Re: rocker bottom foot deformity

November 15, 2004

I found this:

Rocker-bottom foot deformity,

an abnormality occurring after inadequate treatment of clubfoot. In

this condition the dorsiflexion of the foot is corrected before the

equinus deformity.

A rocker-bottom deformity is also seen in patients with congenital

vertical talus, trisomy 13 syndrome or trisomy 18 syndrome.

http://www.amershamhealth.com/medcyclopaedia/medical/volume%20III%

201/ROCKER%20BOTTOM%20FOOT%20DEFORMITY.ASP

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 15, 2004

Dr. Ponseti comments about this on his site. In the section

entitled " Information for Healthcare Providers on Clubfoot " ,

(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

tml)

there are a list of " common errors " and tips to avoid them. One of

which is #7:

" Attempts to correct the equinus before the heel varus and foot

supination are corrected will result in a rocker bottom deformity. "

Hope this helps!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/24

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 15, 2004

Dr. Ponseti comments about this on his site. In the section

entitled " Information for Healthcare Providers on Clubfoot " ,

(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

tml)

there are a list of " common errors " and tips to avoid them. One of

which is #7:

" Attempts to correct the equinus before the heel varus and foot

supination are corrected will result in a rocker bottom deformity. "

Hope this helps!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/24

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 16, 2004

Lori, from what I know Rockerbottom feet are very different from clubfeet. The

foot is actually elongated, narrow, and is high in the heel and slopes up to the

toes - looking like the foot of a rocking chair.

When we were diagnosed they thought Aidan was either very very severe clubfoot

or rockerbottom feet. I did some research on both and one doesn't look anything

like the other. In fact, Aidan's feet were club but not even so severe. I'm

not sure why these are associated together. I know that's not much but that's

all I know. Sorry!

wbb_lr lori.webb@...> wrote:

Hi there,

Weston had his last cast removed on Thursday. The doctor said on

previous appointments that he would not need the tenotemy surgery.

However, at this last appointment he said that he would probably

need the surgery afterall due to a " rocker bottom " foot deformity.

Does anyone know what this is and how children acquire it?

Thanks!! Lori

November 16, 2004

Lori, from what I know Rockerbottom feet are very different from clubfeet. The

foot is actually elongated, narrow, and is high in the heel and slopes up to the

toes - looking like the foot of a rocking chair.

When we were diagnosed they thought Aidan was either very very severe clubfoot

or rockerbottom feet. I did some research on both and one doesn't look anything

like the other. In fact, Aidan's feet were club but not even so severe. I'm

not sure why these are associated together. I know that's not much but that's

all I know. Sorry!

wbb_lr lori.webb@...> wrote:

Hi there,

Weston had his last cast removed on Thursday. The doctor said on

previous appointments that he would not need the tenotemy surgery.

However, at this last appointment he said that he would probably

need the surgery afterall due to a " rocker bottom " foot deformity.

Does anyone know what this is and how children acquire it?

Thanks!! Lori

November 16, 2004

Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

him! Lori

_____

From: Daiga Grady

Sent: Monday, November 15, 2004 8:49 PM

To: nosurgery4clubfoot

Subject: Re: rocker bottom foot deformity

Dr. Ponseti comments about this on his site. In the section

entitled " Information for Healthcare Providers on Clubfoot " ,

(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

tml)

there are a list of " common errors " and tips to avoid them. One of

which is #7:

" Attempts to correct the equinus before the heel varus and foot

supination are corrected will result in a rocker bottom deformity. "

Hope this helps!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/24

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 16, 2004

Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

him! Lori

_____

From: Daiga Grady

Sent: Monday, November 15, 2004 8:49 PM

To: nosurgery4clubfoot

Subject: Re: rocker bottom foot deformity

Dr. Ponseti comments about this on his site. In the section

entitled " Information for Healthcare Providers on Clubfoot " ,

(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

tml)

there are a list of " common errors " and tips to avoid them. One of

which is #7:

" Attempts to correct the equinus before the heel varus and foot

supination are corrected will result in a rocker bottom deformity. "

Hope this helps!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/24

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 16, 2004

Thank you! I want to strangle his doctor right about now!!! I just called

the office to see if we could switch doctors! Lori

_____

From: Lori

Sent: Monday, November 15, 2004 7:42 PM

To: nosurgery4clubfoot

Subject: Re: rocker bottom foot deformity

I found this:

Rocker-bottom foot deformity,

an abnormality occurring after inadequate treatment of clubfoot. In

this condition the dorsiflexion of the foot is corrected before the

equinus deformity.

A rocker-bottom deformity is also seen in patients with congenital

vertical talus, trisomy 13 syndrome or trisomy 18 syndrome.

http://www.amershamhealth.com/medcyclopaedia/medical/volume%20III%

http://www.amershamhealth.com/medcyclopaedia/medical/volume%20III%25>

201/ROCKER%20BOTTOM%20FOOT%20DEFORMITY.ASP

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 16, 2004

Lori,

So you have some pictures of this that you sent to Dr. Ponseti? If he

replies and says it's rockerbottom, would you send me copies or send them

to the CFPics list so I can put them in the photos section for parents to

reference? That would be very cool!

Kori

At 09:34 AM 11/16/2004, you wrote:

>Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

>him! Lori

>

> _____

>

>From: Daiga Grady

>Sent: Monday, November 15, 2004 8:49 PM

>To: nosurgery4clubfoot

>Subject: Re: rocker bottom foot deformity

>

>Dr. Ponseti comments about this on his site. In the section

>entitled " Information for Healthcare Providers on Clubfoot " ,

>

>(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

>tml)

>

>there are a list of " common errors " and tips to avoid them. One of

>which is #7:

>

> " Attempts to correct the equinus before the heel varus and foot

>supination are corrected will result in a rocker bottom deformity. "

>

>Hope this helps!

>

>Daiga and Owen, 02/04/03

>Unilateral LCF, FAB 14/24

>

> >

> > Hi there,

> > Weston had his last cast removed on Thursday. The doctor said on

> > previous appointments that he would not need the tenotemy surgery.

> > However, at this last appointment he said that he would probably

> > need the surgery afterall due to a " rocker bottom " foot deformity.

> > Does anyone know what this is and how children acquire it?

> > Thanks!! Lori

>

November 16, 2004

Lori,

So you have some pictures of this that you sent to Dr. Ponseti? If he

replies and says it's rockerbottom, would you send me copies or send them

to the CFPics list so I can put them in the photos section for parents to

reference? That would be very cool!

Kori

At 09:34 AM 11/16/2004, you wrote:

>Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

>him! Lori

>

> _____

>

>From: Daiga Grady

>Sent: Monday, November 15, 2004 8:49 PM

>To: nosurgery4clubfoot

>Subject: Re: rocker bottom foot deformity

>

>Dr. Ponseti comments about this on his site. In the section

>entitled " Information for Healthcare Providers on Clubfoot " ,

>

>(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

>tml)

>

>there are a list of " common errors " and tips to avoid them. One of

>which is #7:

>

> " Attempts to correct the equinus before the heel varus and foot

>supination are corrected will result in a rocker bottom deformity. "

>

>Hope this helps!

>

>Daiga and Owen, 02/04/03

>Unilateral LCF, FAB 14/24

>

> >

> > Hi there,

> > Weston had his last cast removed on Thursday. The doctor said on

> > previous appointments that he would not need the tenotemy surgery.

> > However, at this last appointment he said that he would probably

> > need the surgery afterall due to a " rocker bottom " foot deformity.

> > Does anyone know what this is and how children acquire it?

> > Thanks!! Lori

>

November 16, 2004

Lori,

Rocker bottom can develop if the foot is casted incorrectly. This

happened with when we were under the care of our first doctor

(non-Ponseti) after 3 months of casting- she started to develop

rocker bottom. From what I understand, rocker bottom is a break-down

of the mid-foot....non-medically, I understand it to be when the

doctor casts the foot trying to push the toes upward, forming the

middle of the foot in a " u " shape, like a " rocker " .

When this happened with , we eventually ended up going to Dr.

Ponseti and he fixed her foot with 3 more casts and a tenotomy-

luckily, there was no permanent damage.

This is just our experience.

Hope this information helps!

Regards,

& (3-16-00)

left clubfoot, switched to Ponseti method at 4 mo. old

http://ponseticlubfoot.freeservers.com/

>

> Hi there,

> Weston had his last cast removed on Thursday. The doctor said on

> previous appointments that he would not need the tenotemy surgery.

> However, at this last appointment he said that he would probably

> need the surgery afterall due to a " rocker bottom " foot deformity.

> Does anyone know what this is and how children acquire it?

> Thanks!! Lori

November 16, 2004

We did not send pictures. That is a good idea though. I will have my

husband work on that and let you know. Thanks, Lori

_____

From: frogabog

Sent: Tuesday, November 16, 2004 12:04 PM

To: nosurgery4clubfoot

Subject: RE: Re: rocker bottom foot deformity

Lori,

So you have some pictures of this that you sent to Dr. Ponseti? If he

replies and says it's rockerbottom, would you send me copies or send them

to the CFPics list so I can put them in the photos section for parents to

reference? That would be very cool!

Kori

At 09:34 AM 11/16/2004, you wrote:

>Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

>him! Lori

>

> _____

>

>From: Daiga Grady

>Sent: Monday, November 15, 2004 8:49 PM

>To: nosurgery4clubfoot

>Subject: Re: rocker bottom foot deformity

>

>Dr. Ponseti comments about this on his site. In the section

>entitled " Information for Healthcare Providers on Clubfoot " ,

>

>(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

>tml)

>

>there are a list of " common errors " and tips to avoid them. One of

>which is #7:

>

> " Attempts to correct the equinus before the heel varus and foot

>supination are corrected will result in a rocker bottom deformity. "

>

>Hope this helps!

>

>Daiga and Owen, 02/04/03

>Unilateral LCF, FAB 14/24

>

> >

> > Hi there,

> > Weston had his last cast removed on Thursday. The doctor said on

> > previous appointments that he would not need the tenotemy surgery.

> > However, at this last appointment he said that he would probably

> > need the surgery afterall due to a " rocker bottom " foot deformity.

> > Does anyone know what this is and how children acquire it?

> > Thanks!! Lori

>

November 16, 2004

We did not send pictures. That is a good idea though. I will have my

husband work on that and let you know. Thanks, Lori

_____

From: frogabog

Sent: Tuesday, November 16, 2004 12:04 PM

To: nosurgery4clubfoot

Subject: RE: Re: rocker bottom foot deformity

Lori,

So you have some pictures of this that you sent to Dr. Ponseti? If he

replies and says it's rockerbottom, would you send me copies or send them

to the CFPics list so I can put them in the photos section for parents to

reference? That would be very cool!

Kori

At 09:34 AM 11/16/2004, you wrote:

>Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

>him! Lori

>

> _____

>

>From: Daiga Grady

>Sent: Monday, November 15, 2004 8:49 PM

>To: nosurgery4clubfoot

>Subject: Re: rocker bottom foot deformity

>

>Dr. Ponseti comments about this on his site. In the section

>entitled " Information for Healthcare Providers on Clubfoot " ,

>

>(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

>tml)

>

>there are a list of " common errors " and tips to avoid them. One of

>which is #7:

>

> " Attempts to correct the equinus before the heel varus and foot

>supination are corrected will result in a rocker bottom deformity. "

>

>Hope this helps!

>

>Daiga and Owen, 02/04/03

>Unilateral LCF, FAB 14/24

>

> >

> > Hi there,

> > Weston had his last cast removed on Thursday. The doctor said on

> > previous appointments that he would not need the tenotemy surgery.

> > However, at this last appointment he said that he would probably

> > need the surgery afterall due to a " rocker bottom " foot deformity.

> > Does anyone know what this is and how children acquire it?

> > Thanks!! Lori

>

November 16, 2004

Oh man, you've got to send Dr. P. pictures of your little one's feet. Do

these: Front and back standing bearing weight (hold baby up of

course). Then one of the soles and another of the profile of the foot as

you're dorsifexing it as far as it'll go so he can see how far past L it'll

go. Send those to Dr. P now as an addendum to your email, mark it urgent

so Joyce knows to put it with your previous email. He should be in

tomorrow, which is Wednesday so if you can do this right away he may be

able to get to you tomorrow. If not, he's in again on Friday. I have

heard that he's been getting a ton of emails recently, so be patient.

You do need to find a good doc in your area for a second opinion

though. That doc you're seeing is going to damage your little guy's foot!

Kori

At 05:36 PM 11/16/2004, you wrote:

>We did not send pictures. That is a good idea though. I will have my

>husband work on that and let you know. Thanks, Lori

>

> _____

>

>From: frogabog

>Sent: Tuesday, November 16, 2004 12:04 PM

>To: nosurgery4clubfoot

>Subject: RE: Re: rocker bottom foot deformity

>

>Lori,

>

>So you have some pictures of this that you sent to Dr. Ponseti? If he

>replies and says it's rockerbottom, would you send me copies or send them

>to the CFPics list so I can put them in the photos section for parents to

>reference? That would be very cool!

>

>Kori

>

>At 09:34 AM 11/16/2004, you wrote:

>

> >Thanks! We emailed Dr. Ponseti last night. Hopefully we will hear from

> >him! Lori

> >

> > _____

> >

> >From: Daiga Grady

> >Sent: Monday, November 15, 2004 8:49 PM

> >To: nosurgery4clubfoot

> >Subject: Re: rocker bottom foot deformity

> >

> >Dr. Ponseti comments about this on his site. In the section

> >entitled " Information for Healthcare Providers on Clubfoot " ,

> >

> >(http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.h

> >tml)

> >

> >there are a list of " common errors " and tips to avoid them. One of

> >which is #7:

> >

> > " Attempts to correct the equinus before the heel varus and foot

> >supination are corrected will result in a rocker bottom deformity. "

> >

> >Hope this helps!

> >

> >Daiga and Owen, 02/04/03

> >Unilateral LCF, FAB 14/24

> >

> > >

> > > Hi there,

> > > Weston had his last cast removed on Thursday. The doctor said on

> > > previous appointments that he would not need the tenotemy surgery.

> > > However, at this last appointment he said that he would probably

> > > need the surgery afterall due to a " rocker bottom " foot deformity.

> > > Does anyone know what this is and how children acquire it?

> > > Thanks!! Lori

> >

November 17, 2004

Will do! Thanks for the advice!

_____

From: frogabog

Sent: Tuesday, November 16, 2004 6:52 PM