Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Thank you soo much for your input. We really appreciate it. I need to call the technician Monday and tell him we need a wider bar. Thank you. Sincerely Janet Re: Lacking Info. Hello It sounds to me like you were left hanging in the wind!!!! The DBB is difficult to get used to even with instruction. OK Here's my 2 cents worth. Make sure that the shoes are shoulder width apart. That is back of heel to back of heel. For bilateral clubfeet the shoes should be rotated out 70 degrees. Depending of course on the fact that she was rotated out that much with her last casts. Normally the shoes should be straight last (no right or left) not reverse last (pointed toes outwards) Baby feet do not react well to hard leather and often blisters do occur. Moleskin or duroplast works well to stop any rubbing. Make sure that her heels are well down in the boot. undo the laces totally do up the strap really tight and then lace. (That's how I do it anyway.)When you put them on they should be tighter than you think they should be. If when you pull on the boot her toes move back it is too loose. Sounds brutal but it is critical, if they are too loose they will rub more. Have a look in the archives too, searching for blisters or even DBB will provide some great help. Or feel free to email me personally ruth_hiltz@... with more specific questions if you like. Above all PERSEVERE. The DBB is critical to correction. Keep going! -Ruth Mum to Ben born March 31, 2004 unilateral left clubfoot > I placed my little girl in these " awkward " DBB, reverse shoes last > night and this AM she has a blister on her foot. These dumb things! > How do I even know if I have them on correctly. I hate doing this > to her because I love her so much, but I know it's necessary! I > placed the shoes with the strap on the inside and set the bar at 65 > degrees, this seems to work better than the " reverse. " Please, any > input would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Thank you soo much for your input. We really appreciate it. I need to call the technician Monday and tell him we need a wider bar. Thank you. Sincerely Janet Re: Lacking Info. Hello It sounds to me like you were left hanging in the wind!!!! The DBB is difficult to get used to even with instruction. OK Here's my 2 cents worth. Make sure that the shoes are shoulder width apart. That is back of heel to back of heel. For bilateral clubfeet the shoes should be rotated out 70 degrees. Depending of course on the fact that she was rotated out that much with her last casts. Normally the shoes should be straight last (no right or left) not reverse last (pointed toes outwards) Baby feet do not react well to hard leather and often blisters do occur. Moleskin or duroplast works well to stop any rubbing. Make sure that her heels are well down in the boot. undo the laces totally do up the strap really tight and then lace. (That's how I do it anyway.)When you put them on they should be tighter than you think they should be. If when you pull on the boot her toes move back it is too loose. Sounds brutal but it is critical, if they are too loose they will rub more. Have a look in the archives too, searching for blisters or even DBB will provide some great help. Or feel free to email me personally ruth_hiltz@... with more specific questions if you like. Above all PERSEVERE. The DBB is critical to correction. Keep going! -Ruth Mum to Ben born March 31, 2004 unilateral left clubfoot > I placed my little girl in these " awkward " DBB, reverse shoes last > night and this AM she has a blister on her foot. These dumb things! > How do I even know if I have them on correctly. I hate doing this > to her because I love her so much, but I know it's necessary! I > placed the shoes with the strap on the inside and set the bar at 65 > degrees, this seems to work better than the " reverse. " Please, any > input would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Hi Janet, I'm SO sorry you are having trouble.. It's very stressful all around, I know. I have to say.. if a child's feet have been completely corrected, and the brace has been set up right, most are able to be comfortable almost right away in the brace. Your doctor should've had your baby fitted for the shoes before the last cast went on. The brace should've been available for as soon as it came off. You should've had instruction in how to put it on. Any amount of time out of the brace will allow for regression. The usual set up for the brace is 70 degrees outward rotation for the clubfoot, 45 for the normal foot if unilateral. The bar should be set so the heels are about shoulder width apart. Any narrower and the baby will be uncomfortable. If a baby has persistent, awful problems with the brace, if the feet won't stay in, if she/he cries inconsolably, around the clock, it's a often a sign that the feet weren't corrected fully in the first place, or the brace is set up wrong. It's unfortunately seeming to become a common problem, now that more doctors are trying to use the Ponseti method, but then seem to fail parents in the brace phase. Here is a link to a page with more info, and pictures, about the brace, and tips on how to use and put on the brace. Look for the tab that says, FAB or bracing. Scroll down to see pictures http://pages.ivillage.com/ponseti_links/ If you have any doubts about your baby's feet and whether they are completely corrected, I'd urge you to not keep trying to use the brace, but immediately check into it , perhaps with another doctor. We can give you leads if you need it. I'm sorry if I'm assuming or imagining too much here, but wanted to reply, since you seem to be having a rough time.. Best wishes, and let us know what happens, and Claire > > I placed my little girl in these " awkward " DBB, reverse shoes last > > night and this AM she has a blister on her foot. These dumb > things! > > How do I even know if I have them on correctly. I hate doing this > > to her because I love her so much, but I know it's necessary! I > > placed the shoes with the strap on the inside and set the bar at 65 > > degrees, this seems to work better than the " reverse. " Please, any > > input would be greatly appreciated. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Hi Janet, I'm SO sorry you are having trouble.. It's very stressful all around, I know. I have to say.. if a child's feet have been completely corrected, and the brace has been set up right, most are able to be comfortable almost right away in the brace. Your doctor should've had your baby fitted for the shoes before the last cast went on. The brace should've been available for as soon as it came off. You should've had instruction in how to put it on. Any amount of time out of the brace will allow for regression. The usual set up for the brace is 70 degrees outward rotation for the clubfoot, 45 for the normal foot if unilateral. The bar should be set so the heels are about shoulder width apart. Any narrower and the baby will be uncomfortable. If a baby has persistent, awful problems with the brace, if the feet won't stay in, if she/he cries inconsolably, around the clock, it's a often a sign that the feet weren't corrected fully in the first place, or the brace is set up wrong. It's unfortunately seeming to become a common problem, now that more doctors are trying to use the Ponseti method, but then seem to fail parents in the brace phase. Here is a link to a page with more info, and pictures, about the brace, and tips on how to use and put on the brace. Look for the tab that says, FAB or bracing. Scroll down to see pictures http://pages.ivillage.com/ponseti_links/ If you have any doubts about your baby's feet and whether they are completely corrected, I'd urge you to not keep trying to use the brace, but immediately check into it , perhaps with another doctor. We can give you leads if you need it. I'm sorry if I'm assuming or imagining too much here, but wanted to reply, since you seem to be having a rough time.. Best wishes, and let us know what happens, and Claire > > I placed my little girl in these " awkward " DBB, reverse shoes last > > night and this AM she has a blister on her foot. These dumb > things! > > How do I even know if I have them on correctly. I hate doing this > > to her because I love her so much, but I know it's necessary! I > > placed the shoes with the strap on the inside and set the bar at 65 > > degrees, this seems to work better than the " reverse. " Please, any > > input would be greatly appreciated. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 A short bar can make baby really uncomfortable. It is always better that they be a bit too far apart than too close. I find with Ben that if he is not sleeping well for a few nights it is usually his bar. I set it apart half an inch (I have an adjustable bar) and he is fine again. Hope it works out for you guys. -Ruth > > I placed my little girl in these " awkward " DBB, reverse shoes last > > night and this AM she has a blister on her foot. These dumb > things! > > How do I even know if I have them on correctly. I hate doing this > > to her because I love her so much, but I know it's necessary! I > > placed the shoes with the strap on the inside and set the bar at 65 > > degrees, this seems to work better than the " reverse. " Please, any > > input would be greatly appreciated. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 A short bar can make baby really uncomfortable. It is always better that they be a bit too far apart than too close. I find with Ben that if he is not sleeping well for a few nights it is usually his bar. I set it apart half an inch (I have an adjustable bar) and he is fine again. Hope it works out for you guys. -Ruth > > I placed my little girl in these " awkward " DBB, reverse shoes last > > night and this AM she has a blister on her foot. These dumb > things! > > How do I even know if I have them on correctly. I hate doing this > > to her because I love her so much, but I know it's necessary! I > > placed the shoes with the strap on the inside and set the bar at 65 > > degrees, this seems to work better than the " reverse. " Please, any > > input would be greatly appreciated. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 A short bar can make baby really uncomfortable. It is always better that they be a bit too far apart than too close. I find with Ben that if he is not sleeping well for a few nights it is usually his bar. I set it apart half an inch (I have an adjustable bar) and he is fine again. Hope it works out for you guys. -Ruth > > I placed my little girl in these " awkward " DBB, reverse shoes last > > night and this AM she has a blister on her foot. These dumb > things! > > How do I even know if I have them on correctly. I hate doing this > > to her because I love her so much, but I know it's necessary! I > > placed the shoes with the strap on the inside and set the bar at 65 > > degrees, this seems to work better than the " reverse. " Please, any > > input would be greatly appreciated. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 First off they should NOT be reverse last shoes they should be straight last shoes. That could be the problem right there. You have the wrong shoes. You can put straight last shoes on either side of the bar and it doesn't matter you CAN NOT do the same with reverse last. Would you like to talk by phone??? It sounds like your doc has just thrown you into this. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: Lacking Info. >Date: Sat, 01 May 2004 15:32:04 -0000 > >I placed my little girl in these " awkward " DBB, reverse shoes last >night and this AM she has a blister on her foot. These dumb things! >How do I even know if I have them on correctly. I hate doing this >to her because I love her so much, but I know it's necessary! I >placed the shoes with the strap on the inside and set the bar at 65 >degrees, this seems to work better than the " reverse. " Please, any >input would be greatly appreciated. > > _________________________________________________________________ Express yourself with the new version of MSN Messenger! Download today - it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 First off they should NOT be reverse last shoes they should be straight last shoes. That could be the problem right there. You have the wrong shoes. You can put straight last shoes on either side of the bar and it doesn't matter you CAN NOT do the same with reverse last. Would you like to talk by phone??? It sounds like your doc has just thrown you into this. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: Lacking Info. >Date: Sat, 01 May 2004 15:32:04 -0000 > >I placed my little girl in these " awkward " DBB, reverse shoes last >night and this AM she has a blister on her foot. These dumb things! >How do I even know if I have them on correctly. I hate doing this >to her because I love her so much, but I know it's necessary! I >placed the shoes with the strap on the inside and set the bar at 65 >degrees, this seems to work better than the " reverse. " Please, any >input would be greatly appreciated. > > _________________________________________________________________ Express yourself with the new version of MSN Messenger! Download today - it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 I have read in a couple of posts now that it doesn't matter if the buckles are on the inside or outside of the straight last boots. When I got my boots for Ben the orthotist told me that the buckles should ALWAYS go on the inside. This is because when you tighten the strap you are applying rotation to the ankle and foot. Therefore you want to apply rotation in the corrective direction, not apply torsion in the old clubfoot direction. Don't know if it is significant or not. But it seems to make sense, and frankly every little bit helps!!! -Ruth > First off they should NOT be reverse last shoes they should be straight last > shoes. That could be the problem right there. You have the wrong shoes. You > can put straight last shoes on either side of the bar and it doesn't matter > you CAN NOT do the same with reverse last. > > Would you like to talk by phone??? It sounds like your doc has just thrown > you into this. > > > > > >From: " baluyot1 " > >Reply-To: nosurgery4clubfoot > >To: nosurgery4clubfoot > >Subject: Lacking Info. > >Date: Sat, 01 May 2004 15:32:04 -0000 > > > >I placed my little girl in these " awkward " DBB, reverse shoes last > >night and this AM she has a blister on her foot. These dumb things! > >How do I even know if I have them on correctly. I hate doing this > >to her because I love her so much, but I know it's necessary! I > >placed the shoes with the strap on the inside and set the bar at 65 > >degrees, this seems to work better than the " reverse. " Please, any > >input would be greatly appreciated. > > > > > > _________________________________________________________________ > Express yourself with the new version of MSN Messenger! Download today - > it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 We also have always been told it doesn't matter. Hmmm.. But it seems like if it were going to pull--it being on the inside would pull the foot inward. Ours is on the outside, but not for any reason. Pam and (8-12-01) > > First off they should NOT be reverse last shoes they should be > straight last > > shoes. That could be the problem right there. You have the wrong > shoes. You > > can put straight last shoes on either side of the bar and it > doesn't matter > > you CAN NOT do the same with reverse last. > > > > Would you like to talk by phone??? It sounds like your doc has just > thrown > > you into this. > > > > > > > > > > >From: " baluyot1 " > > >Reply-To: nosurgery4clubfoot > > >To: nosurgery4clubfoot > > >Subject: Lacking Info. > > >Date: Sat, 01 May 2004 15:32:04 -0000 > > > > > >I placed my little girl in these " awkward " DBB, reverse shoes last > > >night and this AM she has a blister on her foot. These dumb > things! > > >How do I even know if I have them on correctly. I hate doing this > > >to her because I love her so much, but I know it's necessary! I > > >placed the shoes with the strap on the inside and set the bar at 65 > > >degrees, this seems to work better than the " reverse. " Please, any > > >input would be greatly appreciated. > > > > > > > > > > _________________________________________________________________ > > Express yourself with the new version of MSN Messenger! Download > today - > > it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 Now I think about it...you're right..it would tend to rotate the foot inward. Perhaps she meant the ankle. I'm not sure. Well if it doesn't matter then either way is ok I guess. -Ruth > > > First off they should NOT be reverse last shoes they should be > > straight last > > > shoes. That could be the problem right there. You have the wrong > > shoes. You > > > can put straight last shoes on either side of the bar and it > > doesn't matter > > > you CAN NOT do the same with reverse last. > > > > > > Would you like to talk by phone??? It sounds like your doc has > just > > thrown > > > you into this. > > > > > > > > > > > > > > > >From: " baluyot1 " > > > >Reply-To: nosurgery4clubfoot > > > >To: nosurgery4clubfoot > > > >Subject: Lacking Info. > > > >Date: Sat, 01 May 2004 15:32:04 -0000 > > > > > > > >I placed my little girl in these " awkward " DBB, reverse shoes > last > > > >night and this AM she has a blister on her foot. These dumb > > things! > > > >How do I even know if I have them on correctly. I hate doing > this > > > >to her because I love her so much, but I know it's necessary! I > > > >placed the shoes with the strap on the inside and set the bar at > 65 > > > >degrees, this seems to work better than the " reverse. " Please, > any > > > >input would be greatly appreciated. > > > > > > > > > > > > > > _________________________________________________________________ > > > Express yourself with the new version of MSN Messenger! Download > > today - > > > it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 Our buckle is on the outside. I tried both ways and found this to be the easiest for me. Daiga > > > > First off they should NOT be reverse last shoes they should be > > > straight last > > > > shoes. That could be the problem right there. You have the > wrong > > > shoes. You > > > > can put straight last shoes on either side of the bar and it > > > doesn't matter > > > > you CAN NOT do the same with reverse last. > > > > > > > > Would you like to talk by phone??? It sounds like your doc has > > just > > > thrown > > > > you into this. > > > > > > > > > > > > > > > > > > > > >From: " baluyot1 " > > > > >Reply-To: nosurgery4clubfoot > > > > >To: nosurgery4clubfoot > > > > >Subject: Lacking Info. > > > > >Date: Sat, 01 May 2004 15:32:04 -0000 > > > > > > > > > >I placed my little girl in these " awkward " DBB, reverse shoes > > last > > > > >night and this AM she has a blister on her foot. These dumb > > > things! > > > > >How do I even know if I have them on correctly. I hate doing > > this > > > > >to her because I love her so much, but I know it's necessary! I > > > > >placed the shoes with the strap on the inside and set the bar > at > > 65 > > > > >degrees, this seems to work better than the " reverse. " > Please, > > any > > > > >input would be greatly appreciated. > > > > > > > > > > > > > > > > > > > _________________________________________________________________ > > > > Express yourself with the new version of MSN Messenger! > Download > > > today - > > > > it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 Our buckle is on the outside. I tried both ways and found this to be the easiest for me. Daiga > > > > First off they should NOT be reverse last shoes they should be > > > straight last > > > > shoes. That could be the problem right there. You have the > wrong > > > shoes. You > > > > can put straight last shoes on either side of the bar and it > > > doesn't matter > > > > you CAN NOT do the same with reverse last. > > > > > > > > Would you like to talk by phone??? It sounds like your doc has > > just > > > thrown > > > > you into this. > > > > > > > > > > > > > > > > > > > > >From: " baluyot1 " > > > > >Reply-To: nosurgery4clubfoot > > > > >To: nosurgery4clubfoot > > > > >Subject: Lacking Info. > > > > >Date: Sat, 01 May 2004 15:32:04 -0000 > > > > > > > > > >I placed my little girl in these " awkward " DBB, reverse shoes > > last > > > > >night and this AM she has a blister on her foot. These dumb > > > things! > > > > >How do I even know if I have them on correctly. I hate doing > > this > > > > >to her because I love her so much, but I know it's necessary! I > > > > >placed the shoes with the strap on the inside and set the bar > at > > 65 > > > > >degrees, this seems to work better than the " reverse. " > Please, > > any > > > > >input would be greatly appreciated. > > > > > > > > > > > > > > > > > > > _________________________________________________________________ > > > > Express yourself with the new version of MSN Messenger! > Download > > > today - > > > > it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
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