Re: Positional Clubfoot Treatment?

[Guest guest]

I think I would want to have it casted too. What could it hurt? We were

told Darbi's foot was positional. Then she saw an Ortho the day of

discharge (4 days later) and dx with a true clubfoot. They used the

creases on the inside foot near the ankle as part of the diagnosis. Her

foot was very supple. I could point it normal and she couldn't care less,

very easy. When we switched Dr.'s to one on Dr. Ponseti's list the day

before her first cast was to come off he said something to the effect that

they don't know which are positional and which aren't. That he would treat

her the same even if it was positional.

Does she have a crease on that side? Has the stretching done

*anything*? I think I'd be asking for a few Ponseti casts so it's fixed

along with the other one. What are you going to do when she goes into the

DBB and that other foot isn't corrected? Will she be able to even wear it?

Maybe he thinks it'll only take a couple of casts to correct it and he

wants to do it at the end of the treatment for the other foot? That makes

sense though, if the other foot is getting a tenotomy he could start

casting on the positional foot right before the tenotomy and still have

3-5w to get it corrected. You may want to clarify this. I wouldn't be

comfortable with no casting at all but some clubfeet can be corrected with

as little as 3 or 4 Ponseti casts. Dr. Ponseti himself judged Darbi's foot

to only need 4 casts - even though she got 5.

Congrats on the birth of your daughter BTW. Enjoy her :~}

Kori

Mama of

Kenton - 6/98

Merek - 3/00

Darbi - 3/28 - Rt. CF - DBB 14hr/d