Re: reverse last vs straight last shoes

August 18, 2004

I'm not sure but I would guess that if the forefoot is corrected,

there would be no reason to have the reverse last shoes. I would

think that the reverse last shoes would put unnecessary pressure on

the inside of the forefoot causing it to turn out in relation to the

rest of the foot. Also, keep in the mind that if the reverse last

shoes are used, the 70 degree outward rotation needs to be adjusted.

Daiga

> Does anyone out there know if there is any particular reason that

Dr

> Ponseti prescribes straight last instead of reverse last shoes?

>

> My 9-month-old son has been using reverse last shoes, 3rd pairs

now.

> It's not that he has any problems with them, I'm just curious.

>

> Thanks

August 19, 2004

We have reverse last shoes too and I asked this question back in May

or June. Jay Markell replied that Dr. Ponseti used to use them back

when the bar they had developed could not give the 70 degree outward

rotation. The reverse last shoes give an extra 8 degrees of rotation

to the foot. They are not a bad thing at all, just not really needed

anymore because the bar they have now can give the 70 degrees

rotation. Our shoes are set at 60 degrees and the reverse last gives

another 8 degrees, so we have gotten to nearly 70 degrees, just in a

roundabout manner.

Hope this helps.

Louisa

6-27-99

Zoe 2-22-4 RCF