Re: Corrected foot doesnt look right, DBB looks really wide

[Guest guest]

Angel, I was worried about Isabella's right foot because it didn't

look right. Like the others pics on the board. She keeps her right

foot turned in most of the time, but when it is relaxed it will lay

normally overcorrected. Her right foot also is more fatty on the

bottom then her left foot. They were both clubbed. On both feet where

the tentonomy was done her skin is creased and wrinkled. I don't

think every persons feet will be the same to the other. When i sent

Dr.P pictures and talked to him on the phone he said that Isabella's

feet are fine, she just holds that one bent and may be comfortable

doing it. If you are really worried about it. Send Dr.P an email and

possibly some pics and see what his recommendation would be. As for

the bar. Measure the bar from Screw to screw i think that is how its

suppose to be and then measure Kais shoulders and see if it matches

if not then take it back to the Dr. Since it isn't an adjustable one.

I would ask them if you can get an adjustable one. We have an

adjustable one and i like them much better.

Take care

(Isabella 10-12-02 bilateral cf)

> I really want to trust Dr Mosca, and I know he followed the method

to

> a T ... but Kai's foot just doesnt seem right to me. I have looked

> at everyone's pics of corrected feet, and his foot just does not

look

> that good.

>

> I will try to explain, because it takes me months to get film

> developed so a pic is not very practical at this point. His foot

> curves to the outside, as if the natural curvature were reversed.

> His toes kind of sweep out instead of straight. Also, on the

outter

> bottom of his foot where the " ball " of the foot is there is a lump,

> which I believe is displaced bones. There is a small crease there

> also. I have also noticed that out of the DBB for 30 mins and I

can

> see the remnants of the heel crease from prior to the tenotomy.

That

> may be normal until he " fills out " a bit, I imagine, tho.

>

> Now, on to the bar. I personally SAW the orthotist measure his

> shoulders, but I am not sure he did it right. Kai had a baggy

outfit

> on tha day, and I am not sure he really found the shoulders rather

> than the outter edge of the cloth. I look at Kai's shoulders naked

> and look at the width of the bar and it looks awful wide. It seems

> he kind of has to bend his knee to accomodate. It is NOT an

> adjustable bar. Lastly, the plastezoid oh the CF side, while

> identical to the other side, leaves a very definite indentation on

> his heel. I worry that that is not good for the tendon, and that

it

> may be uncomfortable.

>

> Now, Dr Mosca in NO WAY deviated from proper protacol, but I wonder

> if Kai's foot was quite ready for the shoes. Also, Dr Mosca did

not

> REALLY examine his foot before the shoes (Afraid that is Daddy's

> fault because he asked him to look at Arica's feet and because of

> that distraction I was not able to bring up my concerns about the

> foot shape, etc).

>

> Anyone's thoughts on this?

>

> Angel

[Guest guest]

Ok ... I measured and the bar is 8 " and his shoulders are 6.5 - 7 " .

Will 1 - 1 1/2 inches make a big difference? Will it cause

discomfort? Dr Mosca is coming to Yakima in a couple weeks and if it

is an issue, I could see if he could bring a different bar with him.

Angel

> > I really want to trust Dr Mosca, and I know he followed the

method

> to

> > a T ... but Kai's foot just doesnt seem right to me. I have

looked

> > at everyone's pics of corrected feet, and his foot just does not

> look

> > that good.

> >

> > I will try to explain, because it takes me months to get film

> > developed so a pic is not very practical at this point. His foot

> > curves to the outside, as if the natural curvature were

reversed.

> > His toes kind of sweep out instead of straight. Also, on the

> outter

> > bottom of his foot where the " ball " of the foot is there is a

lump,

> > which I believe is displaced bones. There is a small crease

there

> > also. I have also noticed that out of the DBB for 30 mins and I

> can

> > see the remnants of the heel crease from prior to the tenotomy.

> That

> > may be normal until he " fills out " a bit, I imagine, tho.

> >

> > Now, on to the bar. I personally SAW the orthotist measure his

> > shoulders, but I am not sure he did it right. Kai had a baggy

> outfit

> > on tha day, and I am not sure he really found the shoulders

rather

> > than the outter edge of the cloth. I look at Kai's shoulders

naked

> > and look at the width of the bar and it looks awful wide. It

seems

> > he kind of has to bend his knee to accomodate. It is NOT an

> > adjustable bar. Lastly, the plastezoid oh the CF side, while

> > identical to the other side, leaves a very definite indentation

on

> > his heel. I worry that that is not good for the tendon, and that

> it

> > may be uncomfortable.

> >

> > Now, Dr Mosca in NO WAY deviated from proper protacol, but I

wonder

> > if Kai's foot was quite ready for the shoes. Also, Dr Mosca did

> not

> > REALLY examine his foot before the shoes (Afraid that is Daddy's

> > fault because he asked him to look at Arica's feet and because of

> > that distraction I was not able to bring up my concerns about the

> > foot shape, etc).

> >

> > Anyone's thoughts on this?

> >

> > Angel

[Guest guest]

Ok ... I measured and the bar is 8 " and his shoulders are 6.5 - 7 " .

Will 1 - 1 1/2 inches make a big difference? Will it cause

discomfort? Dr Mosca is coming to Yakima in a couple weeks and if it

is an issue, I could see if he could bring a different bar with him.

Angel

> > I really want to trust Dr Mosca, and I know he followed the

method

> to

> > a T ... but Kai's foot just doesnt seem right to me. I have

looked

> > at everyone's pics of corrected feet, and his foot just does not

> look

> > that good.

> >

> > I will try to explain, because it takes me months to get film

> > developed so a pic is not very practical at this point. His foot

> > curves to the outside, as if the natural curvature were

reversed.

> > His toes kind of sweep out instead of straight. Also, on the

> outter

> > bottom of his foot where the " ball " of the foot is there is a

lump,

> > which I believe is displaced bones. There is a small crease

there

> > also. I have also noticed that out of the DBB for 30 mins and I

> can

> > see the remnants of the heel crease from prior to the tenotomy.

> That

> > may be normal until he " fills out " a bit, I imagine, tho.

> >

> > Now, on to the bar. I personally SAW the orthotist measure his

> > shoulders, but I am not sure he did it right. Kai had a baggy

> outfit

> > on tha day, and I am not sure he really found the shoulders

rather

> > than the outter edge of the cloth. I look at Kai's shoulders

naked

> > and look at the width of the bar and it looks awful wide. It

seems

> > he kind of has to bend his knee to accomodate. It is NOT an

> > adjustable bar. Lastly, the plastezoid oh the CF side, while

> > identical to the other side, leaves a very definite indentation

on

> > his heel. I worry that that is not good for the tendon, and that

> it

> > may be uncomfortable.

> >

> > Now, Dr Mosca in NO WAY deviated from proper protacol, but I

wonder

> > if Kai's foot was quite ready for the shoes. Also, Dr Mosca did

> not

> > REALLY examine his foot before the shoes (Afraid that is Daddy's

> > fault because he asked him to look at Arica's feet and because of

> > that distraction I was not able to bring up my concerns about the

> > foot shape, etc).

> >

> > Anyone's thoughts on this?

> >

> > Angel

[Guest guest]

Angel,

The width of the bar should be measured as follows per Dr. Ponseti:

The inside edges of the heels of the shoes should be the same width

as the shoulders of the baby. It sounds like Kai's bar is too long,

and it might be uncomfortable. Perhaps you could have Dr. Mosca

order you the adjustable bar and bring it when he comes to Yakima (or

have it mailed to you directly).

I don't know what to tell you about the shape of Kai's foot. If you

would like reassurance on that, I would suggest sending pictures of

his feet via snail mail or email to Dr. Ponseti. Do you have any

friends who have a digital camera you could use?

Good luck- hope this helps.

> I really want to trust Dr Mosca, and I know he followed the method

to

> a T ... but Kai's foot just doesnt seem right to me. I have looked

> at everyone's pics of corrected feet, and his foot just does not

look

> that good.

>

> I will try to explain, because it takes me months to get film

> developed so a pic is not very practical at this point. His foot

> curves to the outside, as if the natural curvature were reversed.

> His toes kind of sweep out instead of straight. Also, on the

outter

> bottom of his foot where the " ball " of the foot is there is a lump,

> which I believe is displaced bones. There is a small crease there

> also. I have also noticed that out of the DBB for 30 mins and I

can

> see the remnants of the heel crease from prior to the tenotomy.

That

> may be normal until he " fills out " a bit, I imagine, tho.

>

> Now, on to the bar. I personally SAW the orthotist measure his

> shoulders, but I am not sure he did it right. Kai had a baggy

outfit

> on tha day, and I am not sure he really found the shoulders rather

> than the outter edge of the cloth. I look at Kai's shoulders naked

> and look at the width of the bar and it looks awful wide. It seems

> he kind of has to bend his knee to accomodate. It is NOT an

> adjustable bar. Lastly, the plastezoid oh the CF side, while

> identical to the other side, leaves a very definite indentation on

> his heel. I worry that that is not good for the tendon, and that

it

> may be uncomfortable.

>

> Now, Dr Mosca in NO WAY deviated from proper protacol, but I wonder

> if Kai's foot was quite ready for the shoes. Also, Dr Mosca did

not

> REALLY examine his foot before the shoes (Afraid that is Daddy's

> fault because he asked him to look at Arica's feet and because of

> that distraction I was not able to bring up my concerns about the

> foot shape, etc).

>

> Anyone's thoughts on this?

>

> Angel