Guest guest Posted January 1, 2001 Report Share Posted January 1, 2001 Everyone, Emma's feet now at 14 months are still in an overcorrected position. Her heels are still slightly in valgus (not centered, pushed out laterally) which causes her to have very flat feet at the moment. This, I believe will get better as she walks on them more and more. She only started walking last week, but has been standing alot for over a month. Her stats; She had her tenotomies in Jan 2000, after the casts was in the DBB 23 hrs/day for 3 months, down to 14 hrs/day for 6 months whereupon Dr. Ponseti recommended reducing the time to 10 hrs/day due to her overcorrection, and we've been doing the 10 hrs for 2 months. Her feet do look a little better now, but they both still turn out ( " duck walking " ) when she walks, one a bit more than the other, and without an arch they cave in a bit (flat feet). My questions; at about what time did your kids' feet look normal, and do they have an arch? We are going to consult again with Dr. Ponseti on this, and he did mention that we could soon have her out of the bar altogether. Altough he cautioned that while the chances are slim, he would be concerned about the possibility of relapse. , any other info you could provide on overcorrection would be great. Thanks in advance, - & Dan & Emma (10-18-99) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 1, 2001 Report Share Posted January 1, 2001 Dan and Emma, I really don't know the answer other than for you to ask Dr. Ponseti about Emma specifically. I know that the Ponseti method overcorrects the feet a bit on purpose and that they pull back a bit over time. I think that the concern is having them pull back too much, and then having a relapse or at least a cavus or high arch problem. I think that it also has to do with the stretchability of each childs foot and as to what they see at the checkups as to eventually reducing the time in the DBB's. I think though that Dr. Ponseti wants to keep the children used to the DBB's as far into the future as possible and adjust the time in them per each child's situation. For , his feet came out of the final casts fairly flat but have been developing arches over time. From a number of sites I have seen, babies are born with very little in the way of arches until they are about 2-3 years of age. From a web site called orthoseek, they say; " In the child before age 3, the normal longitudinal arch of the foot is present, but often masked by the fat pad in the instep. Hence all young children before age 3 look flat-footed, even though they are not. After age 3, the fat pad disappears, and the arch becomes more evident. " http://www.orthoseek.com/articles/flatfeet.html These are pictures of the same persons feet as a baby and then at 38 year of age (although the adult photo is not from the side to show an arch). http://www.vh.org/Providers/Textbooks/Clubfoot/Fig28.html http://www.vh.org/Providers/Textbooks/Clubfoot/Fig30.html There are probably better views of a Ponseti method adult arch on the Ross Snyder video at Dr. Ponseti's web site. and (3-17-99) > Everyone, > > Emma's feet now at 14 months are still in an overcorrected position. Her > heels are still slightly in valgus (not centered, pushed out laterally) > which causes her to have very flat feet at the moment. This, I believe will > get better as she walks on them more and more. She only started walking last > week, but has been standing alot for over a month. Her stats; She had her > tenotomies in Jan 2000, after the casts was in the DBB 23 hrs/day for 3 > months, down to 14 hrs/day for 6 months whereupon Dr. Ponseti recommended > reducing the time to 10 hrs/day due to her overcorrection, and we've been > doing the 10 hrs for 2 months. Her feet do look a little better now, but > they both still turn out ( " duck walking " ) when she walks, one a bit more > than the other, and without an arch they cave in a bit (flat feet). > > My questions; at about what time did your kids' feet look normal, and do > they have an arch? > > We are going to consult again with Dr. Ponseti on this, and he did mention > that we could soon have her out of the bar altogether. Altough he cautioned > that while the chances are slim, he would be concerned about the possibility > of relapse. > > , any other info you could provide on overcorrection would be great. > > Thanks in advance, > - & Dan & Emma (10-18-99) > > > Quote Link to comment Share on other sites More sharing options...
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