Alison had her follow-up with the orthopedic surgeon today. We didn't really get any news that we weren't expecting. He's pleased with the way the brace is helping her foot drop. He wants her wearing it most of the time, but not until we get it adjusted so that she has full range of motion as far as flexing and pointing her toes. Right now there's a stop on the back that prevents her from fully "pointing" her toes.
As far as her intoeing, the brace alone is not correcting it at all (like that was a big surprise, since everything I read says bracing doesn't help it). He feels that the muscle that pulls her foot in has more tone than the one that should be pulling it out. So we now have a couple of options to consider, We can add twister cables (cables that attach to a pelvic band and her shoe) to the brace or we could have her SB doc give her a shot of Botox in the inner muscle and see if relaxing it will allow the foot to straighten up. We can do one or the other or both. We're leaning more towards just doing the twister cables. Also, we have finally gotten orders for PT. He wants her to see someone 1-2 times a week for 2 months (and have us work with her at home) for gait training. So, as soon we figure out if we want to go through the hospital, Early On, or a private practice, we'll get that started.
Wednesday, January 05, 2005
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