Orthopedics
Todays visit was to the Orthopedic Surgeon. In March we seen Orthopedics regarding James' feet and the way he walks (see here for info on that appointment). At that time we were advised that James has Flexible Flatfeet and that they would monitor him every six months to see if it was improving.
So here it is six months later and we went back for another checkup. I had felt that James' feet were not getting better and to me it seemed his left foot was getting worse. She also picked up on this. She advised that if both feet were like his right foot she likely would tell us we didn't need to come back for another year, but since his left foot is worse and he seems to be doing more damage on it she would like to see us in six months again. At this time we have two options: do nothing or get an SMO brace. She said that at this time she did not think the brace was necessary, there is no proof that using the brace at an early age helps and there does not seem to be any disadvantage to waiting until a child is 3 or 4. She thought that since he has lots of other things going on we could leave it and have him rechecked in six months. At the same time, she said that if we have coverage (which I'm pretty sure we do through James' disability) that we could go ahead with a brace if we wanted and just have him wear it part-time.
With all that's going on with James I think we'll be waiting before we act on this one.
2 comments:
Aw! Not another thing to deal with! Is this condition related to his disease? Wishing you strength and guidance as you have to make so many decisions each day!!
As far as we know this issue is not related to his disorder. With LPI osteoporosis is also a common problem, but that is the only bone issue that they are aware of.
We think that this comes from him walking so late. Not necessarily the fact that he walked late but more the fact that he spent many months walking behind toys. When doing this he would turn his feet outwards so they would not bang into the toy he was pushing. We had noticed this habit at the time but had hoped it would correct itself once he walked on his own. His feet have turned much more inwards since that time, but unfortunately he still walks on the inside of them. Flatfoot itself is when the arch doesn't develop properly, but it seems he has not helped the situation by this walking habit.
Yes it seems he likes to pick up these "little" things that for a normal child would be a minor issue (also the tubes in the ears issue), but added to all his other issues just makes the whole situation seem worse.
At least this issue can wait ... and maybe, just maybe resolve on it's own yet ... wishful thinking :)
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