RE: Shelley & Carole --New dilemma!

May 5, 2004

Hi again and Carole,

, sorry I can't help with the over-active anterior tibialis. But if

Dr. P is recommending casting I think you might as well try it out before

going toward or waiting for surgery. It's great that your doctor is a

Ponseti believer. Emma's great results with Dr. P (when she was a baby)

turned our local doc into a believer- however it didn't make him capable of

understanding the method thoroughly, only proper training can do that.

For both of you, we have for some reason lost access to our Yahoo account,

so I'm sorry if you've written lately and I haven't gotten back. We'll be

setting up another account next week, so in the meantime we can keep in

touch on here.

take care,

-

New dilemma!

Hello, all,

Thanks to everyone's excellent advice we sent pics to Dr. P of Evan's

feet (8-17-00, bilateral cf, tenotomy age 3 mo, FAB until age 2, now

relapsing?). He emailed right back (the man is amazing) and said that

we should try recasting for the relapse and then back into the FAB.

If this failed, then the only alternative is ATTT. So I called our

Dr. here in Seattle who is a Ponseti believer! He was happy that we

had contacted Dr. P., however, he is not sure that Evan has a true

relapse as his feet are still remarkably flexible. And this is true.

It is just when he starts to walk that they crank in. They do point

in when he sits with feet straight out in front but when hanging down

at a 90 degree angle, they look GREAT. Our dr's opinion is that Evan

has overactivity of the anterior tibialis and that casting may not

help this at all. He thinks the only answer is ATTT. Our doc is

going to consult with another Ponseti trained dr. in the practice and

get back to me. So, of course, we don't know what to do! This is SO

frustrating and time is going by. Anyone have experience with

overactive anterior tibialis?

and Evan.

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