Re: Adjusting to the DBB - we took it off

[Guest guest]

My suggestion would be to take out the tongue piece that was added and see if

that will help, maybe it is too much padding. Leave the heal pad in place

that keeps the foot down in the shoe. Best of Luck, Kathy

[Guest guest]

Thanks for the information,

's crying seems more like pain than frustration. After the second

night without any real sleep, we took off the Dennis Brown Bar and shoes

because one foot seemed to be coming out of the shoes. We were going to

change his socks, etc.

Problem is that we looked at his feet and Mathew has a dark red

bruise/blister on the front of his ankle where the top of the shoe tongue

was pressing into his foot. Also the whole area around where the tops of his

shoes were is very compressed and above the shoes skin looks normal. It's as

if the shoes have squeezed the " plumpness " out of his foot. I wish I could

tell if the shoes are too tight. I don't believe the rotation is too great,

just worry about how the shoes fit.

When we were fitted for the shoes, the shoe store fitted the shoes on him

and then the Dr. sent us to an orthopedic brace -guy to have a heel pad and

tongue pad put in the shoe. has anybody else had this done? It seems as if

the tongue pad is too tight at the top of the shoe and the combination of

the heel pad and the tongue pad are compressing his foot in that area and

causing the blister and the " smushed foot look "

Are anyone else's shoes fitted with pads like this? What did your child's

foot look like when you took off the bar to change socks? I'm wishing I had

a digital camera to show you all what I am talking about. Another thing -

Most of the pictures I see the DBB looks wider than the baby's hips.

's bar is 6 " wide and he is 7 weeks old. The Doc and the shoe place

said the bar should be as wide as the hips. It was a straight bar and Dr

Tuck bent it in the middle to angle the foot up a little. Dr tuck wanted us

to order a bar like Dr Ponseti uses, but he is not big enough for it yet.

The shoes are Markell open toe/str last shoes.

Thanks for help,

Mike + Becky Zaloudek

[Guest guest]

Mike+Becky Z.

I don't think the bruising and compression at the top of the foot is

normal. The shoe is too tight at that point. Talk to Dr. Tuck

about this.

The bit of padding at the top of the ankle in the shoe is normal and

necessary. I don't know about the padding inside the tongue of the

shoe.

Ricahrd Masoner

http://www.clubfoot.net/

[Guest guest]

> When we were fitted for the shoes, the shoe store fitted the shoes on

> him

> and then the Dr. sent us to an orthopedic brace -guy to have a heel

> pad and

> tongue pad put in the shoe. has anybody else had this done?

Jakob's shoes do not have the tongue pad. The heel pad is in the shoes

though.

> Another thing -

> Most of the pictures I see the DBB looks wider than the baby's hips.

> 's bar is 6 " wide and he is 7 weeks old. The Doc and the shoe

> place

> said the bar should be as wide as the hips. It was a straight bar and

> Dr

> Tuck bent it in the middle to angle the foot up a little. Dr tuck

> wanted us

> to order a bar like Dr Ponseti uses, but he is not big enough for it

> yet.

> The shoes are Markell open toe/str last shoes.

Jakob's DBB is set where his heels are shoulder width apart. He has an

extendable bar on it. I don't know what this measurement was when Jakob

got his DBB at 8 weeks old, but I'm positive it was over 6 " (I took a

tape measure and marked 6 " and it didn't reach the width of an outfit he

wore the first week he had the DBB). I'm sure it would be possible to

get a bar like Dr. Ponseti prescribes even if you have to order it from

American Prosthetics (which is the place Drs. Ponseti, Dietz, and

Weinstein send their patients here in Iowa City). You said is 7

weeks old. How big is he? Jakob was maybe around 10 pounds at 8 weeks

when he got the DBB (he was 6 pounds 15 ounces at birth).

[Guest guest]

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 05 Oct 2000 05:59:03 -0400

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

It sounds like the tongue pad is causing the problems. The bar is supposed

to be even with their shoulders, not hips. That is what I was told anyway.

Can you put him in the shoes w/o the tongue pad? Maybe even without socks

and see how it fitting in there? See if his toes are lining up right? Once

you are sure his feet are in there properly, draw a pen line on the bottom

of the open toe part of the shoe so when you do have socks on you can tell

if his foor is all of the way in. I really think the shoes are too tight,

try taking out the tongue pad, You can always put it back in .....But I

haven't had one and have not had any problems yet...Let us know WIndie Lilly

> Thanks for the information,

>

> 's crying seems more like pain than frustration. After the second

> night without any real sleep, we took off the Dennis Brown Bar and shoes

> because one foot seemed to be coming out of the shoes. We were going to

> change his socks, etc.

>

> Problem is that we looked at his feet and Mathew has a dark red

> bruise/blister on the front of his ankle where the top of the shoe tongue

> was pressing into his foot. Also the whole area around where the tops of his

> shoes were is very compressed and above the shoes skin looks normal. It's as

> if the shoes have squeezed the " plumpness " out of his foot. I wish I could

> tell if the shoes are too tight. I don't believe the rotation is too great,

> just worry about how the shoes fit.

>

> When we were fitted for the shoes, the shoe store fitted the shoes on him

> and then the Dr. sent us to an orthopedic brace -guy to have a heel pad and

> tongue pad put in the shoe. has anybody else had this done? It seems as if

> the tongue pad is too tight at the top of the shoe and the combination of

> the heel pad and the tongue pad are compressing his foot in that area and

> causing the blister and the " smushed foot look "

>

> Are anyone else's shoes fitted with pads like this? What did your child's

> foot look like when you took off the bar to change socks? I'm wishing I had

> a digital camera to show you all what I am talking about. Another thing -

> Most of the pictures I see the DBB looks wider than the baby's hips.

> 's bar is 6 " wide and he is 7 weeks old. The Doc and the shoe place

> said the bar should be as wide as the hips. It was a straight bar and Dr

> Tuck bent it in the middle to angle the foot up a little. Dr tuck wanted us

> to order a bar like Dr Ponseti uses, but he is not big enough for it yet.

> The shoes are Markell open toe/str last shoes.

>

> Thanks for help,

> Mike + Becky Zaloudek

>

>

>

>

[Guest guest]

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 05 Oct 2000 05:59:03 -0400

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

I have a gold Ponseti bar that is from 6-10 inches, You are welcome to it.

It is the kind that is flat and you slide it into the things on the bottom

of the shoes( which I also have) I will be more than happy to pass them

along. WE just got the next size up.WIndie Lilly

> Thanks for the information,

>

> 's crying seems more like pain than frustration. After the second

> night without any real sleep, we took off the Dennis Brown Bar and shoes

> because one foot seemed to be coming out of the shoes. We were going to

> change his socks, etc.

>

> Problem is that we looked at his feet and Mathew has a dark red

> bruise/blister on the front of his ankle where the top of the shoe tongue

> was pressing into his foot. Also the whole area around where the tops of his

> shoes were is very compressed and above the shoes skin looks normal. It's as

> if the shoes have squeezed the " plumpness " out of his foot. I wish I could

> tell if the shoes are too tight. I don't believe the rotation is too great,

> just worry about how the shoes fit.

>

> When we were fitted for the shoes, the shoe store fitted the shoes on him

> and then the Dr. sent us to an orthopedic brace -guy to have a heel pad and

> tongue pad put in the shoe. has anybody else had this done? It seems as if

> the tongue pad is too tight at the top of the shoe and the combination of

> the heel pad and the tongue pad are compressing his foot in that area and

> causing the blister and the " smushed foot look "

>

> Are anyone else's shoes fitted with pads like this? What did your child's

> foot look like when you took off the bar to change socks? I'm wishing I had

> a digital camera to show you all what I am talking about. Another thing -

> Most of the pictures I see the DBB looks wider than the baby's hips.

> 's bar is 6 " wide and he is 7 weeks old. The Doc and the shoe place

> said the bar should be as wide as the hips. It was a straight bar and Dr

> Tuck bent it in the middle to angle the foot up a little. Dr tuck wanted us

> to order a bar like Dr Ponseti uses, but he is not big enough for it yet.

> The shoes are Markell open toe/str last shoes.

>

> Thanks for help,

> Mike + Becky Zaloudek

>

>

>

>

[Guest guest]

Windie Lilly wrote:

> I hate to sound this way but I would REALLY like to send them to

> someone who needs them in the US if possible.

> I hope you understand my feelings.

It's understandable.

Masoner

[Guest guest]

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 05 Oct 2000 12:13:31 -0500 (CDT)

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

> Windie Lilly wrote:

>> I have a gold Ponseti bar that is from 6-10 inches, You are welcome to it.

>

>

> Speaking of which, Dr. Herzenberg said he'll probably be back in

> Nicaragua next summer. The thing that's hindering treatment the most

> is the lack of DBBs and shoes.

>

> If you have a DBB and/or open-toed straight-last shoes you can give,

> please consider sending them to Dr. Herzenberg to use.

>

> Masoner

> http://www.clubfoot.net/

>

You know, I would love to donate my old shoes/bar to someone. I hate to

sound this way but I would REALLY like to send them to someone who needs

them in the US if possible. I know there are plenty of needy kids here that

need them just as bad as the kids in Nicaragua. When I first needed to buy

them , my insurance didn't cover them and it cost over 200 dollars for me.

I looked around on the internet and Dr.s offices to try to find an exchange

program or something to help. There was nothing. I ended up buying them and

it hurt me financially. Now my insurance is better and they are covered so I

would like to help someone who was in my position months ago. I hope you

understand my feelings. WIndie

>

>

[Guest guest]

,

was 9lbs. 12oz at birth. At his two week check-up he was a little

over 10 lbs. That is the last time he was weighed. I'm becoming very

concerned after reading everyone's posts on what their children's DBBs look

like cause 's are filled with padding and his toes slightly hang over

the front edge.

Becky

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 05 Oct 2000 10:38:02 -0500

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

>> When we were fitted for the shoes, the shoe store fitted the shoes on

>> him

>> and then the Dr. sent us to an orthopedic brace -guy to have a heel

>> pad and

>> tongue pad put in the shoe. has anybody else had this done?

>

> Jakob's shoes do not have the tongue pad. The heel pad is in the shoes

> though.

>

>> Another thing -

>> Most of the pictures I see the DBB looks wider than the baby's hips.

>> 's bar is 6 " wide and he is 7 weeks old. The Doc and the shoe

>> place

>> said the bar should be as wide as the hips. It was a straight bar and

>> Dr

>> Tuck bent it in the middle to angle the foot up a little. Dr tuck

>> wanted us

>> to order a bar like Dr Ponseti uses, but he is not big enough for it

>> yet.

>> The shoes are Markell open toe/str last shoes.

>

> Jakob's DBB is set where his heels are shoulder width apart. He has an

> extendable bar on it. I don't know what this measurement was when Jakob

> got his DBB at 8 weeks old, but I'm positive it was over 6 " (I took a

> tape measure and marked 6 " and it didn't reach the width of an outfit he

> wore the first week he had the DBB). I'm sure it would be possible to

> get a bar like Dr. Ponseti prescribes even if you have to order it from

> American Prosthetics (which is the place Drs. Ponseti, Dietz, and

> Weinstein send their patients here in Iowa City). You said is 7

> weeks old. How big is he? Jakob was maybe around 10 pounds at 8 weeks

> when he got the DBB (he was 6 pounds 15 ounces at birth).

>

>

>

>

>

[Guest guest]

Sara,

That's another thing, when we got the shoes the lady at the shoe store

showed us how to put them on by buckling them first then lacing the shoes.

When we got to Dr. Tucks office, he had us lace them first then buckle over

the laces.

Becky and Mike

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 5 Oct 2000 12:50:57 -0500

> To: <nosurgery4clubfootegroups>

> Subject: Re: Adjusting to the DBB - we took it off

>

>

>>

>> Problem is that we looked at his feet and Mathew has a dark red

>> bruise/blister on the front of his ankle where the top of the shoe tongue

>> was pressing into his foot. Also the whole area around where the tops of

> his

>> shoes were is very compressed and above the shoes skin looks normal.

>

>

> Hi Mike and Becky,

> Many ahve responed, about that area already. I just wanted to add that

> while Ivy was in a AFO we had probles with that eara on the foot. We were

> told that is a preasure point of sort and the not to have anything to tight

> there it can limit the circulation to the foot.

> I would ask Dr. Tuck.

>

> With Ivy we sucure the bucket *tightly* then lace the shoes *losely* she

> doesn't kick out of the DBB.

>

> Best wishes,

> Sara and Ivy 8/17/99

> http://www.clubfoot.net

>

>

>

>

>

[Guest guest]

Becky and Mike:

That strikes me as odd that you are placing the buckle over the

laces. Don Schurr and Dr. Ponseti told me that the buckle was the

most important thing & that I should buckle first and then do the

laces. Don Schurr showed me how to put the shoes on 's feet

and then made me do it in front of him & Dr. Ponseti so they could

observe that I was doing it properly. Our brace has the flat DB bar

so it's quite possible that the difference in putting on the shoes

relates directly to the shoe type, but I'm not sure.

Since it's obviously bothering you, why don't you just go ahead and

email Dr. Ponseti with your concerns. Don Schurr has a book listing

the dealers in the US that sell the DBB that they use at U. of Iowa

so I know they could help you find them if that's what is needed.

Also, if the baby is blistering, I know a few people here used

moleskin to protect the baby's skin. You want to make sure any

blisters are kept clean to prevent possible infection.

Hang in there and please keep us posted.

Lorna

> Sara,

> That's another thing, when we got the shoes the lady at the shoe

store

> showed us how to put them on by buckling them first then lacing the

shoes.

> When we got to Dr. Tucks office, he had us lace them first then

buckle over

> the laces.

>

> Becky and Mike

>

> > From: " Sara Masoner " <sara@s...>

> > Reply-To: nosurgery4clubfootegroups

> > Date: Thu, 5 Oct 2000 12:50:57 -0500

> > To: <nosurgery4clubfootegroups>

> > Subject: Re: Adjusting to the DBB - we took

it off

> >

> >

> >>

> >> Problem is that we looked at his feet and Mathew has a dark red

> >> bruise/blister on the front of his ankle where the top of the

shoe tongue

> >> was pressing into his foot. Also the whole area around where the

tops of

> > his

> >> shoes were is very compressed and above the shoes skin looks

normal.

> >

> >

> > Hi Mike and Becky,

> > Many ahve responed, about that area already. I just wanted to

add that

> > while Ivy was in a AFO we had probles with that eara on the

foot. We were

> > told that is a preasure point of sort and the not to have

anything to tight

> > there it can limit the circulation to the foot.

> > I would ask Dr. Tuck.

> >

> > With Ivy we sucure the bucket *tightly* then lace the shoes

*losely* she

> > doesn't kick out of the DBB.

> >

> > Best wishes,

> > Sara and Ivy 8/17/99

> > http://www.clubfoot.net

> >

> >

> >

> >

> >

[Guest guest]

I know that one doctor had suggested putting padding in the tongue if

the child was pulling/slipping out of the shoes. If the child isn't

coming out of the shoe, that padding may not be needed.

Lori

>

> Mike+Becky Z.

>

> I don't think the bruising and compression at the top of the foot is

> normal. The shoe is too tight at that point. Talk to Dr. Tuck

> about this.

>

> The bit of padding at the top of the ankle in the shoe is normal and

> necessary. I don't know about the padding inside the tongue of the

> shoe.

>

> Ricahrd Masoner

> http://www.clubfoot.net/

[Guest guest]

Say, one other thing....

You said the top of the shoe tongue looked to be pressing into the

ankle. Is the top of the shoe tongue fringed? The top of the tongue

(and the bottom as well) on all of Annika's shoes have slits cut into

them every 1/4 " or so, that way the tongue doesn't " press " into the

skin. One parent here had mentioned they had that problem because

the

tongue wasn't 'fringed'.

Lori

>

>

> > From: Mike Z <mjzraz@s...>

> > Reply-To: nosurgery4clubfootegroups

> > Date: Thu, 05 Oct 2000 05:59:03 -0400

> > To: nosurgery4clubfootegroups

> > Subject: Re: Adjusting to the DBB - we took

it off

> >

> It sounds like the tongue pad is causing the problems. The bar is

supposed

> to be even with their shoulders, not hips. That is what I was told

anyway.

> Can you put him in the shoes w/o the tongue pad? Maybe even without

socks

> and see how it fitting in there? See if his toes are lining up

right? Once

> you are sure his feet are in there properly, draw a pen line on the

bottom

> of the open toe part of the shoe so when you do have socks on you

can tell

> if his foor is all of the way in. I really think the shoes are too

tight,

> try taking out the tongue pad, You can always put it back in

......But I

> haven't had one and have not had any problems yet...Let us know

WIndie Lilly

>

>

>

> > Thanks for the information,

> >

> > 's crying seems more like pain than frustration. After the

second

> > night without any real sleep, we took off the Dennis Brown Bar

and shoes

> > because one foot seemed to be coming out of the shoes. We were

going to

> > change his socks, etc.

> >

> > Problem is that we looked at his feet and Mathew has a dark red

> > bruise/blister on the front of his ankle where the top of the

shoe tongue

> > was pressing into his foot. Also the whole area around where the

tops of his

> > shoes were is very compressed and above the shoes skin looks

normal. It's as

> > if the shoes have squeezed the " plumpness " out of his foot. I

wish I could

> > tell if the shoes are too tight. I don't believe the rotation is

too great,

> > just worry about how the shoes fit.

> >

> > When we were fitted for the shoes, the shoe store fitted the

shoes on him

> > and then the Dr. sent us to an orthopedic brace -guy to have a

heel pad and

> > tongue pad put in the shoe. has anybody else had this done? It

seems as if

> > the tongue pad is too tight at the top of the shoe and the

combination of

> > the heel pad and the tongue pad are compressing his foot in that

area and

> > causing the blister and the " smushed foot look "

> >

> > Are anyone else's shoes fitted with pads like this? What did your

child's

> > foot look like when you took off the bar to change socks? I'm

wishing I had

> > a digital camera to show you all what I am talking about. Another

thing -

> > Most of the pictures I see the DBB looks wider than the baby's

hips.

> > 's bar is 6 " wide and he is 7 weeks old. The Doc and the

shoe place

> > said the bar should be as wide as the hips. It was a straight bar

and Dr

> > Tuck bent it in the middle to angle the foot up a little. Dr tuck

wanted us

> > to order a bar like Dr Ponseti uses, but he is not big enough for

it yet.

> > The shoes are Markell open toe/str last shoes.

> >

> > Thanks for help,

> > Mike + Becky Zaloudek

> >

> >

> >

> >

[Guest guest]

Yes it does have the fringes or slits cut into the tongue - except with this

foam rubber padding, the slits are of no use. I think that the shoes fit ok

in the shoe store, but when all this padding was added, they bacame too

tight - I plan to modify the tongue and/or remove the padding as soon as his

blister heals - I just don't know if we will be able to get the shoes on by

then. Just since this morning his feet have begun to turn back in and they

aren't flat anymore but the outer edge of the foot contacts the shoe bottom

first. we may have to get casted for another week...

Mike

>

> Reply-To: nosurgery4clubfootegroups

> Date: Fri, 06 Oct 2000 02:49:37 -0000

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

> Say, one other thing....

>

> You said the top of the shoe tongue looked to be pressing into the

> ankle. Is the top of the shoe tongue fringed? The top of the tongue

> (and the bottom as well) on all of Annika's shoes have slits cut into

> them every 1/4 " or so, that way the tongue doesn't " press " into the

> skin. One parent here had mentioned they had that problem because

> the

> tongue wasn't 'fringed'.

>

> Lori

>

>

>>

>>

>>> From: Mike Z <mjzraz@s...>

>>> Reply-To: nosurgery4clubfootegroups

>>> Date: Thu, 05 Oct 2000 05:59:03 -0400

>>> To: nosurgery4clubfootegroups

>>> Subject: Re: Adjusting to the DBB - we took

> it off

>>>

>> It sounds like the tongue pad is causing the problems. The bar is

> supposed

>> to be even with their shoulders, not hips. That is what I was told

> anyway.

>> Can you put him in the shoes w/o the tongue pad? Maybe even without

> socks

>> and see how it fitting in there? See if his toes are lining up

> right? Once

>> you are sure his feet are in there properly, draw a pen line on the

> bottom

>> of the open toe part of the shoe so when you do have socks on you

> can tell

>> if his foor is all of the way in. I really think the shoes are too

> tight,

>> try taking out the tongue pad, You can always put it back in

> ......But I

>> haven't had one and have not had any problems yet...Let us know

> WIndie Lilly

>>

>>

>>

>>> Thanks for the information,

>>>

>>> 's crying seems more like pain than frustration. After the

> second

>>> night without any real sleep, we took off the Dennis Brown Bar

> and shoes

>>> because one foot seemed to be coming out of the shoes. We were

> going to

>>> change his socks, etc.

>>>

>>> Problem is that we looked at his feet and Mathew has a dark red

>>> bruise/blister on the front of his ankle where the top of the

> shoe tongue

>>> was pressing into his foot. Also the whole area around where the

> tops of his

>>> shoes were is very compressed and above the shoes skin looks

> normal. It's as

>>> if the shoes have squeezed the " plumpness " out of his foot. I

> wish I could

>>> tell if the shoes are too tight. I don't believe the rotation is

> too great,

>>> just worry about how the shoes fit.

>>>

>>> When we were fitted for the shoes, the shoe store fitted the

> shoes on him

>>> and then the Dr. sent us to an orthopedic brace -guy to have a

> heel pad and

>>> tongue pad put in the shoe. has anybody else had this done? It

> seems as if

>>> the tongue pad is too tight at the top of the shoe and the

> combination of

>>> the heel pad and the tongue pad are compressing his foot in that

> area and

>>> causing the blister and the " smushed foot look "

>>>

>>> Are anyone else's shoes fitted with pads like this? What did your

> child's

>>> foot look like when you took off the bar to change socks? I'm

> wishing I had

>>> a digital camera to show you all what I am talking about. Another

> thing -

>>> Most of the pictures I see the DBB looks wider than the baby's

> hips.

>>> 's bar is 6 " wide and he is 7 weeks old. The Doc and the

> shoe place

>>> said the bar should be as wide as the hips. It was a straight bar

> and Dr

>>> Tuck bent it in the middle to angle the foot up a little. Dr tuck

> wanted us

>>> to order a bar like Dr Ponseti uses, but he is not big enough for

> it yet.

>>> The shoes are Markell open toe/str last shoes.

>>>

>>> Thanks for help,

>>> Mike + Becky Zaloudek

>>>

>>>

>>>

>>>

[Guest guest]

Mike and Becky,

I agree with what a couple of others have said about the possibility

that the shoes are too small. Jakob started in the 00 size (currently

in the size 6) on the shoes. When the shoes are first fitted, I have

never seen someone fit them to where the toes would stick out after the

padding has been put in them. Of course, I do live in Iowa City, where

Dr. Ponseti practices, so use the people located within UIHC to get

Jakob's DBB. Can you see the size in 's shoes? If his toes are

hanging out of the shoes, that is a good indicator that the shoes are

too small.

As for which to do first, buckling or tying the laces, I have probably

done both over the last 2 1/2 years. I could swear that we were taught

to tie first (or maybe I hallucinated that) and it seemed easier for me

personally. I currently tie the laces and then buckle - I was at one

point buckling the strap OVER the loops of the bow after I tied the

shoes. The only time Jakob ever pulled his feet out was the first day

he had the DBB and caught the bar at the bottom of his car seat and

worked his feet out.

We have the curved bar. I'm not sure the difference between using the

flat or curved bar. It seems to me that children who are older (6

months or older) when getting the DBB are given the flat bar and those

who are younger are given the curved bar.

As others have asked, are the tongues in the shoes fringed at the top

and bottom (toward the toes and the ankle)? All the shoes Jakob has had

have had the fringed edges.

Keep us posted with your situation.

[Guest guest]

Mike,

I would highly recommend that you call the doctor. Sounds like you

are

planning to leave the shoes off until the blister heals. Now, I

havn't

personally experienced an open blister with Annika yet (we did just

put

on her newest pair of shoes and her heel turned red and she wouldn't

put her foot in her shoe-I temorarily went back to her last pair

until

we are back from our vacation)

There are other folks here I believe who have dealt with blisters in

a

few ways.

#1: Get some Neosporin with pain medication.

#2: using Moleskin ;although I'm not sure how this is done with an

open blister. The moleskin is VERY thin and I don't know how it can

protect the blister from contact with the irritant. When using

moleskin with an open blister, you are suppose to cut out a 'shape'

with a hole in the middle that would allow the blister to be

'uncovered'. Being that it's thin, I'm not sure it would work for

this

particular application.

#3: One parent here used the Corn Cushions that already have a hole

cut

in them and they are a little thicker.

I suggest the possibility of going to the drugstore and looking for

some of these items. I also saw at the drugstore when I went the

other

evening that there was a band-aid type product for covering open

blisters. Maybe you could use something like that, but adhere the

moleskin over the bandaid?

Sounds like you're already planning to remove the tongue padding. I

would agree with that based on your description. I would however,

check with the doctor and see if he recommends actually waiting for

the

blister to heal before putting the shoes back on. I'm not sure what

the stance is on this...

I think that others here have used the neosporin with bandaids/corn

cushions/moleskin and have had pretty good success. You could try

checking the archives also (is there a search function on this site?)

to read posts about blisters.

If after removing the tongue padding, the toes are still hanging over

the end, I would highly recommend ordering the next larger size of

shoe. The " shoe guy " in Iowa could probably get them to you lickety

split, and with the heel insert already in place.

When I get home, I plan on using the saddle soap that was talked

about

for softening up the shoes. Also, the inserts that we had made in

Calif were not glued in well. So while at the drugstore, I got some

rubber cement and plan on re-gluing them in. (After glueing, the

shoes

should be left alone for about 24 hours to set--or so I've been told.

Not to mention the stinky smell of rubber cement)

Sorry that got long. Hope there was actually something useful in

that

epic...

Lori

> Yes it does have the fringes or slits cut into the tongue - except

with this

> foam rubber padding, the slits are of no use. I think that the

shoes fit ok

> in the shoe store, but when all this padding was added, they bacame

too

> tight - I plan to modify the tongue and/or remove the padding as

soon as his

> blister heals - I just don't know if we will be able to get the

shoes on by

> then. Just since this morning his feet have begun to turn back in

and they

> aren't flat anymore but the outer edge of the foot contacts the

shoe bottom

> first. we may have to get casted for another week...

>

> Mike

>

[Guest guest]

Mike,

I would highly recommend that you call the doctor. Sounds like you

are

planning to leave the shoes off until the blister heals. Now, I

havn't

personally experienced an open blister with Annika yet (we did just

put

on her newest pair of shoes and her heel turned red and she wouldn't

put her foot in her shoe-I temorarily went back to her last pair

until

we are back from our vacation)

There are other folks here I believe who have dealt with blisters in

a

few ways.

#1: Get some Neosporin with pain medication.

#2: using Moleskin ;although I'm not sure how this is done with an

open blister. The moleskin is VERY thin and I don't know how it can

protect the blister from contact with the irritant. When using

moleskin with an open blister, you are suppose to cut out a 'shape'

with a hole in the middle that would allow the blister to be

'uncovered'. Being that it's thin, I'm not sure it would work for

this

particular application.

#3: One parent here used the Corn Cushions that already have a hole

cut

in them and they are a little thicker.

I suggest the possibility of going to the drugstore and looking for

some of these items. I also saw at the drugstore when I went the

other

evening that there was a band-aid type product for covering open

blisters. Maybe you could use something like that, but adhere the

moleskin over the bandaid?

Sounds like you're already planning to remove the tongue padding. I

would agree with that based on your description. I would however,

check with the doctor and see if he recommends actually waiting for

the

blister to heal before putting the shoes back on. I'm not sure what

the stance is on this...

I think that others here have used the neosporin with bandaids/corn

cushions/moleskin and have had pretty good success. You could try

checking the archives also (is there a search function on this site?)

to read posts about blisters.

If after removing the tongue padding, the toes are still hanging over

the end, I would highly recommend ordering the next larger size of

shoe. The " shoe guy " in Iowa could probably get them to you lickety

split, and with the heel insert already in place.

When I get home, I plan on using the saddle soap that was talked

about

for softening up the shoes. Also, the inserts that we had made in

Calif were not glued in well. So while at the drugstore, I got some

rubber cement and plan on re-gluing them in. (After glueing, the

shoes

should be left alone for about 24 hours to set--or so I've been told.

Not to mention the stinky smell of rubber cement)

Sorry that got long. Hope there was actually something useful in

that

epic...

Lori

> Yes it does have the fringes or slits cut into the tongue - except

with this

> foam rubber padding, the slits are of no use. I think that the

shoes fit ok

> in the shoe store, but when all this padding was added, they bacame

too

> tight - I plan to modify the tongue and/or remove the padding as

soon as his

> blister heals - I just don't know if we will be able to get the

shoes on by

> then. Just since this morning his feet have begun to turn back in

and they

> aren't flat anymore but the outer edge of the foot contacts the

shoe bottom

> first. we may have to get casted for another week...

>

> Mike

>

[Guest guest]

Dr Tuck is the one who said to leave off the shoes for 48 hrs for the

blister to heal. After that I will try a combination of all the suggestions

here. he also has some redness at the rear part of the heal that I should

look at. I will try to post some pictures to photopoint.com from the 1 hr

photo place tomorrow to show you all what we are working with. Might forward

some to Dr Ponseti as well.

Frustrated, Mike

>

> Reply-To: nosurgery4clubfootegroups

> Date: Fri, 06 Oct 2000 04:18:32 -0000

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

> Mike,

>

> I would highly recommend that you call the doctor. Sounds like you

> are

> planning to leave the shoes off until the blister heals. Now, I

> havn't

> personally experienced an open blister with Annika yet (we did just

> put

> on her newest pair of shoes and her heel turned red and she wouldn't

> put her foot in her shoe-I temorarily went back to her last pair

> until

> we are back from our vacation)

>

> There are other folks here I believe who have dealt with blisters in

> a

> few ways.

>

> #1: Get some Neosporin with pain medication.

> #2: using Moleskin ;although I'm not sure how this is done with an

> open blister. The moleskin is VERY thin and I don't know how it can

> protect the blister from contact with the irritant. When using

> moleskin with an open blister, you are suppose to cut out a 'shape'

> with a hole in the middle that would allow the blister to be

> 'uncovered'. Being that it's thin, I'm not sure it would work for

> this

> particular application.

> #3: One parent here used the Corn Cushions that already have a hole

> cut

> in them and they are a little thicker.

>

> I suggest the possibility of going to the drugstore and looking for

> some of these items. I also saw at the drugstore when I went the

> other

> evening that there was a band-aid type product for covering open

> blisters. Maybe you could use something like that, but adhere the

> moleskin over the bandaid?

>

> Sounds like you're already planning to remove the tongue padding. I

> would agree with that based on your description. I would however,

> check with the doctor and see if he recommends actually waiting for

> the

> blister to heal before putting the shoes back on. I'm not sure what

> the stance is on this...

>

> I think that others here have used the neosporin with bandaids/corn

> cushions/moleskin and have had pretty good success. You could try

> checking the archives also (is there a search function on this site?)

> to read posts about blisters.

>

> If after removing the tongue padding, the toes are still hanging over

> the end, I would highly recommend ordering the next larger size of

> shoe. The " shoe guy " in Iowa could probably get them to you lickety

> split, and with the heel insert already in place.

>

> When I get home, I plan on using the saddle soap that was talked

> about

> for softening up the shoes. Also, the inserts that we had made in

> Calif were not glued in well. So while at the drugstore, I got some

> rubber cement and plan on re-gluing them in. (After glueing, the

> shoes

> should be left alone for about 24 hours to set--or so I've been told.

>

> Not to mention the stinky smell of rubber cement)

>

> Sorry that got long. Hope there was actually something useful in

> that

> epic...

>

> Lori

>

>

>

>

>> Yes it does have the fringes or slits cut into the tongue - except

> with this

>> foam rubber padding, the slits are of no use. I think that the

> shoes fit ok

>> in the shoe store, but when all this padding was added, they bacame

> too

>> tight - I plan to modify the tongue and/or remove the padding as

> soon as his

>> blister heals - I just don't know if we will be able to get the

> shoes on by

>> then. Just since this morning his feet have begun to turn back in

> and they

>> aren't flat anymore but the outer edge of the foot contacts the

> shoe bottom

>> first. we may have to get casted for another week...

>>

>> Mike

>>

>

>

>

>

>

[Guest guest]

,

has size 00 for the shoes, he is 7 weeks old today. I took him this

morning to have his Ped Doc look at his soars. Before I showed her his feet

I told her exactly what I said to Dr. Tuck on the phone, describing the

blisters and all. Then, I showed her his ankles. She was very concerned.

She said I needed to get pushy and call Dr. Tucks office and make them see

today so that Dr. Tuck could see the severity of the soars. She

felt that he may have not understood how bad it was just by what I had told

him. She went on to say that it will take well over a week for soars like

this to heal and she is very impressed by how well his feet are doing, she

doesn't want him to loose ground on the correction of the feet. She thought

a week with no treatment may be to long, and she definitely does not want us

to put back on those shoes the way they are. She was wondering if maybe Dr.

Tuck could cast him and put a little window in the cast where the blister is

so that his feet don't start turning back in and the blister can have time

to heal. She wanted me to call Dr. Tuck's office from hers, (that's how

serious she felt about this), but I told her I would go home and call

because of it being long distance and sometimes he has to call back if he's

with a patient. So, I got home and called - he's in surgery all day and off

on Monday. I left a message on his voice mail, I hope he calls back. Oh by

the way, they weighed at the Ped office. is 13lbs and 2oz.

They didn't measure his length but at his 2 week check-up he was over 22

inches long. Also, he doesn't seem to have the shorter feet characteristic

of clubfeet, I think the shoes are too small!

>

> Reply-To: nosurgery4clubfootegroups

> Date: Thu, 05 Oct 2000 22:28:34 -0500

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

> Mike and Becky,

>

> I agree with what a couple of others have said about the possibility

> that the shoes are too small. Jakob started in the 00 size (currently

> in the size 6) on the shoes. When the shoes are first fitted, I have

> never seen someone fit them to where the toes would stick out after the

> padding has been put in them. Of course, I do live in Iowa City, where

> Dr. Ponseti practices, so use the people located within UIHC to get

> Jakob's DBB. Can you see the size in 's shoes? If his toes are

> hanging out of the shoes, that is a good indicator that the shoes are

> too small.

>

> As for which to do first, buckling or tying the laces, I have probably

> done both over the last 2 1/2 years. I could swear that we were taught

> to tie first (or maybe I hallucinated that) and it seemed easier for me

> personally. I currently tie the laces and then buckle - I was at one

> point buckling the strap OVER the loops of the bow after I tied the

> shoes. The only time Jakob ever pulled his feet out was the first day

> he had the DBB and caught the bar at the bottom of his car seat and

> worked his feet out.

>

> We have the curved bar. I'm not sure the difference between using the

> flat or curved bar. It seems to me that children who are older (6

> months or older) when getting the DBB are given the flat bar and those

> who are younger are given the curved bar.

>

> As others have asked, are the tongues in the shoes fringed at the top

> and bottom (toward the toes and the ankle)? All the shoes Jakob has had

> have had the fringed edges.

>

> Keep us posted with your situation.

>

>

>

>

>

>

[Guest guest]

Lori,

The top and bottom of the tongue of the shoes is fringed, but because of the

padding the fringe is held together. My husband took pictures of s

feet and the shoes, we will be posting them tonight on photopoint.com so you

can see what I mean.

Becky

>

> Reply-To: nosurgery4clubfootegroups

> Date: Fri, 06 Oct 2000 02:49:37 -0000

> To: nosurgery4clubfootegroups

> Subject: Re: Adjusting to the DBB - we took it off

>

> Say, one other thing....

>

> You said the top of the shoe tongue looked to be pressing into the

> ankle. Is the top of the shoe tongue fringed? The top of the tongue

> (and the bottom as well) on all of Annika's shoes have slits cut into

> them every 1/4 " or so, that way the tongue doesn't " press " into the

> skin. One parent here had mentioned they had that problem because

> the

> tongue wasn't 'fringed'.

>

> Lori

>

>

>>

>>

>>> From: Mike Z <mjzraz@s...>

>>> Reply-To: nosurgery4clubfootegroups

>>> Date: Thu, 05 Oct 2000 05:59:03 -0400

>>> To: nosurgery4clubfootegroups

>>> Subject: Re: Adjusting to the DBB - we took

> it off

>>>

>> It sounds like the tongue pad is causing the problems. The bar is

> supposed

>> to be even with their shoulders, not hips. That is what I was told

> anyway.

>> Can you put him in the shoes w/o the tongue pad? Maybe even without

> socks

>> and see how it fitting in there? See if his toes are lining up

> right? Once

>> you are sure his feet are in there properly, draw a pen line on the

> bottom

>> of the open toe part of the shoe so when you do have socks on you

> can tell

>> if his foor is all of the way in. I really think the shoes are too

> tight,

>> try taking out the tongue pad, You can always put it back in

> ......But I

>> haven't had one and have not had any problems yet...Let us know

> WIndie Lilly

>>

>>

>>

>>> Thanks for the information,

>>>

>>> 's crying seems more like pain than frustration. After the

> second

>>> night without any real sleep, we took off the Dennis Brown Bar

> and shoes

>>> because one foot seemed to be coming out of the shoes. We were

> going to

>>> change his socks, etc.

>>>

>>> Problem is that we looked at his feet and Mathew has a dark red

>>> bruise/blister on the front of his ankle where the top of the

> shoe tongue

>>> was pressing into his foot. Also the whole area around where the

> tops of his

>>> shoes were is very compressed and above the shoes skin looks

> normal. It's as

>>> if the shoes have squeezed the " plumpness " out of his foot. I

> wish I could

>>> tell if the shoes are too tight. I don't believe the rotation is

> too great,

>>> just worry about how the shoes fit.

>>>

>>> When we were fitted for the shoes, the shoe store fitted the

> shoes on him

>>> and then the Dr. sent us to an orthopedic brace -guy to have a

> heel pad and

>>> tongue pad put in the shoe. has anybody else had this done? It

> seems as if

>>> the tongue pad is too tight at the top of the shoe and the

> combination of

>>> the heel pad and the tongue pad are compressing his foot in that

> area and

>>> causing the blister and the " smushed foot look "

>>>

>>> Are anyone else's shoes fitted with pads like this? What did your

> child's

>>> foot look like when you took off the bar to change socks? I'm

> wishing I had

>>> a digital camera to show you all what I am talking about. Another

> thing -

>>> Most of the pictures I see the DBB looks wider than the baby's

> hips.

>>> 's bar is 6 " wide and he is 7 weeks old. The Doc and the

> shoe place

>>> said the bar should be as wide as the hips. It was a straight bar

> and Dr

>>> Tuck bent it in the middle to angle the foot up a little. Dr tuck

> wanted us

>>> to order a bar like Dr Ponseti uses, but he is not big enough for

> it yet.

>>> The shoes are Markell open toe/str last shoes.

>>>

>>> Thanks for help,

>>> Mike + Becky Zaloudek

>>>

>>>

>>>

>>>

[Guest guest]

Gracious, I can only imagine the frustration you are all having over

this. Would be nice if either Dr. Tuck or Ponseti could get a gander

at the Photopoint site to see what's going on. I'm glad you all got

to

the Pediatrician at least to have him/her check the severity. Have

been thinking of you guys and hoping that a good solution presents

itself...and soon. If you don't think you'll be able to speak with

Dr.Tuck, you surely could try contacting any of the doctors at Iowa

to

get their spin on how to handle the situation. I'm sure they would

be

able to speak with you. I really think that may also be worth a try.

I will be checking back later tonight then to see the photos...

Lori

> >>

> >>

> >>> From: Mike Z <mjzraz@s...>

> >>> Reply-To: nosurgery4clubfootegroups

> >>> Date: Thu, 05 Oct 2000 05:59:03 -0400

> >>> To: nosurgery4clubfootegroups

> >>> Subject: Re: Adjusting to the DBB - we took

> > it off

> >>>

> >> It sounds like the tongue pad is causing the problems. The bar is

> > supposed

> >> to be even with their shoulders, not hips. That is what I was

told

> > anyway.

> >> Can you put him in the shoes w/o the tongue pad? Maybe even

without

> > socks

> >> and see how it fitting in there? See if his toes are lining up

> > right? Once

> >> you are sure his feet are in there properly, draw a pen line on

the

> > bottom

> >> of the open toe part of the shoe so when you do have socks on you

> > can tell

> >> if his foor is all of the way in. I really think the shoes are

too

> > tight,

> >> try taking out the tongue pad, You can always put it back in

> > ......But I

> >> haven't had one and have not had any problems yet...Let us know

> > WIndie Lilly

> >>

> >>

> >>

> >>> Thanks for the information,

> >>>

> >>> 's crying seems more like pain than frustration. After

the

> > second

> >>> night without any real sleep, we took off the Dennis Brown Bar

> > and shoes

> >>> because one foot seemed to be coming out of the shoes. We were

> > going to

> >>> change his socks, etc.

> >>>

> >>> Problem is that we looked at his feet and Mathew has a dark red

> >>> bruise/blister on the front of his ankle where the top of the

> > shoe tongue

> >>> was pressing into his foot. Also the whole area around where the

> > tops of his

> >>> shoes were is very compressed and above the shoes skin looks

> > normal. It's as

> >>> if the shoes have squeezed the " plumpness " out of his foot. I

> > wish I could

> >>> tell if the shoes are too tight. I don't believe the rotation is

> > too great,

> >>> just worry about how the shoes fit.

> >>>

> >>> When we were fitted for the shoes, the shoe store fitted the

> > shoes on him

> >>> and then the Dr. sent us to an orthopedic brace -guy to have a

> > heel pad and

> >>> tongue pad put in the shoe. has anybody else had this done? It

> > seems as if

> >>> the tongue pad is too tight at the top of the shoe and the

> > combination of

> >>> the heel pad and the tongue pad are compressing his foot in that

> > area and

> >>> causing the blister and the " smushed foot look "

> >>>

> >>> Are anyone else's shoes fitted with pads like this? What did

your

> > child's

> >>> foot look like when you took off the bar to change socks? I'm

> > wishing I had

> >>> a digital camera to show you all what I am talking about.

Another

> > thing -

> >>> Most of the pictures I see the DBB looks wider than the baby's

> > hips.

> >>> 's bar is 6 " wide and he is 7 weeks old. The Doc and the

> > shoe place

> >>> said the bar should be as wide as the hips. It was a straight

bar

> > and Dr

> >>> Tuck bent it in the middle to angle the foot up a little. Dr

tuck

> > wanted us

> >>> to order a bar like Dr Ponseti uses, but he is not big enough

for

> > it yet.

> >>> The shoes are Markell open toe/str last shoes.

> >>>

> >>> Thanks for help,

> >>> Mike + Becky Zaloudek

> >>>

> >>>

> >>>

> >>>