Tuesday, February 08, 2005

Alison had SB clinic today. Overall, I think it was a good appointment. Dr. Hurvitz continues to feel that Alison's doing amazingly well. He did a lot of looking at her legs and watching her walk and run, etc. He now feels that her intoeing is coming out of her hip, not her lower leg and it's due to the inner thigh muscles being stronger than the outer thigh muscles, and it's all tied in to nerve damage. He's reversed his opinion on bracing, again, and is back to feeling that it's not going to be what helps. He said he absolutely will NOT do any Botox injections. She doesn't need them and he is concerned it would cause more problems than it would solve. In his opinion, it would be better to let her have time out of her brace, because the dorsa flexor muscle will be better able to develop that way. While he generally only puts kids in twisters when the intoeing is so bad that it causes them to trip over there feet, it's not going to hurt her to use them for PT and whatnot, but they probably aren't going to solve the problem either. Our best bet is PT to try and help retrain the muscles. We're ok with that, and I'm thrilled that he won't even consider Botox. So, we'll get going on what we're planning to do, cut back her brace time to half a day and see him again in August.

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