Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 I am wondering is any of you have had to do endure more than the usual number of castings. My son Aidan is on his 8th set of casts. After performing his tenotomy a 3 weeks ago the Dr. said his feet were very tight and he couldn't get the amount of correction he wanted. He casted his feet to the position he could move them to and had us come back the next week to have his feet re-casted. Both of these last two procedures we're done at the hospital under general anesthesia. He was happy with the amount of correction he got and is keeping these casts on for 3 weeks. We go back on the 22nd to have these removed and he plans to do 2 -3 more weekly castings before moving to the DBB. The possibility of surgical correction has still not been ruled out. Just wondering if any of you have had a similar scenario to Aidan's. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 I am wondering is any of you have had to do endure more than the usual number of castings. My son Aidan is on his 8th set of casts. After performing his tenotomy a 3 weeks ago the Dr. said his feet were very tight and he couldn't get the amount of correction he wanted. He casted his feet to the position he could move them to and had us come back the next week to have his feet re-casted. Both of these last two procedures we're done at the hospital under general anesthesia. He was happy with the amount of correction he got and is keeping these casts on for 3 weeks. We go back on the 22nd to have these removed and he plans to do 2 -3 more weekly castings before moving to the DBB. The possibility of surgical correction has still not been ruled out. Just wondering if any of you have had a similar scenario to Aidan's. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 The average is 6-8 weeks of weekly casts, the tenotomy, then a 3-week cast (one cast on for a duration of 3 weeks). Unless Aidan has a more difficult case such as atypical, the correction should be achieved in this amount of time. Remember too, every case is different and Aidan may just have difficult feet. May I ask which doctor you are seeing? Is he a qualified physician in the Ponseti method? Many doctors say they are qualified and following the method exactly, and 12-16 cast changes later, the feet aren't corrected and the parents are frustrated. So please keep that in mind as well. Shook Retail Operations Manager/Baking Instructor Vie de France Yamazaki, Inc. 2070 Chain Bridge Rd. Suite 500 Vienna, VA 22182 x374 x374 fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 The average is 6-8 weeks of weekly casts, the tenotomy, then a 3-week cast (one cast on for a duration of 3 weeks). Unless Aidan has a more difficult case such as atypical, the correction should be achieved in this amount of time. Remember too, every case is different and Aidan may just have difficult feet. May I ask which doctor you are seeing? Is he a qualified physician in the Ponseti method? Many doctors say they are qualified and following the method exactly, and 12-16 cast changes later, the feet aren't corrected and the parents are frustrated. So please keep that in mind as well. Shook Retail Operations Manager/Baking Instructor Vie de France Yamazaki, Inc. 2070 Chain Bridge Rd. Suite 500 Vienna, VA 22182 x374 x374 fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 Lynne, Since you're not far from Iowa City, I would recommend that you consider going directly to Dr. P for a second opinion. You could probably ask Dr. Noonan about going there and he shouldn't have an issue with it either. It seems unusual to me that Dr. Noonan needs to do so many castings post-tenotomy, but perhaps Aidan's feet are difficult (sounds like the Achilles isn't cooperating)....in which case, it's best to consult with Iowa if given the opportunity. Just my 2 cents- I don't think you'd regret the trip! & (3-16-00, left cf) > I am wondering is any of you have had to do endure more than the usual > number of castings. My son Aidan is on his 8th set of casts. After > performing his tenotomy a 3 weeks ago the Dr. said his feet were very > tight and he couldn't get the amount of correction he wanted. He > casted his feet to the position he could move them to and had us come > back the next week to have his feet re-casted. Both of these last two > procedures we're done at the hospital under general anesthesia. He was > happy with the amount of correction he got and is keeping these casts > on for 3 weeks. > > We go back on the 22nd to have these removed and he plans to do 2 - 3 > more weekly castings before moving to the DBB. The possibility of > surgical correction has still not been ruled out. Just wondering if > any of you have had a similar scenario to Aidan's. > > Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 Lynne, Since you're not far from Iowa City, I would recommend that you consider going directly to Dr. P for a second opinion. You could probably ask Dr. Noonan about going there and he shouldn't have an issue with it either. It seems unusual to me that Dr. Noonan needs to do so many castings post-tenotomy, but perhaps Aidan's feet are difficult (sounds like the Achilles isn't cooperating)....in which case, it's best to consult with Iowa if given the opportunity. Just my 2 cents- I don't think you'd regret the trip! & (3-16-00, left cf) > I am wondering is any of you have had to do endure more than the usual > number of castings. My son Aidan is on his 8th set of casts. After > performing his tenotomy a 3 weeks ago the Dr. said his feet were very > tight and he couldn't get the amount of correction he wanted. He > casted his feet to the position he could move them to and had us come > back the next week to have his feet re-casted. Both of these last two > procedures we're done at the hospital under general anesthesia. He was > happy with the amount of correction he got and is keeping these casts > on for 3 weeks. > > We go back on the 22nd to have these removed and he plans to do 2 - 3 > more weekly castings before moving to the DBB. The possibility of > surgical correction has still not been ruled out. Just wondering if > any of you have had a similar scenario to Aidan's. > > Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 Our son went through about ten casts with a non-Ponseti doctor and his feet still weren't corrected. He recommended major surgery! Two months and six casts later 's feet were perfect with a Ponseti qualified doctor. and 11/10/03 bilateral cf dbb 14/7 > The average is 6-8 weeks of weekly casts, the tenotomy, then a 3- week cast > (one cast on for a duration of 3 weeks). Unless Aidan has a more > difficult case such as atypical, the correction should be achieved in this > amount of time. Remember too, every case is different and Aidan may just > have difficult feet. May I ask which doctor you are seeing? Is he a > qualified physician in the Ponseti method? Many doctors say they are > qualified and following the method exactly, and 12-16 cast changes later, > the feet aren't corrected and the parents are frustrated. So please keep > that in mind as well. > > > > > > > > > Shook > Retail Operations Manager/Baking Instructor > Vie de France Yamazaki, Inc. > 2070 Chain Bridge Rd. Suite 500 > Vienna, VA 22182 > x374 > x374 > fax > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 Our son went through about ten casts with a non-Ponseti doctor and his feet still weren't corrected. He recommended major surgery! Two months and six casts later 's feet were perfect with a Ponseti qualified doctor. and 11/10/03 bilateral cf dbb 14/7 > The average is 6-8 weeks of weekly casts, the tenotomy, then a 3- week cast > (one cast on for a duration of 3 weeks). Unless Aidan has a more > difficult case such as atypical, the correction should be achieved in this > amount of time. Remember too, every case is different and Aidan may just > have difficult feet. May I ask which doctor you are seeing? Is he a > qualified physician in the Ponseti method? Many doctors say they are > qualified and following the method exactly, and 12-16 cast changes later, > the feet aren't corrected and the parents are frustrated. So please keep > that in mind as well. > > > > > > > > > Shook > Retail Operations Manager/Baking Instructor > Vie de France Yamazaki, Inc. > 2070 Chain Bridge Rd. Suite 500 > Vienna, VA 22182 > x374 > x374 > fax > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2005 Report Share Posted June 16, 2005 Hi, we had a similar problem. My son went first through a non-Ponseti doctor (9 casts), then we switched to a Ponseti approved Doctor and after the tenotomy that was performed he still kept going casting saying the angle is not there yet (70 degrees). I started sending pics to Dr Ponseti and he wrote back that it's an atypical clubfoot. I switched my son to another doctor who had already experience with that and he said the angle is already good for his kind of foot (60). So you might consider just sending pictures to the expert Dr Ponseti himself. Good luck Kody 2/1/04 atyp right CF 20 hr DBB Serendy 6/29/02 > I am wondering is any of you have had to do endure more than the usual > number of castings. My son Aidan is on his 8th set of casts. After > performing his tenotomy a 3 weeks ago the Dr. said his feet were very > tight and he couldn't get the amount of correction he wanted. He > casted his feet to the position he could move them to and had us come > back the next week to have his feet re-casted. Both of these last two > procedures we're done at the hospital under general anesthesia. He was > happy with the amount of correction he got and is keeping these casts > on for 3 weeks. > > We go back on the 22nd to have these removed and he plans to do 2 - 3 > more weekly castings before moving to the DBB. The possibility of > surgical correction has still not been ruled out. Just wondering if > any of you have had a similar scenario to Aidan's. > > Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2005 Report Share Posted June 16, 2005 Hi, we had a similar problem. My son went first through a non-Ponseti doctor (9 casts), then we switched to a Ponseti approved Doctor and after the tenotomy that was performed he still kept going casting saying the angle is not there yet (70 degrees). I started sending pics to Dr Ponseti and he wrote back that it's an atypical clubfoot. I switched my son to another doctor who had already experience with that and he said the angle is already good for his kind of foot (60). So you might consider just sending pictures to the expert Dr Ponseti himself. Good luck Kody 2/1/04 atyp right CF 20 hr DBB Serendy 6/29/02 > I am wondering is any of you have had to do endure more than the usual > number of castings. My son Aidan is on his 8th set of casts. After > performing his tenotomy a 3 weeks ago the Dr. said his feet were very > tight and he couldn't get the amount of correction he wanted. He > casted his feet to the position he could move them to and had us come > back the next week to have his feet re-casted. Both of these last two > procedures we're done at the hospital under general anesthesia. He was > happy with the amount of correction he got and is keeping these casts > on for 3 weeks. > > We go back on the 22nd to have these removed and he plans to do 2 - 3 > more weekly castings before moving to the DBB. The possibility of > surgical correction has still not been ruled out. Just wondering if > any of you have had a similar scenario to Aidan's. > > Thank you. Quote Link to comment Share on other sites More sharing options...
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