New to Shoes - Advice needed

[Guest guest]

Hi,

Finally my boy(10 months, unilateral) is in shoes from Friday. I am

using Steenback brace. I am facing lot of problems.

1. The upper foot on the leg is swollen and so I am unable to tie the

shoe tightly. How to manage this?

2. The boy had 8 casts. So, he still does not have the habit of fully

resting the foot on the floor. he keeps his toes and the ground and

keeps the heel in the air. So, I am unable to force the heel into the

shoe. Even though i does it, he manages to bring out the foot out of

the shoe

3. For last 3 days, he was in the shoes on an average of 2 hrs a day.

This is causing me lot of concern. Can you please advice, how to

solve these issues...

4. Apart from this, if he s not wearing the shoe, what is the

alternative. Should I do some physiotheraphy, until he gets

accustomed to the shoes...

Are there any shoe without the middle bar and are they advised. I

know this is not the proper way, but I just want to know incase....

regards,

[Guest guest]

Hi there,

From your description of your sons foot (heel does not come down), it

sounds as though he does not yet have full correction OR perhaps he

has atypical clubfoot?

Does he have any dorsiflexion in his foot (are you able to get his

heel down when while placing his foot flat on the palm of your hand

and then pushing his toes up toward his knee)?

Have you addressed these concerns with your sons doctor? What does

he say about it?

I scrolled back through the messages and found where you mentioned

that you were in India and your sons doctor (second doctor after

failed serial casting) was performing the tenotomy procedure after

the second cast and then continuing the casting. I would strongly

urge you to email Dr. Ponseti directly detailing your sons treatment

(his initial treatment and of course his current treatment including

castings and tenotomy) and attach photos if you are able. Dr.

Ponseti is very passionate about these children and he would be the

best person to answer your questions and concerns. You can email him

directly at ignacio-ponseti@ uiowa.edu (without the spaces).

Good luck and keep us posted!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/24

>

> Hi,

> Finally my boy(10 months, unilateral) is in shoes from Friday. I

am

> using Steenback brace. I am facing lot of problems.

> 1. The upper foot on the leg is swollen and so I am unable to tie

the

> shoe tightly. How to manage this?

> 2. The boy had 8 casts. So, he still does not have the habit of

fully

> resting the foot on the floor. he keeps his toes and the ground and

> keeps the heel in the air. So, I am unable to force the heel into

the

> shoe. Even though i does it, he manages to bring out the foot out

of

> the shoe

> 3. For last 3 days, he was in the shoes on an average of 2 hrs a

day.

> This is causing me lot of concern. Can you please advice, how to

> solve these issues...

> 4. Apart from this, if he s not wearing the shoe, what is the

> alternative. Should I do some physiotheraphy, until he gets

> accustomed to the shoes...

>

> Are there any shoe without the middle bar and are they advised. I

> know this is not the proper way, but I just want to know incase....

>

> regards,

[Guest guest]

Hi,

Thanks very much for the reply. My son has atypical clubfoot if I

understood atypical correctly. Yes, he has got dorsiflexion, but upto

some extent.The doctor was very much satisfied with correction. The

photos were sent to Dr.Ponseti also. he was also happy with what we

have achieved here. The main problem was, the boy had 8 casts. He is

now 10 months old. Because of the casting, he got accustomed to not

putting his right leg straight as casts make it 90 degrees.But when I

push his leg into the shoe he keeps it like that, but after some

time, with his habit of toe-standing, he pulls back his heel. Hence

his leg is cmoing out of the shoe. As far as I see, he had great

correction.. But still the below problems remain.. I feel he may be

comfortable in a shoe without laces, may be straps or belt shoe..

what do u say? can u tell me the website of shoe. Can I use

them for the boy. Now I am using Steenback brace.. What is the

difference between these two..

Thanks again for your reply.

regards

> >

> > Hi,

> > Finally my boy(10 months, unilateral) is in shoes from Friday.

I

> am

> > using Steenback brace. I am facing lot of problems.

> > 1. The upper foot on the leg is swollen and so I am unable to tie

> the

> > shoe tightly. How to manage this?

> > 2. The boy had 8 casts. So, he still does not have the habit of

> fully

> > resting the foot on the floor. he keeps his toes and the ground

and

> > keeps the heel in the air. So, I am unable to force the heel into

> the

> > shoe. Even though i does it, he manages to bring out the foot out

> of

> > the shoe

> > 3. For last 3 days, he was in the shoes on an average of 2 hrs a

> day.

> > This is causing me lot of concern. Can you please advice, how to

> > solve these issues...

> > 4. Apart from this, if he s not wearing the shoe, what is the

> > alternative. Should I do some physiotheraphy, until he gets

> > accustomed to the shoes...

> >

> > Are there any shoe without the middle bar and are they advised. I

> > know this is not the proper way, but I just want to know

incase....

> >

> > regards,

[Guest guest]

From what I understand the Markell shoes (and most likely the

steenbeck brace and shoes as well) have been problematic for those

with atypical clubfoot in that the feet are able to slip out, as you

have described. Most have had to be recasted in order to regain

correction at regular intervals. The shoes seems to be

working well for those within this group who also have atypical

clubfoot. You can see this new " Ponseti Brace " with the

shoes at:

http://www.mdorthopaedics.org/default.html

Hope this helps,

Daiga

> > >

> > > Hi,

> > > Finally my boy(10 months, unilateral) is in shoes from

Friday.

> I

> > am

> > > using Steenback brace. I am facing lot of problems.

> > > 1. The upper foot on the leg is swollen and so I am unable to

tie

> > the

> > > shoe tightly. How to manage this?

> > > 2. The boy had 8 casts. So, he still does not have the habit of

> > fully

> > > resting the foot on the floor. he keeps his toes and the ground

> and

> > > keeps the heel in the air. So, I am unable to force the heel

into

> > the

> > > shoe. Even though i does it, he manages to bring out the foot

out

> > of

> > > the shoe

> > > 3. For last 3 days, he was in the shoes on an average of 2 hrs

a

> > day.

> > > This is causing me lot of concern. Can you please advice, how

to

> > > solve these issues...

> > > 4. Apart from this, if he s not wearing the shoe, what is the

> > > alternative. Should I do some physiotheraphy, until he gets

> > > accustomed to the shoes...

> > >

> > > Are there any shoe without the middle bar and are they advised.

I

> > > know this is not the proper way, but I just want to know

> incase....

> > >

> > > regards,