Re: First Week in Dobbs Brace

[Guest guest]

Jen, just a quick question to ask...did Addie have a tenomoty

performed and/or does she have good dorsiflexion?

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/7

>

> My daughter Addie has been in the AFO style Dobbs Brace for one

week

> now. I am getting frustrated because her heel is not staying down

in

> the shoe. I am able to get the heel down when I put them on and get

> the straps down very snug. When I check them later her heel has

> slipped up in them. Some times it takes several hours to do this,

> but sometimes just a few minutes. I feel like I am constantly

> putting them back on. I also stress about daycare. If I can not

keep

> AFO's in correct position, how can I expect her caregiver to? She

> usually wears Old Navy socks that have the non-slip bottoms, but it

> makes no difference. Her feet still slip. Has anyone else had this

> kind of trouble?? Her feet look beautiful- I don't feel that it is

a

> problem of not being properly corrected. I do know that an

> undercorrected foot will not stay in AFO well. I would love some

> advice!

>

> Thank you!

>

> Jen mom to

> Ava 1/18/02

> Addie 8/2/04 BCF (Dobbs Brace 23/7)

[Guest guest]

If you send a photo through the photo group it would be helpful.

How many straps does the AFO have across it? How tall is the foam

front padding? Is there grippy stuff on the inside bottom of the AFO?

Have you contacted the orthist to see if he could make some

improvements to help? My daughter was in AFO's for a short time and

they were able to do a bunch of different things at the orthist to keep

her foot in them.

HTH,

[Guest guest]

-

I posted photos of Addie's AFOs in the photo group under " Addie " . I

have not contacted the orthotist yet- wanted to get feedback from

group first to see if others have had this trouble. There are 3

velcro straps, only the top one has foam padding. The AFO's have a

rubbery inner boot that goes on first to help grip- I think? Anyway-

please look at the photos and tell me what you think.

Jen

>

> If you send a photo through the photo group it would be helpful.

> How many straps does the AFO have across it? How tall is the foam

> front padding? Is there grippy stuff on the inside bottom of the

AFO?

> Have you contacted the orthist to see if he could make some

> improvements to help? My daughter was in AFO's for a short time

and

> they were able to do a bunch of different things at the orthist to

keep

> her foot in them.

> HTH,

>

[Guest guest]

Daiga,

Addie had tenotomy done twice- one with non-Ponsetti Dr. and one

with Dr. Dobbs. I do believe she has good dorsiflexion. I do range

of motion with her 4x per day. She doesn't feel really tight- but

then again, I really have nothing else to compare with.

Jen

> >

> > My daughter Addie has been in the AFO style Dobbs Brace for one

> week

> > now. I am getting frustrated because her heel is not staying

down

> in

> > the shoe. I am able to get the heel down when I put them on and

get

> > the straps down very snug. When I check them later her heel has

> > slipped up in them. Some times it takes several hours to do

this,

> > but sometimes just a few minutes. I feel like I am constantly

> > putting them back on. I also stress about daycare. If I can not

> keep

> > AFO's in correct position, how can I expect her caregiver to?

She

> > usually wears Old Navy socks that have the non-slip bottoms, but

it

> > makes no difference. Her feet still slip. Has anyone else had

this

> > kind of trouble?? Her feet look beautiful- I don't feel that it

is

> a

> > problem of not being properly corrected. I do know that an

> > undercorrected foot will not stay in AFO well. I would love some

> > advice!

> >

> > Thank you!

> >

> > Jen mom to

> > Ava 1/18/02

> > Addie 8/2/04 BCF (Dobbs Brace 23/7)

[Guest guest]

I didn't find a file called Addie but I did find some other photos in

the Dr Dobbs brace section. Those are a bit different then the AFO's

we had since we didn't have the inner boot. Do you put the AFO's on

first then attach them to the bar? That might help to make sure you

are getting a really good fit in the AFO's.

[Guest guest]

Jen,

We had this problem too. We are now using the Markell shoes w/ the

Dobbs Brace and I have to say his feet stay in the shoes without any

problems. The slipping was one of the reasons we switched. I did

like the AFO style because I think it was more comfortable for him

especially while his feet were tiny, smushy baby feet. Now that his

feet have grown and are more solid, the Markells are working just fine

for us.

Now, here are my questions and suggestions: 1. Is her heel coming up

out of the inner plastic " bootie " or is this inner piece coming up

too? 2. I would definitely talk to both Dave (the orthotist) and Dr.

Dobbs (mattdobbs@...). They will definitely work with you

to find a solution. I think they have different types of straps (I

see Addie's are quite wide, we had 1 wide strap and 3 narrow straps.)

they could try. 3. What suggested about pressing down on the

foot and tightening that middle strap very tight is perfect. This is

very important.

Hope this helps!

Jenna (4/7/01) & Sammy (9/25/04, RCF Dobbs Brace 16-18/7)

>

> My daughter Addie has been in the AFO style Dobbs Brace for one week

> now. I am getting frustrated because her heel is not staying down in

> the shoe. I am able to get the heel down when I put them on and get

> the straps down very snug. When I check them later her heel has

> slipped up in them. Some times it takes several hours to do this,

> but sometimes just a few minutes. I feel like I am constantly

> putting them back on. I also stress about daycare. If I can not keep

> AFO's in correct position, how can I expect her caregiver to? She

> usually wears Old Navy socks that have the non-slip bottoms, but it

> makes no difference. Her feet still slip. Has anyone else had this

> kind of trouble?? Her feet look beautiful- I don't feel that it is a

> problem of not being properly corrected. I do know that an

> undercorrected foot will not stay in AFO well. I would love some

> advice!

>

> Thank you!

>

> Jen mom to

> Ava 1/18/02

> Addie 8/2/04 BCF (Dobbs Brace 23/7)

[Guest guest]

& ,

For the past 2 days I have been doing everything I can to get

Addie's heel down in the inner bootie in the correct position and

get the AFO middle strap snug down as tight as I can get it. Her

foot looks great right after I get them on. (I have a line marked

where the end of her toes should be if she is in all the way.) But-

she still continues to slip up in them. The inner boot stays in fine-

just the heel slips up and back. I do notice the R foot staying in

position better then the L. It seems like I have to re-do the L one

every time I check it! I know that I am able to get the foot in

position correctly and get it secured. It just won't stay that way!

I will need to talk to the orthotist this week and see if he can

help me solve this problem. Of course this will be one of the most

difficult weeks for me to get off work to go in and have them

adjusted! I was so hoping I wouldn't have to go back to Children's

until her next appt.

Do you know Dave's contact info?? I know he gave me his card at our

last appt. and I can't find it anywhere. If you don't have it I will

just call Dobb's office or email him.

Also - At what point did you switch Sammy from the AFO's to

the Markells? Is it common for patients in the Dobbs Brace to switch

over to the Markells? It sounds like you prefer the Markells much

better than the AFO's-

Thanks for all your help!

Jen mom to

Ava 1/18/02

Addie 8/2/04 BCF (Dobbs Brace 23/7)

> >

> > My daughter Addie has been in the AFO style Dobbs Brace for one

week

> > now. I am getting frustrated because her heel is not staying

down in

> > the shoe. I am able to get the heel down when I put them on and

get

> > the straps down very snug. When I check them later her heel has

> > slipped up in them. Some times it takes several hours to do

this,

> > but sometimes just a few minutes. I feel like I am constantly

> > putting them back on. I also stress about daycare. If I can not

keep

> > AFO's in correct position, how can I expect her caregiver to?

She

> > usually wears Old Navy socks that have the non-slip bottoms, but

it

> > makes no difference. Her feet still slip. Has anyone else had

this

> > kind of trouble?? Her feet look beautiful- I don't feel that it

is a

> > problem of not being properly corrected. I do know that an

> > undercorrected foot will not stay in AFO well. I would love some

> > advice!

> >

> > Thank you!

> >

> > Jen mom to

> > Ava 1/18/02

> > Addie 8/2/04 BCF (Dobbs Brace 23/7)