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Hi everyone-does anyone know how big the shoes for the DBB go up to?

I have been on the phone several times last week and today trying to

get a prescription for my son faxed to the prosthetic lab. I was

told that I could just go in and pick them up without my son-now I am

told he has to be with me. Also, the lab said that they don't think

that the shoes go above a size 5, which is what my son is in now. Do

they? I thought I read on here that some people have their DBB and

shoes mailed to them. Is this correct, and if so, where do you get

them from? Our dr. said that our son could be out of the shoes by

now (he's almost 2 1/2) and that he wouldn't have to see him for

another 2 years, but I am would still really like him to be in them.

I think that is why I had such a hard time getting the prescrip. They

don't bother him and I think " better safe, than sorry " . I don't want

to have gone through this much only to have him regress.

Sorry this is kind of confusing, but I am confused as to why bigger

shoes wouldn't be available.

Thanks,

Kim and Jaren ucf (4-18-02)

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Hi, Kim!

You're right. The Markell shoes are now available up to size 8. If

you go to this link: http://www.markellshoe.com/ponsetiflyer.pdf on

page 2 of the flyer is a shoe chart that you can print off and use to

size Jaren's next shoes. You are exactly right to try to keep him in

them as long as he is willing. We have had a few families post

recently whose children have relapsed after being out of the brace at

age 3. If you want more motivation to keep him in the shoes, you

just need to read the posts from Zevi's and Kavan's families this

summer- they posted their stories as a " warning " to others. The risk

of relapse gradually decreases with age, but if you can keep him in

the shoes until at least age 4- that's the best bet. If your doctor

wants to let him out of the brace at age 2.5, then maybe you should

suggest that your doctor contact Dr. Morcuende at the U of Iowa

to discuss Dr. Morcuende's recent findings regarding rates of

relapse. He presented the information at a POSNA meeting this year

also, though I haven't seen a published paper w/ the results as of

yet.

I believe that you could order the shoes direct from Jay at Markell

Shoe Company. I don't know where you would order the bar from if you

needed a larger one though. The supplier information (for the bar)

is at this site: http://pages.ivillage.com/ponseti_links under the

bracing information section, but I don't know if you can order direct

from that company.

Hope this helps!

& (3-16-00)

left clubfoot, switched to Ponseti method at 4 mo. old

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Dear Kim & Jaren,

Good News! We now make the straight last boots for the DBB up to size

9.

We added sizes 8.5 and 9 a few months ago in response to modification

of the Ponseti Protocol and demand from parents. The only shoe that is

only

made up to size 5 is our reverse last open-toe boot. That model is not

used as commonly on patients being treated by the Ponseti Method.

I hope this helps you!

Best of Luck!

Jay Markell- Markell Shoe Co.

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WOW!! Thanks Jay!! It is great to hear that the shoes are now

coming in larger sizes. Becky is now in a 5 and I was starting to

wonder what we were going to do next. :)

, mom to Becky 11/12/01 bilateral clubfoot :)

> Dear Kim & Jaren,

>

> Good News! We now make the straight last boots for the DBB up to

size

> 9.

> We added sizes 8.5 and 9 a few months ago in response to

modification

> of the Ponseti Protocol and demand from parents. The only shoe

that is

> only

> made up to size 5 is our reverse last open-toe boot. That model is

not

> used as commonly on patients being treated by the Ponseti Method.

>

> I hope this helps you!

>

> Best of Luck!

>

> Jay Markell- Markell Shoe Co.

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Hi Kim-

My son is in a 6 1/2 and I believe they make them up to size 8 right now. We

order ours without a prescription from Ease Distributers . You

have to leave a message and then they will call you back. They charge you

for shipping and ship them to your house directly.

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: bigger shoes?

>Date: Mon, 13 Sep 2004 20:36:46 -0000

>

>Hi everyone-does anyone know how big the shoes for the DBB go up to?

>I have been on the phone several times last week and today trying to

>get a prescription for my son faxed to the prosthetic lab. I was

>told that I could just go in and pick them up without my son-now I am

>told he has to be with me. Also, the lab said that they don't think

>that the shoes go above a size 5, which is what my son is in now. Do

>they? I thought I read on here that some people have their DBB and

>shoes mailed to them. Is this correct, and if so, where do you get

>them from? Our dr. said that our son could be out of the shoes by

>now (he's almost 2 1/2) and that he wouldn't have to see him for

>another 2 years, but I am would still really like him to be in them.

>I think that is why I had such a hard time getting the prescrip. They

>don't bother him and I think " better safe, than sorry " . I don't want

>to have gone through this much only to have him regress.

>Sorry this is kind of confusing, but I am confused as to why bigger

>shoes wouldn't be available.

>Thanks,

>Kim and Jaren ucf (4-18-02)

>

_________________________________________________________________

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Kim,

Someone has probably answered your questions by now, but I'm on digest

version, so Iget groups of messages about every 12 hours... thus the

delay...

So, to answer your question, the Markell shoes now come in size 9! Jay

Markell showed me the size 9s at the symposium in Baltimore. I thought Zoe

was going to need them, but Dr. Herzenberg decided she was ready to stop

wearing the shoes early at age 3 years 4 months. she was really having a

hard time sleeping and the size 9s weren't going to be available for awhile,

so she was released. The first time we met Dr. Herzenberg, he really

stressed that they need to wear the shoes for as long as possible,

especially if they're still tolerating them ok.

So, the answer to your second question is that you are right, your child

should continue to wear the shoes for a lot longer than 2 1/2 years! this is

another very bad deviation that doctors are making to the method. The chance

of recurrence (relapse) is greatest between 2 and 2 1/2 years old because of

discontinuing with the brace too early. Something like 87% of relapses...

This is why we switched from doctor number 2 to doctor herzenberg. Our

second doc said it was ridiculous how long Dr. Ponseti makes them wear the

shoes. Where is her 50+ years of research to back up that claim when our

daughter was her first Ponseti patient? That's what I want to know.

Just my 3 cents...

Best, Joanne W. mom to Zoe (3-25-01, right clubfoot)

www.geocities.com/joannewalton2003/clubfootstory.html

Message: 19

Date: Mon, 13 Sep 2004 20:36:46 -0000

Subject: bigger shoes?

Hi everyone-does anyone know how big the shoes for the DBB go up to?

I have been on the phone several times last week and today trying to

get a prescription for my son faxed to the prosthetic lab. I was

told that I could just go in and pick them up without my son-now I am

told he has to be with me. Also, the lab said that they don't think

that the shoes go above a size 5, which is what my son is in now. Do

they? I thought I read on here that some people have their DBB and

shoes mailed to them. Is this correct, and if so, where do you get

them from? Our dr. said that our son could be out of the shoes by

now (he's almost 2 1/2) and that he wouldn't have to see him for

another 2 years, but I am would still really like him to be in them.

I think that is why I had such a hard time getting the prescrip. They

don't bother him and I think " better safe, than sorry " . I don't want

to have gone through this much only to have him regress.

Sorry this is kind of confusing, but I am confused as to why bigger

shoes wouldn't be available.

Thanks,

Kim and Jaren ucf (4-18-02)

_________________________________________________________________

Don’t just search. Find. Check out the new MSN Search!

http://search.msn.click-url.com/go/onm00200636ave/direct/01/

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The doctor that we dumped said would only have to wear the shoes and

bar until 1 year old. Whew! I am so glad we got rid of him!

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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