Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 It's a very minor procedure, honestly. My husband watched the whole thing with our baby. Tylenol before and after is a good idea. s. Tenotomy on Friday Hi everybody, After 20 casts, 9 of them were Ponseti casts our son Kody is going to have the tenotomy on Friday. I have mixed feelings about it. On one site I'm happy since this suppose to mean that the foot is corrected. On the other hand it's going to be nerveracking. Is this going to be painful for him? And does anybody have any tips for this day? Is it enough to give some tylenol (before and after)? I'm so thankful for this group! Kody 2/1/04 Serendy 6/29/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 I was in the room when dd had hers done. She cried but it was over fast and as soon as they were done and started putting the cast on she was fine. She cried the most when they were rubbing on some antiseptic and giving her the Novocain shots. It wasn't near as bad as I thought it would be. She slept fine that night and I stopped giving her Tylenol the next day and she was fine. I think the pain level is like when they get shots for their well baby checkups. They have some pokes and pricks and they are mad and scared but it is over soon and forgotten quickly. HTH. It is really much harder on the parents than the child. Tori 1/30/04 bilateral atypical cf in shoes 23/7 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 , Best of luck tomorrow. It will really be okay. I will be honest with you, Rose screamed the whole time (which was about 3 minutes) and it broke my heart. But, when it was done they gave us tylenol with codene and we gave it to her for 24 hours. Then we switched to regular tylenol when she seemed uncomfortable over the next couple of days. She was fine. She has a tiny little scar that I can see but I have had to point it out to others. It is the most nonsurgery surgery there is. It reminded me of when I had a mole removed. I will be thinking of you. Robin & Rose 3/12/03 Right club foot. claugauga claugauga@...> wrote: Hi everybody, After 20 casts, 9 of them were Ponseti casts our son Kody is going to have the tenotomy on Friday. I have mixed feelings about it. On one site I'm happy since this suppose to mean that the foot is corrected. On the other hand it's going to be nerveracking. Is this going to be painful for him? And does anybody have any tips for this day? Is it enough to give some tylenol (before and after)? I'm so thankful for this group! Kody 2/1/04 Serendy 6/29/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Hi Klaudia... had his tenotomy just 2 weeks ago. They have to fast for like 8 hours before, that is tough. The actual surgery is only about 30 minutes. The toughest part is the recovery afterwards. was moaning for like 2 hours.. it was so sad. He wouldn't take a bottle for a while, and when he did, he only took like 2 ounces. He was on painkillers the first day. He actually slept fine the first night, but after that he was pretty miserable that next day and the following night. Tylenol with codeine is probably what your dr. will give him. The first one or two days are tough, after that was back to normal. His casts come off on July 27th, so I will let u know how he did. Good luck! He will be fine... you might not be... but he will!! ) 2/9/04 claugauga claugauga@...> wrote: Hi everybody, After 20 casts, 9 of them were Ponseti casts our son Kody is going to have the tenotomy on Friday. I have mixed feelings about it. On one site I'm happy since this suppose to mean that the foot is corrected. On the other hand it's going to be nerveracking. Is this going to be painful for him? And does anybody have any tips for this day? Is it enough to give some tylenol (before and after)? I'm so thankful for this group! Kody 2/1/04 Serendy 6/29/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 I will weigh in with Robin here, but with a little twist. Kai had his tenotomy done by the same doctor that did Rose's (Dr Mosca) and while I was not in the room with him (my husband was) I could hear him screaching from the cast room across the hall. He continued to scream thru the casting that followed. Having said that, here is the twist. Dr Mosca did a tenotomy on another child directly before doing Kai's, and that child did not so much as squeek that I could hear and she was completely happy while being casted. Made Kai look like a big faker LOL We also gave Kai the Tylenol w/codiene the first 216 hours, but then he had a bad reaction (no surprise, I cant take it either) and we had to switch to normal Tylenol, but it did not seem to be a big deal. Take from that what you will, but know that almost all of us have been there and are rooting for you! Angel Re: Tenotomy on Friday , Best of luck tomorrow. It will really be okay. I will be honest with you, Rose screamed the whole time (which was about 3 minutes) and it broke my heart. But, when it was done they gave us tylenol with codene and we gave it to her for 24 hours. Then we switched to regular tylenol when she seemed uncomfortable over the next couple of days. She was fine. She has a tiny little scar that I can see but I have had to point it out to others. It is the most nonsurgery surgery there is. It reminded me of when I had a mole removed. I will be thinking of you. Robin & Rose 3/12/03 Right club foot. claugauga claugauga@...> wrote: Hi everybody, After 20 casts, 9 of them were Ponseti casts our son Kody is going to have the tenotomy on Friday. I have mixed feelings about it. On one site I'm happy since this suppose to mean that the foot is corrected. On the other hand it's going to be nerveracking. Is this going to be painful for him? And does anybody have any tips for this day? Is it enough to give some tylenol (before and after)? I'm so thankful for this group! Kody 2/1/04 Serendy 6/29/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 , I'm with the others in saying almost all of our kids have gone thru the tenotomy and we'll be thinking of you! There seem to be many different experiences with this procedure and I absolutely don't want our experience to scare you...just to give you some things to make sure of for your child. Some dr's do tenotomies in the OR under anesthetic and others do it in the clinic with just the topical anesthetic as ours did. I see others mentioning novocaine etc. and it makes me so sad because my son didn't have it. They just slapped on some topical anesthetic, waited 20 minutes (I think) and proceded. My son screamed like an animal as soon as they started and screamed until he was worn out. It was so awful. He stopped nursing for several days and wouldn't even take a bottle from me. I had to pump and my husband bottle fed him. I was completely heartbroken that we didn't realize we should have insisted on more pain control. I realize the risks of general anesthetic for infants are high so maybe that isn't the best option. Yes, the procedure is minor, but make sure they do more than topical anesthetic. It isn't enough. That said, the tenotomy was 100% successful and everything else about it was positive. I'm hesitating to even post this now because it sounds so negative. But I'm going to hurry up and push the button because if you just insist on good pain control everything will be fine....Best of luck to you!!!! and Evan (8-17-00, bcf) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Hi ! Everyone seems to have some great advice for you but our story varies a little so I thought I would share it too. My son Ethan has had two tenotomies. Like most of the other children here, he screamed so loud you would have thought the Dr literally cut his foot off. I will admit, with his first tenotomy, I cried right along with him. The Dr asked if I wanted to leave but there was no way I would leave him to go through that alone, even if he won't remember. Ethan however, stopped crying the second his leg was let go of. We had had such a cranky baby during the entire casting process. We expected that he would go back to being cranky after the topical wore off but he never did. It must have been painful for him not to be able to flex his feet. Anyway, we had a good experience after the tenotomy so I wanted you to know that it really could go either way. Ethan nursed immediately afterward. I have read some posts that say baby should fast for 8 hours before but our Dr suggested that I nurse him immediately before so he would be full and comfortable. Might be something to check, I don't know if Dr Ponseti requires fasting or not. Hope everything went well today! Tina Dylan 3-21-00 Ethan 3-06-04 bcf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 I know how nervous you are , I've been in your shoes twice. My daughter, Livie, has had two tenotomies on the same foot. The first was done at a Shriner's hospital and was done under a general anesthetic. She was taken into the operating room at 8:45 and they brought her back to her room at 9:20, so she was not under for very long. She had been required to fast for 4 hours before the surgery due to the anesthesia, so she had a bottle immediately upon returning to her room. She was very groggy for the rest of the day. Although that night was the first time she managed to roll herself over from back to front at 4.5 months old. She didn't seem to have any discomfort, but we gave her tylenol just in case for the first 24 hours. Her second tenotmy was done in Iowa at about 6 months old. Dr. Ponseti asked us to leave the room while Dr. Morcuende did the procedure.We walked to the end of the hall and stood there for about 5 minutes. Then they told us we could come back. Livie was laying on the table happily drinking a bottle while Dr. Ponseti finished applying her cast. He said she cried a little bit when the incision was made, but she was fine by the time we came back. Again, she seemed to have little to no discomfort after the procedure. Both of Livie's tenotomy casts were left on for three weeks and both got blood soaked at the heel. Don't be surprised by this! It is normal! Good luck and I'll be thinking of you and Kody tomorrow! Jen & Livie (10-18-01 severe left clubfoot) Tenotomy on Friday Hi everybody, After 20 casts, 9 of them were Ponseti casts our son Kody is going to have the tenotomy on Friday. I have mixed feelings about it. On one site I'm happy since this suppose to mean that the foot is corrected. On the other hand it's going to be nerveracking. Is this going to be painful for him? And does anybody have any tips for this day? Is it enough to give some tylenol (before and after)? I'm so thankful for this group! Kody 2/1/04 Serendy 6/29/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 >We also gave Kai the Tylenol w/codiene the first 216 hours, but then he had a bad reaction Well no wonder... being on it for 216 hours! (lol, couldn't resist!) Kori Mama of Kenton - 6/98 Merek - 3/00 Darbi - 3/28/03 - Rt. CF - DBB 12hr/d (¨`·.·´¨) `·.¸(¨`·.·´¨) `·.¸.·´ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 :-P lol I cant believe I wrote that! It really should say 16 hours. *blushes* Angel Re: Tenotomy on Friday >We also gave Kai the Tylenol w/codiene the first 216 hours, but then he had a bad reaction Well no wonder... being on it for 216 hours! (lol, couldn't resist!) Kori Mama of Kenton - 6/98 Merek - 3/00 Darbi - 3/28/03 - Rt. CF - DBB 12hr/d (¨`·.·´¨) `·.¸(¨`·.·´¨) `·.¸.·´ Quote Link to comment Share on other sites More sharing options...
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