dr. Ponseti has used tenotomies for 50 years and shown

> > positive long term outcomes related to their use. My impression is

> > that if there was a choice between having a tenotomy and having a

> > posterior release type of surgery, that the tenotomy would have fewer

> > potential risks and complications. But I agree that if there was a

> > choice to avoid the tenotomy and not be at additional risk for the

> > posterior release surgery, that would be nice. But in Dr. Posneti's

> > long term outcome studies, the difference in the outcomes for those

> > who had and didn't have the tenotomy was about 1 on a scale of 100.

> > As to whether that one percent difference was because of the tenotomy

> > or because the feet needing a tenotomy were by definition more severe

> > is not discussed.

> >

> > and (3-17-99)

> >

> >

> >

> >

> > > > > In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

> > > > > jody2ms@n... writes:

> > > > >

> > > > > << In Dr. Dimeglio's slide >>

> > > > >

> > > > > Is this something that can be downloaded or? If so, can someone

> > > > tell me where

> > > > > I could find it? Thanks.

> > > > >

> > > > > +

> > > > > Bilateral Clubfoot

> > > > > 1st surgery April 17th right foot

> > > > > 2nd surgery June 1st left foot

> > > > > Cast Free July 27th

> > > > > Further Surgery Pending

> > > >

> > > >

> > > >

[Guest guest]

>Try and keep that thought for a

> moment.......how do you think it would feel to

> have YOUR leg cut open and your achilles

> severed....with nothing more than a topical

> anesthetic. I mean, REALLY think about it.

I don't mean to be confrontational here, but did your son have a

circumcision? Did he receive any shots? The heel tenotomy is

comparible to shots and a lot less invasive than I would consider a

circumcision to be. It's _not_ cutting the leg open. It's more like a

little puncture. It's not much more worse than the shot that sometimes

is given to numb the spot for the heel tenotomy.

Do you go to the dentist? Do you ever get novacain shot into your gums?

Our kids will deal with things worse or at least as bad as the heel cord

tenotomy.

Joy

http://community.webtv.net/joybelle15/ROSESCLUBFOOTPAGE

[Guest guest]

,

The tenotomy is still considered a surgical procedure. You say that this is

required 75% of the time with the Ponseti method. With the French method,

75% of the time complete correction is acheived without any surgery

whatsoever. With the 25% using the French method that does require surgery,

the extent of the surgery is dramatically decreased after the therapy.

Traci

Egbert wrote:

> ,

>

> The link and directions to Dr. Dimeglio's slide presentation can be

> seen through the links at

> http://groups.yahoo.com/group/nosurgery4clubfoot/message/5684

>

> Although I think that Dr. Dimeglio's methods seems to work pretty

> well in avoiding the surgery, in fact probably better than any other

> treatment method other than the Ponseti method, we should remember

> that even in the best year of 1997 in Montpelier, France that 12% of

> children still needed the surgery that at his clinic in France. That

> is still 2-3 times more likely that a child will need the surgery

> with the Dimeglio method used by it's creator than if the Ponseti

> method was used.

>

> In the US when the best rates of non-surgical success with the French

> method would be that 25% would need to have the surgery at Dallas and

> another doctor that I talked to in Texas thought that he felt

> that 40% of children he treated with the French method would need the

> surgery. That would mean that in the US, that for a child using the

> French method, they would be 5 to 8 times more likely to need the

> surgery than if the Ponseti method were used.

>

> I assume that it is possible that for children where the French

> method didn't work, that if they were aware of that by between 3-6

> months that the parents could still go to Iowa and use the Ponseti

> method to avoid the surgery.

>

> But most of those practitioners that I had talked to who used the

> French method had never done and were nervous about the tenotomy

> which is used for the Ponseti method about 75% of the time, even

> though it has been used by others since the 1800's.

>

> and (3-17-99)

>

>

> > In a message dated 02/07/2001 12:04:53 PM Eastern Standard Time,

> > jody2ms@n... writes:

> >

> > << In Dr. Dimeglio's slide >>

> >

> > Is this something that can be downloaded or? If so, can someone

> tell me where

> > I could find it? Thanks.

> >

> > +

> > Bilateral Clubfoot

> > 1st surgery April 17th right foot

> > 2nd surgery June 1st left foot

> > Cast Free July 27th

> > Further Surgery Pending

>

>

>

[Guest guest]

--- Egbert wrote:

>

> > I guess the question that I must ask you is this;

> > > Since the Ponseti method has been around for 40

> years, why are so

> > few ortho doctors using it???? I mean, surely

> after 40 years of

> > tried and true results a majority of ortho docs

> would be using it

> > by now. There has just got to be something to

> this. I mean,

> certainly there are other doctors who are as smart,

> if not more so,

> than Dr. Ponseti.

>

> Jody,

>

> That is an excellent question? I think that there

> are probably a

> number of reasons why the Ponseti method hasn't yet

> been picked up by

> most doctors. Dr. Herzenberg had told me that when

> he first read

> about and then used the Ponseti method in 1997, that

> he felt that

> within 2 years that almost all Pediatric

> Orthopedists would be using

> it as their manipulation and casting method.

> Obviously that has not

> happened, but I think that things are changing and

> that if more

> parents become aware of the alternatives that it

> will soon be the

> case. I think that Dr. Herzenberg mentions some

> reasonable reasons

> why the changes have not yet taken place at his book

> review on the

> Ponseti method where he says.

>

> " One word of caution: if you adopt Ponseti's method,

> as I have, then

> you will experience a noticeable drop in your

> income. Instead of an

> expensive open posteromedial release, you will be

> doing a relatively

> inexpensive percutaneous tenotomy. However, the

> satisfaction of

> seeing supple, fully corrected feet resulting from

> conservative

> treatment will be its own reward. One final note: if

> Ponseti's method

> is so effective, why is it not widely used? The

> fault lies with two

> parties: we the orthopaedic community, and Ignacio

> Ponseti himself.

> We tend to be conservative, closed minded, and not

> open to new ideas.

> Ponseti has been guilty, at least until he published

> this book, of

> not arguing forcibly enough to promote his ideas.

> Those who

> personally know " Papa " Ponseti understand that he is

> gentle, soft-

> spoken, non-bombastic, and non-dogmatic. As a

> result, his quiet voice

> has been drowned out by the more self-promoting

> personalities in our

> profession. Now in the twilight of his career,

> Ponseti has realized

> how important it is to teach his method to a wider

> audience than just

> residents at the University of Iowa. In this book,

> he has done an

> admirable job of explaining and illustrating his

> method. It is up to

> the rest of us, now, to carefully read, digest, and

> apply his

> principles. Generations of clubfoot babies will

> thank us. "

>

http://www.amazon.com/exec/obidos/ASIN/0192627651/upcapstoliclife/105-

> /105-2271920-4675915

>

> Yes, I am sure that there are probably other doctors

> that are just as

> smart as Dr. Ponseti although probably no one who

> has as much

> experience in the " non-surgical " treatment of

> clubfoot. I was at a

> dinner for the doctors at the Ponseti method

> trainging clinic at the

> U of Iowa in Sept. During that dinner, Dr. Wallace

> Lehman, an

> emeritis professor and world reknown expert and

> author on clubfoot

> treatment and for whom the NYU pediatric orthopedic

> center is named

> gave a talk. In his speech, he stated to the other

> 40 doctors in the

> room that for years he had thought that the Ponseti

> method was just a

> variation of the Kite method that he already knew

> about. He said

> said that after going to Iowa to learn about the

> Ponseti method for

> himself in October 1999 and implementing it at NYU;

> he realized that

> he had now received training at the feet of the

> " master " , Dr.

> Ponseti. It had changed his whole outlook on the

> treatment of

> clubfeet.

>

> and (3-17-99)

>

> ,

How did you learn about the Ponseti seminars. My son

is a patient of Dr.P's and I am just curious. Please

let me know.

Thanks,

Ruth and Bengi

>

__________________________________________________

[Guest guest]

Dr.Ponseti stated to us that a child at the age of

four months their are flexible enough that the femur

could be turned totally around and not hurt them. So

turning the foot 70 to 90 won't hurt them.

Ruth and Bengi

__________________________________________________

[Guest guest]

Dr.van Bosse removes his casts by a saw but never has cut into the skin with

it since it is a special cast removing saw.

[Guest guest]

Ross Synder was at the seminar back in Sept, that's so interesting, we

really wished we could have gone!!!!!!! I found that particular video VERY

encouraging even though he (Ross) had the Ponseti Method since birth. That

man had the most " normal " looking feet and no one could have even been able

to tell he was born with bilateral clubfeet! That's definitely what we're

hoping for.

Holly and

Re: Dimeglio's French Method Slide

Presentation

>> > ,

>> How did you learn about the Ponseti seminars. My son

>> is a patient of Dr.P's and I am just curious. Please

>> let me know.

>> Thanks,

>> Ruth and Bengi

>> >

>

>Ruth,

>

>We have talked about them on this site. For those of us in the

>western US, it is often much easier to go to San Francisco or Los

>Angeles when Dr. Ponseti has been out here that to go for a check-up

>in Iowa. It has also been fulfilling to try to encourage other

>doctors to consider the Ponseti method when we have been at a seminar.

>We have probably gone to more " check-ups " than are needed, but have

>felt a responsibility to try to help be a part of encouraging other

>doctors in learning about the Ponseti method.

>

>The Seminar at the U of Iowa in September 2000 was different in that

>it was for doctors to go to Iowa to be taught the Ponseti method. A

>number of parents here felt that if doctors were going to Iowa, that

>some of us parents should also go to help provide children at

>different ages for them to examine. Many of us also wanted to have a

>Dr. Ponseti appreciation banquet at the same time. There were

>probably about 10-15 Ponseti method children (as well as now 44

>year old Ross Snyder from Dr. Ponseti's video) that came to that

>seminar. A report on the Sept Seminar can be seen at

>http://groups.yahoo.com/group/nosurgery4clubfoot/message/3118

>

>Upcoming Orthopedic related conventions and meetings can be found at

>different web sites on the internet.

>http://groups.yahoo.com/group/nosurgery4clubfoot/message/5495

>http://groups.yahoo.com/group/nosurgery4clubfoot/message/5496

>

> and (3-17-99)

>

>

>

>

[Guest guest]

>From: kwitkos862@...

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Re: Re: Dimeglio's French Method Slide

>Presentation

>Date: Wed, 7 Feb 2001 12:51:47 EST

>

>How do they get the casts off with the French method?Hello My two month old

>daughter is reciving the french method of plaster casts, They have to saw

>the casts off, at first I was very concerned, but they showed me the saw

>and it doesn't have any sharp edges, the third time that they took off the

>cast with the saw she even smiled threw the procure. I think she is getting

>comfortable with it now. Hope this helps

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com