Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Sanna, It sounds like the doctor is going thru the early Ponseti jitters and desire to modify. I would not change the angle unless Dr P advises you to. Keep it at 70 and let the doctor see that the 70 degrees does not hurt his foot, that will help him learn that there is no need to modify it Angel Smaller angle in FAB? Hi all, Good news first: Veeti's original doctor has finally trained in Iowa City with Dr. Ponseti, and is now using the Ponseti method in clubfoot treatment here in Oulu. We had a leg&foot check up with him, and he wanted to decrease the abduction angle in Veeti's FAB by at least 10 degrees. Is this normal? Dr. Ponseti told us that we should use the brace 14 hours/day until he is three years old, and has said nothing about decreasing the angle. The foot looks great and is flexible and shows no sings of relapse, but the doctor is worried that Veeti's foot will develop flat if we keep using it in 70-degree-abduction. Veeti's left leg is still 1,5 cm shorter than the right one, and we have to go back in three months to take x-rays from his back and both legs. We also have an appointment to a genetist to find out if Veeti has some kind of syndrome that causes all the left side's anomalies (syndactyly, clubfoot, leg lenght difference, poorer hearing in left ear..). That was our news in short. I'm happy to see so many new families on this board and sorry that haven't got the time to participate more. And many thanks to Charity who patiently waited for Veeti's foot prints for the quilt. I can't believe it takes more a week for an express letter to arrive from Finland to US!! Sanna & Veeti 5/6/2002 left clubfoot, treated by Dr. Ponseti FAB 14hrs/day www.kampurajalka.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Is he in the straight last or the reverse last shoes? My son was in the reverse last for a while and the doctor had that set at 45 degrees because of the fact that the reverse last shoes already bend the foot out. Once he was able to wear the straight last shoes, the angle was changed to 70 degrees. If he is in the straight last shoes, I'd leave it at 70 degrees. If he is in the reverse last shoes, as far as I know, they should be at a 45 degree angle. Also, our doctor told us that all babies who have clubfoot will have a flat foot, so if this is true, changing the angle isn't going to make him not have a flat foot. and BCF 03/25/2004 DBB 23/7 Smaller angle in FAB? > Hi all, > > Good news first: Veeti's original doctor has finally trained in Iowa > City with Dr. Ponseti, and is now using the Ponseti method in > clubfoot treatment here in Oulu. > > We had a leg&foot check up with him, and he wanted to decrease the > abduction angle in Veeti's FAB by at least 10 degrees. Is this > normal? Dr. Ponseti told us that we should use the brace 14 > hours/day until he is three years old, and has said nothing about > decreasing the angle. The foot looks great and is flexible and shows > no sings of relapse, but the doctor is worried that Veeti's foot > will develop flat if we keep using it in 70-degree-abduction. > > Veeti's left leg is still 1,5 cm shorter than the right one, and we > have to go back in three months to take x-rays from his back and > both legs. We also have an appointment to a genetist to find out if > Veeti has some kind of syndrome that causes all the left side's > anomalies (syndactyly, clubfoot, leg lenght difference, poorer > hearing in left ear..). > > That was our news in short. I'm happy to see so many new families on > this board and sorry that haven't got the time to participate more. > And many thanks to Charity who patiently waited for Veeti's foot > prints for the quilt. I can't believe it takes more a week for an > express letter to arrive from Finland to US!! > > Sanna & Veeti 5/6/2002 > left clubfoot, treated by Dr. Ponseti > FAB 14hrs/day > www.kampurajalka.com > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Hi Sanna- First off congrats on urging your first doc to train with Dr. P. We got our first doc to finally train with him too. My son is 2 and a unilateral left. We've never had to change the degrees on his clubfoot, but have had to several times on his normal foot. Sometimes he walks with his normal foot turned out more than his clubfoot and so then we alter the degrees until he walks normal again (usually only takes a couple of days), in the past he has also intoed too much with his normal foot, so we have had to adjust it back out. It is just something we watch regularly. His clubfoot has stayed about the same. I had mentioned this on the board when it started happening and there were several parents who said they've had to adjust the clubfoot or normal foot (shoe) for different cases. I think best to email Dr. P himself and tell him what doc has told you to do and get his input. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: Smaller angle in FAB? >Date: Sat, 19 Jun 2004 08:51:30 -0000 > >Hi all, > >Good news first: Veeti's original doctor has finally trained in Iowa >City with Dr. Ponseti, and is now using the Ponseti method in >clubfoot treatment here in Oulu. > >We had a leg&foot check up with him, and he wanted to decrease the >abduction angle in Veeti's FAB by at least 10 degrees. Is this >normal? Dr. Ponseti told us that we should use the brace 14 >hours/day until he is three years old, and has said nothing about >decreasing the angle. The foot looks great and is flexible and shows >no sings of relapse, but the doctor is worried that Veeti's foot >will develop flat if we keep using it in 70-degree-abduction. > >Veeti's left leg is still 1,5 cm shorter than the right one, and we >have to go back in three months to take x-rays from his back and >both legs. We also have an appointment to a genetist to find out if >Veeti has some kind of syndrome that causes all the left side's >anomalies (syndactyly, clubfoot, leg lenght difference, poorer >hearing in left ear..). > >That was our news in short. I'm happy to see so many new families on >this board and sorry that haven't got the time to participate more. >And many thanks to Charity who patiently waited for Veeti's foot >prints for the quilt. I can't believe it takes more a week for an >express letter to arrive from Finland to US!! > >Sanna & Veeti 5/6/2002 >left clubfoot, treated by Dr. Ponseti >FAB 14hrs/day >www.kampurajalka.com > _________________________________________________________________ MSN Toolbar provides one-click access to Hotmail from any Web page – FREE download! http://toolbar.msn.click-url.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Sanna, I totally agree with what the others have said about the angle. My son Jakob wore his FAB set at 70 degrees the whole time he wore it (3 1/2 years). As for the " flat feet " theory, I don't think the angle of the FAB should affect it. Jakob's feet are not flat at all. I think we were told at one point (not by an ortho) that the arches don't fully develop until a child is at least 2 years old. Sanna Rekila wrote: > Hi all, > > Good news first: Veeti's original doctor has finally trained in Iowa > City with Dr. Ponseti, and is now using the Ponseti method in > clubfoot treatment here in Oulu. > > We had a leg&foot check up with him, and he wanted to decrease the > abduction angle in Veeti's FAB by at least 10 degrees. Is this > normal? Dr. Ponseti told us that we should use the brace 14 > hours/day until he is three years old, and has said nothing about > decreasing the angle. The foot looks great and is flexible and shows > no sings of relapse, but the doctor is worried that Veeti's foot > will develop flat if we keep using it in 70-degree-abduction. > > Veeti's left leg is still 1,5 cm shorter than the right one, and we > have to go back in three months to take x-rays from his back and > both legs. We also have an appointment to a genetist to find out if > Veeti has some kind of syndrome that causes all the left side's > anomalies (syndactyly, clubfoot, leg lenght difference, poorer > hearing in left ear..). > > That was our news in short. I'm happy to see so many new families on > this board and sorry that haven't got the time to participate more. > And many thanks to Charity who patiently waited for Veeti's foot > prints for the quilt. I can't believe it takes more a week for an > express letter to arrive from Finland to US!! > > Sanna & Veeti 5/6/2002 > left clubfoot, treated by Dr. Ponseti > FAB 14hrs/day > www.kampurajalka.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Sanna, I totally agree with what the others have said about the angle. My son Jakob wore his FAB set at 70 degrees the whole time he wore it (3 1/2 years). As for the " flat feet " theory, I don't think the angle of the FAB should affect it. Jakob's feet are not flat at all. I think we were told at one point (not by an ortho) that the arches don't fully develop until a child is at least 2 years old. Sanna Rekila wrote: > Hi all, > > Good news first: Veeti's original doctor has finally trained in Iowa > City with Dr. Ponseti, and is now using the Ponseti method in > clubfoot treatment here in Oulu. > > We had a leg&foot check up with him, and he wanted to decrease the > abduction angle in Veeti's FAB by at least 10 degrees. Is this > normal? Dr. Ponseti told us that we should use the brace 14 > hours/day until he is three years old, and has said nothing about > decreasing the angle. The foot looks great and is flexible and shows > no sings of relapse, but the doctor is worried that Veeti's foot > will develop flat if we keep using it in 70-degree-abduction. > > Veeti's left leg is still 1,5 cm shorter than the right one, and we > have to go back in three months to take x-rays from his back and > both legs. We also have an appointment to a genetist to find out if > Veeti has some kind of syndrome that causes all the left side's > anomalies (syndactyly, clubfoot, leg lenght difference, poorer > hearing in left ear..). > > That was our news in short. I'm happy to see so many new families on > this board and sorry that haven't got the time to participate more. > And many thanks to Charity who patiently waited for Veeti's foot > prints for the quilt. I can't believe it takes more a week for an > express letter to arrive from Finland to US!! > > Sanna & Veeti 5/6/2002 > left clubfoot, treated by Dr. Ponseti > FAB 14hrs/day > www.kampurajalka.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 Sanna, I totally agree with what the others have said about the angle. My son Jakob wore his FAB set at 70 degrees the whole time he wore it (3 1/2 years). As for the " flat feet " theory, I don't think the angle of the FAB should affect it. Jakob's feet are not flat at all. I think we were told at one point (not by an ortho) that the arches don't fully develop until a child is at least 2 years old. Sanna Rekila wrote: > Hi all, > > Good news first: Veeti's original doctor has finally trained in Iowa > City with Dr. Ponseti, and is now using the Ponseti method in > clubfoot treatment here in Oulu. > > We had a leg&foot check up with him, and he wanted to decrease the > abduction angle in Veeti's FAB by at least 10 degrees. Is this > normal? Dr. Ponseti told us that we should use the brace 14 > hours/day until he is three years old, and has said nothing about > decreasing the angle. The foot looks great and is flexible and shows > no sings of relapse, but the doctor is worried that Veeti's foot > will develop flat if we keep using it in 70-degree-abduction. > > Veeti's left leg is still 1,5 cm shorter than the right one, and we > have to go back in three months to take x-rays from his back and > both legs. We also have an appointment to a genetist to find out if > Veeti has some kind of syndrome that causes all the left side's > anomalies (syndactyly, clubfoot, leg lenght difference, poorer > hearing in left ear..). > > That was our news in short. I'm happy to see so many new families on > this board and sorry that haven't got the time to participate more. > And many thanks to Charity who patiently waited for Veeti's foot > prints for the quilt. I can't believe it takes more a week for an > express letter to arrive from Finland to US!! > > Sanna & Veeti 5/6/2002 > left clubfoot, treated by Dr. Ponseti > FAB 14hrs/day > www.kampurajalka.com Quote Link to comment Share on other sites More sharing options...
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