My Story, Your Story

This page is for all you fellow clubbies, a place to tell your own story, and to read the story of others dealing with post-club feet. I'll be adding my own story, in segments, here at the top of the page (have to do this in small bursts - day job, ya know?) and you use the Comments selection to post your own story. I hope it helps us all to see we are less alone than we may have thought.

So, Moi.

I was born in 1953, in Southeast Michigan, and was almost immediately ensconced at the Detroit Children's Hospital, under the care of one Dr. Day. He was to be my orthopedist throughout my entire "reconfiguration." Besides the hospital, I was also seen at first weekly, then monthly until I was 16, at the Detroit Orthopedic Clinic. This was a clinic funded by the State of Michigan, and through United Way, March of Dimes, and Easter Seals contributions.

To this clinic came every sort of variation on the human condition, even, and I say this with great gratitude, people who were institutionalized at birth because their disabilities were so extreme. There were children and adults of every age, color, and random differences, and to my young mind, the most interesting and comforting place in the world. My sibs were the "different" ones, to me, as were all those kids at school. To me, "normal" was the wide variation of us who came to get care and treatment from doctors and nurses and students whose sole job, it seemed to me, was to have each of us walk around in front of them while they talked and poked and prodded and nodded their heads about my feet and legs and gait. Who wouldn't suck up all that attention?

My earliest memories, much to my own amazement sometime, are two - the smell of ether, and the image of a large nurse in white standing over my crib. I was probably around 18 months of age, based on some things my mother told me later. Much later, of course. Even today, I am able to close my eyes and bring back that smell. Hospitals no longer use ether, so I haven't had any "booster shots", as it were, but the recall is as strong as ever.

I of course had the serial casting and manipulations (pre-Ponzetti,) and the night splints. The daytime braces came a bit later. My surgeries, with two exceptions, apparently "went well." But around five, I had another surgery to remove a cyst that had developed on the dorsum (top) of my left foot. The result was a ruptured tensor retinaculum, a fascial band that serves to hold down the anterior tibialis tendon. Since then, my anterior tib remains "popped out" and I get occasional irritation from my shoes. A later surgery, at the age of 37, to remove two bone spurs on the posterior calcaneus and posterior talus (rearfoot bones) resulted in a severed surral nerve along the lateral border of my left foot (why is it always my left foot?) This has caused a loss of sensation from the lateral heel to the fourth and fifth toes. And while the sensation is gone, there is deep pain as the deeper nerves have to replace the job of the cutaneous nerves, which they weren't designed for.

Coming next: Home and School Life

As an infant, and probably until age 5, my differences from my sibs was largely in what I was unable to do, and where I sat to eat, and occasionally, waking the entire house while wearing the AFO's I graduated to after the Dennis Browne's were put aside. These braces had metal uprights with a calf band, and elastic straps connected to th front sides of the shoes, to pull, or dorsiflex, the entire foot, upward, thereby continuing to lengthen the achilles tendons. But there was another feature that began to get me called by my earliest pejorative - Frankenstein. The braces also had steel bottoms, to completely stiffen the soles of the shoes. This had two effects, besides the medically designed one - they tended to tear up the sheets, and when I had to get up at night to use the bathroom, the noise woke everyone in the house. Needless to say, I hated them.

I also was unable to play outside whenever I had casts on, but I do recall one very cold and snowy morning, a Saturday, I think (or maybe one of those "snow called on account of school" days) when I really wanted to go outside with the sibs to make a snowman. My mother put three pair of my father's socks over my casts, and then put a pair of his rubber snow shoes on me. I was thrilled to be out there, playing in the snow with my sibs. Until, that is, I stepped into a small snow drift, and when I went to pull out my foot to take the next step, the boot came off. The sibs, of course, laughed - that's what kids do when they see a pratfall. But I didn't understand that then, and I recall this as one of my earliest moments of humiliation.

This humiliation, and other, even worse feelings, began in first grade, when I was pushed down on the playground, and beaten up by several other boys, for wearing "Bozo boots." Braces attached to high-top, brown, round-toed shoes, were an alien invasion, I suppose. This was to become the constant accompaniment to my years in school, right up through high school. Sometimes, the beatings were severe, leaving me twice bleeding on the playground, one of those times also leaving me unconscious. I would be discovered twenty minutes after recess by a teacher looking out the window to see me lying bloody on the playground. Apparently, after a teacher forced the other kids to let me play baseball with them, I missed catching a fly-ball over second base. I was actually playing third base.

There were times in my first two or three years of school where my older sister would come to my defense, but I quickly learned this was not a good idea. The bully's would just wait till she wasn't around, and then just be that much more savage. So I had to endure these assaults, sometimes daily. Complaining to the teachers seldom had any impact. Today, bullying is taken more seriously, but back then, it was largely "just kids being kids." Right. More like kids being monsters. And I got little help from my father. he was all "John Wayne" about it - "Just hit them back," was his favorite response. It mattered little that there was always more than one hitting me. My mother was sympathetic, and offered solace, but had no power to stop the assaults and the constant humiliation. I often wonder what kept me from becoming a drug addict, or pulling a Columbine - I think I had more reason than those kids did. But, the fear seemed to out-weigh the rage, at least in those days. Lucky for me, I suppose.

I took refuge in books, and learning,, and in the woods and fields around me. I spent days outdoors, stalking wild animals, trying to get close to them, just to see if I could do it. I was, as any normal kid would be, fascinated by Daniel Boone, Davy Crockett, Huck Finn, and especially, Native Americans. I learned to walk as quietly as possible, a compensation, I suspect, for having walked so loudly with my braces.

In books, I was equally fascinated by fiction and fact. I went through what I called my "science of the moment" phase - weather, biology, geology, physics - you name it, i read about it, voraciously. Each subject would captivate me for some varying length of time, until the next one rose up to beckon me into its secrets. I recall getting, in no particular order, a chemistry set, a "Visible Man," a geology kit, on and on. I learned very young how to speed read, and I to this day have an ability to retain and recall books I read forty years ago. This led me to one of the more telling moments of my younger years - the encounter with the "Skeptical Librarian," as I like to call it.

In the summers, I would go to the library, and check out anywhere from ten to fifteen books a week. I did in fact consume them all - I had few friends, and lots of time. I spent that time either stalking animals, climbing trees, especially fruit trees (I once spent an entire day sitting on the top of a giant apple tree, eating apples. I was quite sick for several days, as I recall. but who could resist a fresh picked apple?) And, of course, reading. The summer was just getting started, and I was on my third trip to the library in as many weeks. I returned ten or so books, then spent a blissful hour or so searching for my next week's repast, as it were. When I approached the checkout desk, I was confronted by the elderly librarian, who seemed downright skeptical. "You can't possibly have read all these books," she said, pointing to the stack I'd just returned. She then pointed to my new armfull, and said,"You shouldn't just skim through a book, or you won't really know what it's about." I replied that I had indeed read all those books, and that I'd read this bunch just as thoroughly. I suggested she test me. With a slightly sardonic smile (yes, I already knew that word,) she picked up a book about weather phenomenon, opened it at random, then asked me a question about cumulonimbus clouds, and the conditions under which they were most likely to form. I responded to the specific question, then added additional information from deeper in the book about how such formations are known to produce snow at upper altitudes that may fall as either rain or hail to the ground. She never bothered me about the size of my book pile again.

This compensation for my physical (and social) limitations was a double-edged sword. While my intellect was deepened, my ability to create social bonds was further eroded. I mistakenly believed, for many years, that one's mind, and its continual development, was in fact the primary goal. After all, I would reason, why else have the damn thing inside our skulls if we weren't interested in building that particular muscle as much as possible. Why wasn't Einstein the the one to be emulated, as opposed to Roger Maris, or John Wayne? Not that those individuals didn't have talent, mind you, but that the mind seemed to me far more interesting. This as you may imagine was not the best attitude when it came to making friends, something I was already painfully at a disadvantage at. Obviously, I was smart in some ways, yet incredibly clueless in others.

It wasn't until the middle of high school that I finally found my place in the social fabric. It was the dawning of the age of Aquarius, and the hippies opened the door to a new world for me. Unlike every other group at school, hippies welcomed me with open arms. Music became my new fascination, as well as poetry, and I finally had friends. This, of course, made the bullies even more furious - I was both a crippled freak, and a long-hair. Boy, they had a field day on me. The very last time I was bullied, I was nearly killed. This one jerk, who seemed destined for life imprisonment one day, decided he had to find his place in the bully pecking order, and decided to climb his chosen social ladder starting with me as the bottom rung. Over the course of two weeks, he assaulted me at least a dozen times, one day in particular, three times, a new record! But the last two times were particularly memorable. The first of these occurred as I was walking down the hall to class, my arms full of books. I vaguely heard the sound of someone running from behind. I suddenly felt a great pain burst through my back, and I went flying, striking my face on an open locker door. My wounds required a trip to the local hospital for stitches.

But, as bully's sometimes do, he wasn't through with me. You see, he had done this dastardly deed right under the eyes of the vice-principal. He was, as well he should have been, expelled permanently. For this, something of his own making, he blamed me. One week later, I was walking along a road near the school, headed for a friend's house, when I heard a car approaching, beeping it's horn. As I turned to look, I saw a car with four guys, and immediately recognized the one in the front passenger seat - my erstwhile tormentor. Before I could react, his hand shot out of the window with an object, which he hurled at me as the car went by. A full can of beer hit me directly over my heart, and I went down. The last I recall was all the car's occupants laughing uproariously.

A following car witnessed the entire thing, and stopped to assist me. I was taken to a nearby hospital, and was told I had a broken rib that almost punctured my lung. The doctor told me I was lucky - if it had struck about a half inch to the left, it could have stopped my heart.

Boy, did I love school.

Next: On The Road

I finally escaped from home and school and what I thought was all I felt bad about myself over when I turned 17. I hit the road 7 days after my 17th birthday, and never looked back. I became a part of the Great Hippie Migration of the 60's and 70's. I spent 5+ years traveling, mostly by thumb, all over North America. I crossed Canada nearly ten times, traversed the States more times than I recall, and did a fair amount of travel in Northern and West (Baja) Mexico. I carried a ridiculously heavy backpack, and did some insane things I am still paying for today. I wore these very stiff Austrian hiking boots, and wore anywhere from 1 to 3 Ace wraps at a time. Not the sharpest knife in the drawer back then, I'll freely admit.

In those years, I never told anyone why I limped, deflecting those who asked with a sardonic response something to the effect of, "school injury." It made it easier to deal with, or so I thought at the time. I just didn't want to invite any further humiliation, which is what I'd been escaping from in the first place. So I just limped along, learning to tolerate the pain, and admittedly (hey, it was the times, ya dig?) self-medicating on occasion.

One of the most difficult things for me was feeling comfortable around women. I'd had some real disasters in high school, directly related to my feet and funny shoes, so I tended to protect myself from any possibility of further humiliations. It didn't mean I wasn't attracted - quite the contrary. It just meant I kept waiting for the woman to make the overtures. Which seldom had the desired outcome, as such overtures seldom happened. Even in that era of free love. Silly me.

I have often wondered how my life would have turned out had family and school and other situations had been more supportive and understanding, more accepting of my "differences." This has had the effect of making me far more compassionate of other people's differences from me, whether it be ethnicity, color, disability, gender preference, or any other thing, with one exception. I have zero tolerance for bigotry and intolerance, especially when it arises out of ignorance. For me, it is the incredible diversity of the human species that holds my attention. That clinic taught me all the most important lessons in life, and I am still absorbing the full impact of those lessons.

Next: If The Shoe Fits, Make It

When I was a hippy flitting about the North American Continent, I began making leather crafts - belts, purses, wallets, etc., and after doing that for several years, I finally decided to try my hand at making sandals. Early success at this led me (I couldn't even begin to tell you how) to want to learn custom shoe making. This proved a more arduous career decision than I at first suspected it might be, and I eventually, in an effort to at least get my foot in the door, so to speak, found easier entry to shoe repair. And after about five years of this, I finally found someone who was willing to take me on and give me my start in the "real deal."

As an aside, let me tell you, becoming a shoemaker is by modern standards an insane enterprise. First - you will never be wealthy - not even close. Second, it will take you many years to get even reasonably good at it - there are more than 120 hand operations that go into a custom pair of shoes, a seemingly infinite variety of feet and foot conditions to respond to, a broad range of materials you need to master, many machines you need to not only operate, but learn to adjust and repair, as well, and oh, did I mention the hours invested? This is not a field for the weak-willed, the faint of heart, or those who are in a hurry to get to the top of the field.

And as an added bonus, it plays hell on your neck, back, and especially, your hands. But if you are as big an idealist, er, masochist as I was, this is the job for you!

But I loved the opportunity to make things that made a real and immediate difference in people's daily life. To watch someone come in in pain and frustration and resignation to a life without hope, to them walking out at the end of the process with a smile that can break down doors, well, there is simply no better feeling in the world. Oh, you can't please everyone, believe me. The old ladies wearing Ferragamos who expected their completely destroyed feet to fit in shoes that looked just like the ones that were killing them was - how should I put this? - a royal pain, never to be satisfied. But people who had either been born with their disability, or who developed it at a young age, were incredibly grateful for every small increment of improvement, every degree of reduction of their pain.

After doing this for another five years, I got the opportunity to run the Mechanical Orthopedics Lab at the California College of Podiatric Medicine, and it was there I first learned about the science of biomechanics. I took to it instantly. I audited every class I could sneak into, even taking the tests (one must be prepared to accept a certain amount of humiliation if one is to ever improve. I think Einstein may have said that. Or perhaps, Sid Ceasar.) And I even had an advantage over the students, who had gone through pre-med, and had all the basic nomenclature down pat. I had biomechanics in my hands. Making shoes, casting client's feet for their lasts, shaping those lasts, watching hundreds and hundreds of people walk in the results of your work - these were all excellent preparation. Book study and working in clinic learning gait analysis was merely putting the outer layer on the beast, as it were. I was no match for the academicians, but I was better at all of them in translating the clinical findings into a functional response to what the patient required. I also learned orthotic casting and manufacture, which added an entirely new dimension to my skill set.

More to come...

Da Bidness

I eventually started my own lab, making shoes and orthotics. I started with little capital, but worked my tail off - 12-15 hour days were not uncommon, 6-7 days a week sometimes. I was unable to afford an employee for the first four years, and really wore several new holes in my head, as a result. The business doubled in size every year, and I had a very loyal customer base, but by year seven, I was nearing burnout. I couldn't find financing to deal with the growth (funny thing - you have collateral, they'll loan you the money, if you don't, they won't. I actually had a banker tell me that if I already had the $50 K I was asking for, they'd be happy to loan it to me. When I told him that, if I'd actually had the $50K, I wouldn't need his money, he looked horrified, and said I should NEVER use my own money. No wonder we have such a screwed economy in this country!), but the final straw was the '89 earthquake. My lab was three blocks from the freeway that collapsed, and we suffered quite a bit of damage. So, about five months later, I sold out to my only local competitor, and went to work for them.

Years later, after finally exiting that firm, I went on to work for another lab in Southern California, then later launched a consulting firm. I spent many years traveling to other states, Canada, and the UK, training other labs in various techniques and technologies, and launching an international laboratory association, which I served as executive manager of for seven years. Finally, I was asked to contribute two chapters to a text book on lower extremity biomechanics, by my first mentor in biomechanics, Dr. Ron Valmassy.

The consulting business eventually lead me to go back to school to get a certificate in training, and I eventually ended up doing training in high-tech, which led to the next thing, and well, here I am today. Which is just a shorthand way of saying, I'm off in a new direction, though I still consult on two specific types of clients - post club feet, and leg length discrepancy cases. But, its no longer my day job. My hands have gone to hell, my neck is now fused, my feet have gotten worse, my knees are garbage, but still, I can't complain all that much. I'm fortunate to have had such an interesting career thus far, and even more so to have been able to have a positive effect on many people's lives and reduction of their pain.

Well, that's about all I want to say about my story (gotta save something for the movie version, eh?) Now, how about you?

What's YOUR story?






104 comments:

  1. Hi! I am so glad to have come across your blog, and know that I am not the only adult out there having issues at this point in my life!

    A little about me, 33 years old, born with slight club feet in both feet. Was treated with 1/2 casts as an infant, and then the bar to keep my feet aligned properly after that.

    My whole life my feet have bothered me during certain activities - running, hiking, skiing. My parents always figured that it was just my feet adjusting to my shoes, and my family dr. suggested that it was possibly growing pains.

    A few years ago, I got to a point in my life where I didn't want to do any of the things I enjoyed because of how much pain they caused me, after gaining a lot of weight, I joined a gym, and hoped that by losing the weight the pain would be less. No luck with that..the pain became some of the worst in my life. I went to get orthotics hoping that would help, but the pain relief was only temporary. I found myself going to a sports medicine clinic, and meeting with the Chiropractor there was the best move ever. It has been a long 2 year journey, but we are slowly getting there.

    I no longer walk on the outsides of my feet, but am still fighting muscle pain during certain movements. Working closely with my chiropractor has helped so much, he is now thinking that lateral movements are causing the pain, as all of the muscles on the lateral areas of my body are so very tight. I am going for weekly active release therapy treatments, and though very painful I feel so much better after words.
    The next few months are going to be all about learning to use my butt muscles, and getting my lat & it bands to loosen up!
    I recently asked my chiropractor if I was going to have to live with this pain for the rest of my life, and he has said no...so here is to hoping we have found something that works for me!! :)

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    1. Although you seem to have some slight problems with your feet, I do find it quite annoying that someone with 'club feet' can come on here and say 'My whole life my feet have bothered me during certain activities - running, hiking, skiing.'
      I've suffered with club feet for 45 years and after countless operations of having my feet broken and reset, walking is the only thing that I've ever been able to manage...and thank the Lord for that. And pain? Well that is a different matter, I just have to live with it and manage it the best I can, no clinic can sort out my foot pain because having a feet set in a 'fixed' position is not easily remedied.

      Please be aware that there are people that use this site that are in constant foot pain, have serious psychological inferiority issues and just would love to have the chance to ski.

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    2. Just a thought but I had severe club foot as an infant to the point they didn't think I would walk. Multiple surgeries throughout my 36 year life and still fighting on a daily basis. I don't consider myself the worst off but because of people that make comments like you did I have always been reluctant to get the help I needed much past the Doctors. Seeing someone that is not as bad off as I am gives me hope that one day I can be like them too. I applaud their courage to come on here and make their statement as I didn't because I was afraid someone like you would ridicule me for being in not as bad of a position as them. Just because your position is worse than theirs gives you no right to bash on them. They non the less suffer the same problem we do just not to the degree that you and myself have. This was morally wrong of you and I for one believe you owe them an apology for trying to make the feel inferior to you. Better yet let me apologize gekgurly on Annette Phillips behalf for her cruelty and insensitivity to your plight. Not all of us are like that and I hope you continue to share your experiences regardless of this rude and insensitive comment.

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    3. Hi Gekgurly, Knee pain is a common problem with many causes, from acute injuries to medical conditions. Normally people will believe surgery is the only way to relief knee pain, in fact, there are ways surgery free for relief knee pain. Example like using Unloading bracing technology, having ergo mattress etc. Detail at:
      http://kidbuxblog.com/surgery-free-for-relief-knee-pain/

      Delete
  2. Hi,
    What a surprise to come across this blog - nice to hear others out there with the same pain issues as me!
    I'm Shelley, 29 yrs old, in the UK and was born with severe clubfoot in both feet. Being born in 1981, I was apparently the 'most severe' case that doctors has seen across three major hospitals in the south west so my surgeon took me (at 2 months old) and my parents to Oxford University hospital where I was effectively their guinea pig to see how they could improve the chances of being able to walk.
    Cutting a long story short.....I had 10 operations up the the age of 9 and had my last operation in 2006 to completely re-structure my left foot. This provided a few years respite but I am now back to the stage of being in pain daily, painkillers really don't help.
    I go to the gym to use cycle bikes, cross trainers, rowing machines - I only use the treadmills for walking as I can't run due to the inflexibility of both feet.
    I'm married and have a very supportive husband but have been told that pregnancy would cause alot of problems so have been told to consider whether it's the best option.
    Considering my parents were told I'd never walk - I've proved doctors wrong! I went to uni and now work as a secondary school teacher. I often have to take painkillers when I get home and rest my legs for a few hours but on the whole, I haven't done too bad!
    It would be lovely to hear from others who know what I'm talking about :)

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  3. Hi, Shelley,

    Glad to have you join the "club" as it were. No, you are NOT alone, and if you spend time looking over all the posts on this blog, you will find some ideas worth trying to find at least some relief. It can be very discouraging having doctors scratch their heads, but still say, "OH, this will work." So it's at least worth your time and money to explore as many non-surgical solutions as possible. One example, especially if you've had fusions, is to have rocker soles applied to your shoes. I have a few contacts in the UK with the requisite knowledge, so let me know what part of the Isle you reside in, and I'll do the slogging for you.

    Stay well,

    Notumbo

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  4. Hi

    I am 41 and was born with moderate to severe Talipes in both feet. My vivid memory as a child is in/out of hospital for numerous operations (manipulation did not seem an option back then!) which whilst enabling me to walk and dumfound surgeons who advised this may not be possible left my feet severly scared and fused with with little or no movement.

    I regularly visit the gym in an attempt to keep fit and recently met a wonderful woman who is now a great part of my life.

    I have recently started to feel pain in my achilies/lower calf area on one foot and am shortly to have an MRI scan in an attempt to find out what is going on.

    My question to the forum is are there any recommended specialists in the UK/London that people are aware of/have had a positive experience with who specialise or have a good knowledge of post operative Talipes so that I can arrange a consulatation to consider my options/the way forward?

    Thank you in advance

    A

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    Replies
    1. Hi dear A,
      I have clubfeet, was operated 2 times. Now I am 34, and I have a backache, footache and my hip is deforming.

      Delete
  5. Dear A,

    While I do not have any direct info re: UK docs, I offer the following set of questions you might wish to ask to screen for the right sort:

    1. Have you ever worked with post-operative club feet specifically?
    2. If so, how many times?
    3. If not, what other experience do you bring to the table to make me feel confident you can make the correct diagnosis?
    4. What can be done short of surgery to correct/relieve this specific issue?

    I would say your best bet is with an orthopedist, but I myself would first look for an osteopath, as most of the better post-club foot work I've seen here comes from that quarter.

    I am curious about the location of your pain. Does it extend up into the calf, or is it primarily along the lower Achilles?

    I am also curious whether you have ever tried rocker-soled shoes. Given your report that you have little to no movement, you are the perfect candidate for rocker soles.

    Stay in touch. There are many good people visiting here, some in the UK. And congratulations on your new gal!

    Notumbo

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  6. Dear Notumbo

    Thanks for the great advice

    The pain regretably extends up into the calf; although it is fair to say that my calf muscles are somehat non existent; despite regular gym work, which I understand to be the norm. The curious thing is that the pain (which feels like daggers being inserted!) is speradic as oppose to constant which gives me confidence that the issue may be treatable without suregery.

    I am curious and keen to learn more about rocker soles as not heard of/come across before. To date, I have used 'regular' footwear and whilst not ideal found rubber soles as oppose to leather to be preferable in view of give. Then again it is fair to say that I have 'kept my head in the sand' re my condition as tried to not let it get in the way and live a full life as possible.

    A

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  7. Dear Anonymous (come on, hows about a first name, eh?:-)

    The calf pain you are having may in fact be vascular-related. The atrophy of the lower leg that is one of the hallmarks of CF serves to narrow the channels the blood vessels occupy, and therefor mimic the effects of peripheral vascular disease. It is worthwhile to have a vascular specialist do a doppler study to confirm this. It is critical to have this checked out, because if it is in fact peripheral vascular in nature, i.e. intermittant claudication, there is some risk of developing a blood clot, so you should take this seriously. I am going in for my doppler today, in fact, and will post the results here for all to see. I am convinced the cause is in fact due to the atrophy, but we'll see.

    As for the rocker soles - there are many so-called rocker soled shoes out there, aimed at the general public. These do not, in my experience, qualify for use with rigid post-club feet. There are many misconceptions and much misinformation on this topic. Using a rocker sole where it is NOT indicated can cause many problems, including a heightened propensity for falls, among many others. But when applied correctly, WHERE CLEARLY INDICATED, they have a dramatic effect on reduction of pathomechanical forces in feet that cannot otherwise ambulate without pain.

    As this is a rather complicated issue, I will soon do a post with images and a full explanation on the how, why, and risks/benefits associated with the application of rocker soles to footwear. Stay tuned.

    Notumbo

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  8. Hello - I am Lauren - 30 years old.
    Born with talipes in my right foot, tendon lengthened at 18 months old followed by physio, then yearly checks up at the hospital till teenage years. Result is my right foot and calf being smaller than my left, slight leg length difference probably around an inch.
    I had an active and fairly sporty life, never had problems walking, running etc - the only slight issues was finding shoes at times due to the size difference (my mum resolved this by stuffing the shoes with cotton wool :) - Never suffered any major pain in my leg or foot.
    Around 2008 I developed back pain out of the blue, was not taken seriously by the doctor but eventually sent to a Muscuolskeletal unit who said the pain was due to my talipes, was sent on to a physio who was not very good and then a number of podiatrist who recommended insoles. Lengthily process during in which the back pain was on and off, could sometimes disappear for months and I would be back exercising in the gym. Insoles received around Oct 2010 which I begun to wear 90 % of the time (couldn't fit in all my shoes). March 2011 the back pain returns, I did not return to the doctor as I was still under the podiatrist to see in the insoles made any difference. At the end of May 2011 could not walk due to sciatica pain in the back of my right leg and have now been off work for 6 weeks awaiting an MRI scan, after being back to the Muscuolskeletalunit they have now stated I have a disc problem which is yet to be confirmed by the MRI scan. The pain is far better than it was six weeks ago but I have not been able to stand up straight and can only walk/stand for around ten minutes.
    There does not appear to be much information about the effects of talipes in adults but by all accounts I know I have been very lucky when I read some other stories.
    I am now left wondering if my back problems are due to the talipes and if its all downhill from here? Had I been taken seriously in 2008 I may not have been in my current position or had I insoles through out my life this may have resolved the problem, who knows?
    Anyway I now have a scan next week but will then have to wait at least 2 weeks for the results!

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  9. Lauren,

    Welcome to the blog! I will assume you are writing from England, due to your use of "mum" and "physio."

    First, there is nothing slight about a one-inch discrepancy. This is actually a substantial discrepancy, but as most doctors, physios, chiropractors and podiatrists have little training on the subject of leg length discrepancies, its little wonder you've been led to believe it is slight. There was a study done around twenty-five years ago, give or take. It was actually a single question, and it received more than five hundred responses. The question was simply, "How large must a limb-length discrepancy be before you consider it necessary to intervene?" Answers ranged from 1/4 inch, to 2 1/2 inches! This merely served to illustrate how poorly most orthopedists actually understand what is known as compensatory function.

    Of course you have back pain! And sciatic pain. When you were young and more flexible, your body could, for the most part, compensate for the one inch discrepancy without enduring trauma. But as we age, we lose some of that flexibility, and the slow process of compensation starts to show its hand. I have written other posts on this, so look them up.

    While foot orthoses are clearly to your benefit, if there is no lift component on the short side, then you are merely getting better aligned compensatory function. Which really isn't saying much. Many podiatrists like to think that most limb length discrepancies are "functional shortening". But I have found, with particular application to unilateral post-club foot, that there is in fact a true anatomical shortening of the limb. And better alignment through foot orthoses fails to address this issue nearly every time.

    I would ask you several questions before trying to arrive at a solution that you can propose to your podiatrist. First, would you say that you have stiff, "normal", or loose joints? That is, have you ever been told you were (so called) double jointed? If you have a loose ligament tone, you will have a slower compensatory change, whereas if you have a more rigid tone, the compensation will occur faster, and at different levels of the body. So that makes a difference on how one applies lift therapy, which is also linked to age, or more correctly, to the duration of the onset of the shortening of the limb. In your case it is clearly based on your age.

    Second question: when you stand in front of a mirror (full length), with both feet fully on the ground about a foot apart, does any part of your body look off balance? That is, does your head tilt to one side? Does one of your arms hang closer in or further away from your trunk that the opposite arm? Does one shoulder appear higher than the other? Also, while standing in that position, try an experiment - lock both knees (hyper-extend them momentarily.) Now, release them. Does one seem to release faster than the other? If you can answer yes to any three of these items, you are distinctly compensating for a limb length discrepancy.

    Bring this up with your podiatrist. If they reject the possibility, go find another podiatrist for a second opinion.

    One trick I always used with clients was to take a few magazines and place one under the apparent short leg while standing. I would add a magazine and each time ask the client to stand with their eyes closed and sway slightly until they felt their body "settle" into a balanced position. I always found that when the right height of magazines was applied, the client would nearly always open their eyes in surprise, and say something like, "oh, my, the pain is gone," (referring of course to their lower back most often, but sometimes to their sciatic pain or knee pain. It was variable.)

    The good news is that you are still relatively young, and have the potential to re-compensate (back toward a balanced musculo-skeletal structure.) But keep at those doctors. You might even be able to teach them a thing or two!

    Good luck, and stay in touch.

    Notumbo

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  10. Hi Notumbo

    Apologies for not mentioning my name before; it was not intentional. My name is Tony and thank you for your pointers so far.

    As way of background, I live on a small Island off the coast of France which is part of the United Kingdom. It is called Jersey and part of the Channel Islands. A little history, the Channel Islands were the only part of the UK occupied by the Germans during WW11. Going further back, New Jersey is named after the Island as our forefathers colonized the area many years back

    In view of the size (less than 80,000 inhabitants)the medical care, whilst good is generalist so no specialists with CF experience. In view of my recent pain in Achilles/calf area my GP has referred me to a sports consultant to have an MRI scan. The benefit over and above going to see one of the orthopedic surgeons at the hospital is to gain an independent view with the goal of seeing a specialist in the UK if more in depth analysis is required as oppose to the Ortho wishing to wip out the scalpel and operate on the Island.

    Following my last operation at age 17/18 when my left foot was fused to aid walking, I have not really seen anyone/a specialist re my condition as 'just got on with it'. I guess you can say I walk with a slight limp and have a size differential between booth legs of some 1/4 to 1/2 an inch for which i have used inner soles to even out as best as I could do.

    Perhaps also if honest I was embarrassed/ashamed as to how my feet looked which I know is daft. Indeed, when I think about it, I never let anyone see my feet if I could help it. This seems at odds to my job which is to look after a select number of High Net worth clients. I have heard a number assume I was in a minor accident for which I never corrected

    Recently I met a great Girl which has given me the self confidence to go to my GP; hence here I am at the start of a new journey. I will definitely mention the doppler study and good luck with yours. I am also keen to consider all avenues to mitigate the speradic pain and discomfort and prevent wider issues later on, hence the earlier questions.

    I will update after the MRI results

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  11. Tony,

    It so happens I do know where Jersey is, tried to get there once but things got bollixed and had to cancel that part of the trip. Oh, well, perhaps another time!

    I can see your dilemma - you'd have to swim the Channel to make your appointments:-)

    If you read the home page of the blog, second to last post, you'll see that the Doppler showed no venous occlusions, so its back to the drawing board for me. What's new? Anyhow, You may also want to pay attention to the latest post I put up, on rocker soles. There will be more soon. You, as I said, are the perfect candidate for them, as they make a huge difference in a foot that is fused.

    As for the questions others have about your limp, I usually go with "I fell down Everest," as a conversation starter:-)

    The thing is, us clubbies are a select group, from Dudley Moore to Haphaestus, or, as I like to say, from a god to a drunk. Guess that makes us as normal as anyone, eh?

    Stay in touch!

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  12. Hi my name is chris, am 60yr old female, would like to know what partrs of the body are affected with the talapies. As i am getting older, i seem to have more pain in my knees and hips and want to know if this is usual for this problem

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  13. Chris,

    Talipes is a congenital deformation of the alignment of the feet. It is not something that one acquires later in life. If you do have talipes (aka club feet) there will be an increased likelihood of knee, hip, and back problems as you age, depending on how well or how poorly you responded to your initial, and possibly later, surgeries and other treatments.

    It is not clear from your comment if you were in fact born with talipes equino varus. Can you clarify this?

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  14. Yes I was born with Talapese and did not have any surgery, malipulated and put in plaster casts, the to wear calapers at night.

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  15. Chris,

    I apologize - I misunderstood your first post. And to be clear on your current post - you did NOT have surgery, but you DID have manipulation, bracing, and casting, is that correct? If so, then in answer to your first question - yes. It is not the fact of surgeries that cause post-club feet syndrome - it is the nature of the club feet themselves that contributes to later issues. The surgeries, in my view, only make those issues come to the fore quicker, and more often than not, make them worse, especially the chronic foot pain.

    As for knee, hip, and back problems: anytime you throw off the "normal" biomechanics of gait, you essentially throw the entire musculo-skeletal system out of whack. When the "offending" segment, in this instance, the feet, are the initiator of the pathomechanical breakdown, then the next joints proximal (closer to the center of the body) begins to take on more work and usually work not natural to those joints. The result will always be some level of pathology. So - ankles, then knees, then hips, and back, though the back can go pretty much whenever it wants to.

    Let me ask - have you ever gone to a podiatrist who specializes in biomechanics, for a gait evaluation? If not, I strongly suggest you do so. If you can get more reasonable mechanical alignment, via footwear and orthotics, it will have some benefit, though I would not dare to predict how much (depends on the doctor's skills, your adherence to the plan you both arrive at, and the degree of current pathomechanics at the various joints where you currently feel pain.)

    At 60 (I'm close, so I can speak with some certainty on this,) your levels and degrees of compensation (changes your body makes in response to the initial problem, which will show up in your other joints and body segments,) are greater than those found in a twenty year old person. So your outcomes may not be even near 100%. But I learned long ago, as a life-long handicapped person, that even an incremental improvement makes a big impact on my quality of life. So don't be too disappointed if the initial results of any approach you end up taking are less than ideal. The most important thing for us older clubbies, especially if there has been no apparent issues until recently, is to not try to make any really radical changes right off the back. Remember - you took 60 years to get to the current stage your body finds itself in now. If you try to do anything too abruptly, the results have a name - trauma.

    Chris, I hope you stay in touch here, and keep us informed of your progress and the approaches you decide to follow. I have only met a few older clubbies, and I think we can pass on a lot of experience to the younger clubbies here.

    take care, Notumbo

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  16. Had consultation with sports specialist today re pain in Achilles/lower calf.

    As I had hoped, he is arranging for me to have a MRI scan (not had one before). As mentioned in an earlier post, I am 41 and not seen a specialist since age 17/18 when last surgical procedure (left foot was fused!).

    Initial goal is to see whether i have injured area as only recent experienced discomfort and thereafter to perform a full diagnostic/referral to an adult post surgical CF specialist re plan for the next 40 years!

    I will keep you posted and in meantime if anyone knows of a top notch consultant with CB specialism in the UK please do let me know

    Tony

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  17. If you can actually find a "adult post surgical CF specialist" at all, please let me know - I've been trying to find such a person for more than 30 years, with no luck as yet. Yes, there are surgeons who have operated on post-clubbies, but they would hardly qualify as specialists in post CF. But I do wish you luck, and hope to hear from you as you go forward on your quest.

    Notumbo

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  18. Hi!

    I am Elizabeth, 27, born with Bilateral ClubFeet. I had 9 "corrective" surgeries (4 right, 5 left). At age 12 I had the staples in my left foot removed and the bone which creates the instep shaved about a half inch. My left foot was growing upward, rather than lengthwise and I could not wear any shoes on that foot.

    I wore braces until age 11, and quit all sports with the exception of Softball by age 12. The pain was always severe, and my gait was severely uneven in my younger years. I have since learned how to mask it, or at least I think I am masking it (lol). Anyhow, my ability to be mobile has always been affected by the clubfeet and during a consultation with a specialist at Mayo Clinic when I was 17, I was told I should have been wearing AFOs my whole life. But, by age 17 the arthritis in my knees from the uneven walking and other clubbie related problems has gotten so severe the AFOs were no longer an option. I was then prescribed a wheelchair and told to Preserve my feet and legs- meaning: do as little as possible.

    I subscribed to this treatment plan for 8 months and was out of the chair- then after that I lived life selecting which activities I felt were worth paying for in the long run. By age 24 I was in so much pain, that living a sedentary lifestyle was looking like my best prospect. I wanted so badly to be active yet dreaded the pain. I ended up having to quit my job working with children with Developmental Disabilities (due to the physical impact on my body) and moved to Colorado with my Husband.

    I am now more active in support groups for poeple with Invisible Disabilities, and everday I make progress accepting my handicap. Yet, I try to life a life in which acceptance does not lead to resignation. I started disability skiing this past winter, kayaking, pilates, and swimming- while I pay for these I only particpate when I can (which is not very often, yet often enough to keep me feeling fulfilled).

    The biggest challenges I face are pain, stiffness, and the emotional impact of feeling like there is something wrong with me because I wasn't "Cured" as they said I was. I struggle daily with my boundaries and limits, but- I would not give my ClubFoot up for anything! It has created the most sincere empathy in me and most recently, a desire for activism! So, if you ever need/want help with your blog or your upcoming seminar at Club Foot Week- let me know!

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  19. Elizabeth,
    Ah, so sorry how you were treated. No one should have to go through that, but for some damn reason, so many clubbies do so, anyway. And the empathy issue - maybe you would like to write a guest post on how this has shaped your outlook, how it affects the way you deal with other people's issues/disabilities/etc? I have been wanting more guest posts, been asking for them from the start of the blog, but haven't caught a fish, yet:-))) Maybe you would like to be the first one I land?!

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  20. I would love to! Any perameters? I want it to be great, so I may take a couple days to work on it! :)

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  21. *parameters? whoops :)

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  22. Pithy, of course. Try to keep it under 2000 words. Keep it real, as they say - write what you know (I hear they also say that. They sure do say a lot:-) I'd love to hear you expand on why you'd never give up your CF. I think it takes some real breakthroughs to reach that place. So - let 'er rip!

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  23. Lauren Update:
    So I have had an MRI scan which shows:
    L3/L4 small disc bulge
    L4/L5 small tear of posterocentral annulus
    L5/S1 Moderate disc protrusion to the right, compression and displacement of the right S1 nerve root.
    The latter is the obvious cause for most of the pain, I have progressed but still have constant pain and can not walk for more than 25 minutes. The NHS are still useless and I am yet to see a consultant, I did have an appointment which was cancelled by the hospital and I am now back to square one, I have to book a new appointment so I am looking at around another 2 months before I get seen...... Great
    I was reading through your previous blogs and now think the issue may have been worsened as when I was give orthotics for the first time ever last year I went straight into wearing them full time, I was not advised to build up to wearing them for a few hours at a time. I wonder???

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  24. About the orthotics first - whenever we dispensed orthtics for the first time, or, in event of a major change in the balance of the device, we counseled the following process for breaking them in (its really adapting to them 0 they should not "break in" per se,) and when followed correctly, almost always resulted in good outcomes:

    First week - 1 hour wear time per day - only counts for walking/standing. You can sit all day - orthotics don't do anything when you sit!

    2nd week - increase to 2 hours, as above.


    3rd week - increase by one hour per day, walking/standing, and so on each additional week until able to wear all day.

    Here is the kicker - if, at any point, you begin to experience pain, in feet, legs, back, back off an hour a day until the pain resolves. Then try to increase as described. If you find there is a point beyond which you cannot wear the devices without pain, stop. Go back to the orthotist and insist they make modifications. There is no rationale under which anyone should be subject to pain. Pain is the body's way of telling you to stop doing what's causing the pain, pure and simple. Anyone who says otherwise is either a sadist, or has themselves never been subject to pain, and I usually bet on the former.

    Now, I have lived with chronic pain my entire adult life, and have had quite a bit of back problems, as I've mentioned before here in this blog. And what has been of the best benefit to my ability to live with that pain has been the use of an inversion table, to off-load my spine from the constant wear and tear of poor biomechanics compounded by the impact of gravity. I don't know if this would work for you, but I can tell you that after thousands of dollars paid to chiropractors over the years, I don't use them any longer. I just use my inversion table, and an excellent massage therapist. Twenty minutes of inversion can often give me as much as a month's relief.

    But that's just me - I tend to experiment on myself, and when something doesn't produce positive changes, I stop doing it. I have yet to stop doing this.

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  25. Hi! I just found this site whilst continuing my long search for answers to my ongoing feet problems.

    I was born with talipes but am unsure as to how far my treatment went. What I do know is that it did not require surgery but did require ongoing manipulation. I only found this out when i went to the Doctors recently. Relatives tell me my feet were shaped 'like bananas' and i used to scream the house down when my parents used to try to 'reshape' my soft bones. Some have mentioned a plastic boot but that can't be verified.

    Anyway, 16 years later and i began to suffer a lot of sporting injuries as i competed more and more in athletics. Running was my game but every time i seemed to get over one injury another one appeared. These were mainly in my right foot. I struggled through with orthotics etc but was never far from a repeat occurrence. My dreams of joining the Royal Marines gradually faded as did all my other sporting objectives. Then, a couple of years ago aged 26 i stumbled across barefoot/minimalist running and thought i'd found a panacea to my ills. Needless to say i suffered yet more of the same injuries. These were mainly achilles, inner ankle and outer knee.

    On analysis over the past couple of years i can say for certain that:

    1. I overpronate in both feet

    2. My right foot sticks out at an angle when my knee points straight ahead (foot or tibia, im not sure...)

    3. I can get rid of pain in the side of my foot (peroneal pain caused by landing on outer part of foot when running) by pointing the foot straight ahead but...

    4. When i try to point the foot straight ahead, i get pain in either my inner ankle, or my outer knee.

    Since nobody seems to know the answer (doctors, chiros, physios etc) i am wondering if these problems may have been caused by the talipes i had when i was born. I'm not entirely sure what the consequences are later on in life but wondered if any of my current problems are a possible result of the problem i had when i was born? As you can tell, i don't know a great deal about it but i do know that my life has been severely affected by something that nobody seems able to solve so i am just searching for some answers really. Any advice would be much appreciated.

    Thanks!

    Billy

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  26. Hi,
    What a wonderful blog, I'm not alone!!!
    Ok, I'm 29 (born 1982) and was born with a fixed bi-lateral Talipes and was told I might not walk (thank goodness this was not the case), the operations began pretty much immediately, 3 on each side, followed by splints, boots and bar, and some crazy painful 'corrective' footwear later on. I'm not sure what they were all for, but am sure I had achillis tendon release, and possible fusion of some of the tarsals unless this the way they developed naturally.
    Currently my feet are fixed pretty much a centimetre shy of plantigrade, with medial arches that are about an inch off the floor at their peak, I have the typical inversion and supination forefoot combo that means I walk on the lateral edge of my foot. Unfortunately in the last few years I have had fluid escaping from the joint capsule which has formed into a number of ganglions filling the Talocrural/subtalar joint space further restricting my dorsiflexion on the right. I had an op to get rid of them but they came back so now I just have to put up with the pressure they create in the joint space and the associated nerve compression and pain, unable to take NSAID's due to asthma.
    I have knee and hip pain and have developed back pain in the last 6 months, was really hoping for more time to pass before it hit my back and am putting off getting it investigated, not sure I feel strong enough to hear what the doc's might say.
    That's all very depressing so on the up side I have managed to dance for years, from the age of 14 and though my Drama degree (although no longer), I go to the gym 3 times a week and work my ass off to stay fit, love yoga and have a wonderful teacher who is always adapting the movements for me. To the surgeons credit he managed to leave me with normal shaped, if rather skinny calves (I am the only woman I know who wants THICKER ankles )
    I am currently training as a Physiotherapist and am trying to not let the CF interfere with the training, although I hate the way the lectures leave me out of modelling rota's because of my feet even when they need somebody to examine a different part of the anatomy. But I suppose that's my emotional overlay issue.
    Whilst I would rather not have had what feels like a constant physical battle, I do think it will make me a better physio, when somebody says they are in pain, at least my empathy will be genuine. What I would really love to do is find a post that deals not only with manipulation and post op rehab in children with CF but also physical management for adult clubbies. I don't think this position exists but after seeing this blog and being part of the facebook community I believe it's a post that would never be short of referrals.
    My view of post op CF is that it is a fixed condition that needs to be better understood so that better management can be developed, because management is the key, a cure does not exist. I hope that does not sound too pessimistic, in my semi educated view it is realistic, and it is what I strive to do constant management of the body to keep it going for as long as possible. And if I end up in a wheelchair one day, then Para-Olympics here I come, how cool would that be? 
    Sorry, finally I'm having issues with my orthotics at the mo so if anybody knows a HOT HOT HOT orthotist in London or surrounding areas please let me know. Thank you Notumbo for setting this up.
    Alex

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  27. Sorry posting issues resulted in an absence of paragraph breaks.
    ax

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  28. Wow, two great newbies on the same day! Well, let's see what I can say to Billy first. Yep. Its the CF. It doesn't matter that yu did not require surgeries, except that in many ways, you have less to contend with as a result. But the complex of CF id not merely the misshappen bones/joints. It also includes some well-documented, but poorly researched, soft tissue elements that seem to accompany all grades of CF. These include the well-known atrophy of the calf muscles, but also the other soft tissues of the foot and lower leg. Here is a link to an article that is one of the better such on the history, physical and anatomical manifestations, etc., of CF where you can get a comprehensive look at the issue. But be warned! Its very medical, so the language may be a bit of a climb. There will be a test later < > kidding. http://www3.ha.org.hk/dkch/health information/Articles/clubfoot.html Paste that into your browser. FYI - I am using that article as the basis for a critique of the current "science" that will be ready to post in a week or so, so you might want to come back again for that.

    Its no surprise you are having on-going issues. Most of us post-clubbies do. Have you joined the Facebook group yet? You'll get to hear all the stories, and get to see you are not alone. Now, the reason you are having trouble finding docs, etc., to provide answers is that there are few if any who have the requisite experience working with adults with post-club feet. You see, Billy, they are all cured by the time you are 16, hasn't anyone told you that? So there is where the treatments end. And now, you find yourself on the same quest so many other clubbies do. But spend some time reading the posts in this blog - there's lots here, and I have a bit different a background than other clubbies, as you will see. I may be able to offer a few answers here and there, and where I cannot, I spend time looking for them and put them here for all to see.

    Glad to have you aboard!

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  29. Now for you, Alex. Wow, been getting lots of folks from England lately. I'd love to come back for another visit in the not-too-distant future. Finally got to visit the North my last trip, but not long enough to really do it justice. Ah, well.

    Going physio, eh? Lovely! And I think you are right on several counts. Empathy - a HUGE thing, can't say enough about the value of empathy, especially when it evolves through one's own life experiences. And yes, I completely agree - clubbies need a specialist who really get it about post-club feet. I trust you understand why I insist on that term? If not, keep reading the older posts, and it will become completely clear. We clubbies need to drive the train of our own solutions, as it is clear the rest of the medicos haven't even arrived at the station.

    Read the same web page I showed up there in my response to Billy, an excellent overview, and also watch for my critique of that page coming soon. It will fill in many blanks, especially vis-a-vis the soft tissue issues, and the real reasons why post-club foot syndrome exists as it does.

    And yes, it is a management issue. No clubbie should follow my example - keep the weight off!!!! Its a bigger struggle to lose it once it claims your body, and the extra weight is a double killer, because exercise is a problem for many clubbies as it is (why in the world would I want to do something that makes my hurt hurt worse?) But it also includes finding and plying with candy, liquor, etc., the very best shoe makers, orthotists, etc. Notice I am not saying doctors. When the usual response from most doctors when faced with post-club feet begins with "Well, we could do...." I strongly advise running from the building as though it were on fire. "we could..." tells you they are just guessing, and you are about to be the next guinea pig.

    Now, I realize over there you have the NHI? A? I forget the letters, anyway, they put up so many roadblocks its no wonder you all don't have more "postal" incidents at your clinics. (look it up - its an American thing, but we've been known to share.)But I also know there are private solutions, and maybe that's something for you to consider in your own career path, especially if you do indeed specialize toward clubbies. I'd love a longer conversation with you if that's where you head.

    In the meantime, stick around! read more of whats here, especially the comments of other clubbies. And I'll see what I can do to find you a better orthotist over there. I did have some good connections a few years back, so I'll comb my records and get back here with them soon.

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  30. Hi, I do understand why you use the phrase and think it explains the situation well, as I see it club foot is the start point, once we have been messed with by the 'experts' how else are we to describe what we live with.

    In regards to the management issue, weight is a huge issue (if you will excuse the pun). It's an obsession of mine, I put on half a stone a few years back and boy did my feet pay for that, it's gone now and it will stay gone. Although, something I have only seen mentioned once and something we women have to contend with is the subject of pregnancy. I'm not anywhere near there yet, but the effects it is going to have on my feet worries me more than all the other stuff, I would be interested to see how other women have coped with that. The average is a 2 stone gain, that's a lot for my 7.9 stone frame to cope with!

    The NHS is indeed a mine field and that's coming from somebody who works in the service. I asked my orthotist if we could work jointly with a private company I know make orthosis that suit my feet, he floundered a bit, and confessed he had never been asked this before. I assume most people put up with sub-standard orthotics. I made it clear I would keep coming back until walking in relative comfort, which I consider a basic human right, was a reality. Watch this space!!!

    I have a while left on the degree and I will keep looking out for a way to focus my practice, but I suspect it's going to be difficult to find, as things tend to filter down. If the consultants and surgeons are not specialized and focused on a condition then rehab services further down the line don't get the funding. Very few physio's have even heard of CF!

    I will keep reading.

    Thank you
    Alex

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  31. hi, i am abi and i'm 18. I was born with a left club foot.i have had 6 surgeries, the last one being triple fusion which made my leg stiffer and since then i started limping. Now i have a 2inch difference in the length.Right now i am wearing lifts which are not even one inch.doctor said a 5cm lift can disbalance the shoe.
    Now i have been advised of the ilizarov technique to lengthen my leg completely.but there's a problem it is a complicated procedure and can take 6 months to heal on a NORMAL leg. i would really love to see my legs equal and avoid the lifts and thereby avoiding "oh, what happened to your shoe" in school and everywhere else.i would like to know from someone who have undergone some surgical method for their length difference.
    nice blog,btw

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  32. Wow thanks for all the info - it's nice to finally get some answers after all these years! For many years as a child i suffered prolonged, dull, aching, torturous pain in my lower legs/feet during the night which my maa referred to as growing pains. I'm now wondering if that had anything to do with it too... Calf atrophy/subsequent shortened calf would make a lot of sense in my case as i'm sure a lot of other related consequences would. The main thing is the flat feet and overpronation which i've had since childhood - my arches just never formed and my feet have always collapsed in on themselves. I'm well aware that this will cause problems right through my skeletal structure over time. Has anyone seen/heard of/know anyone who has experience of Hyprocure? http://hyprocure.com/welcome.php

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  33. Abi. Wow. They allready tripled you. My, oh, my. You poor dear. Well, here's the thing about the ilizaroff technique can indeed work. But. It's best applied during the growth years, and you are at the late end of that, so do some more research before committing. It can still work, but.... It's quite painful, and not merely post-application, but throughout the process, as they have to keep turning the screws, literally, to maintain the lengthening process. Given you state a 2-inch discrepancy, it may be worth it in the long run. But... think this through. Let me suggest why you should.

    You already have a triple b/l? I will assume so. This means you have no rotational component in gait, because that motion is provided by a functional subtalar joint, and now, that's gone. So, whether with lifts, or with equalized leg lengths, you still have to contend with that. So your ankles, knees, hips, and back all have to try to compensate for that loss by trying to provide that motion in joints not designed for such a motion. One of the few ways I have found to offset some of that compensation is with rocker sole modifications, or, if you can get lucky and find ready-made rocker-style shoes (that are generic, mind you - not actually designed for your specific limitations,)these will both assist with the now-rigid rear foot and the loss of rotation, though to a lesser degree than would be ideal. It is something, but still hardly the right amount.

    Stick around. You are in good company, here, and over at the FB group at http://www.facebook.com/#!/groups/24892886820/ where you can meet fellow clubbies, share stories, and hopefully gain more knowledge of your own condition. Knowledge, I might add, that will let you ask better questions of the doctors, put them on notice that you are paying attention, and not just swallowing everything they spoon out. You must be your own best ally. We other clubbies will have your back!

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  34. Billy, I took a look at this Hyprocure, and have been doing some digging. I am awaiting the response of several podiatrists I know who are very knowledgeable about the field, and who may have some direct experience with this stent. I also sent an email to Dr. Graham, the inventor, and am awaiting a response. I do have some initial concerns: we clubbies already have either no, or greatly reduced ranges of motion in the subtalar joint. This device is designed to reduce specific motion toward pronation, but this in my view, pending more info, presupposes there is sufficient supination available that the act of blocking some degree of pronation will still allow adequate motion for near-normal joint function in gait. So, I am concerned about that. Second, I see nothing on the web site that cites using the device on people with post-club feet, and given that is my primary concern, I remain ready to be convinced, but by good evidence. I, and I assume most other clubbies, are less willing to be guinea pigs than we used to be. So, I will await further information, which I hope to have in the near future. And whatever I learn, I will share, always with the skeptical eye, of course.

    Thanks for the heads up on this.

    ReplyDelete
  35. thanks notumbo .i have visited a few new doctors who say the same thing "fusion should not have been done". i wish it could be undone.i so want to ask that doctor why he did that to my leg but whoa.. he's dead. but other ortho doctors who were his assistant that time and and remembered me well said that it had to be done because of my severe recurring club foot.i feel so bad at times ,watching my right foot in
    about the lengthening,i read it can be done to people of any age. my doctor had even said it is the same if i do it now or few years later.so i kinda decided to postpone it for 5-6 years for my studies.there's one other procedure he said, in which the growth of my normal leg be stopped so that the clubbed one can catch up.that ,if at all, had to be done was to be at a specific time during the growth .i think i have passed that time so lengthening is the only option.
    I am quite scared about future seeing so many discussions about controlling pains,medications,etc.i never had been so conscious about my condition and for many years never even thought about it.i do almost no physical activity, i nver went out to play with friends since 10 years , and even i dont have any friends.and may be thats why its being so bad now.i dont have any chronic pain but it pains when i suddenly get up and try to walk.
    i feel so bad at times ,watching my right leg in mirror, thinking thats how it should be. but then i think people with normal people never think "oh my god.i am so lucky to be normal".they just take it for granted.everyone thinks about what they dont have not what all they have.

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  36. Abi,

    If I was your Dad, I would so punch out somebody on your behalf. Trouble is, who, at this point? That you are choosing to wait is a good thing, in my view. But you should not wait to try and equalize the functional length of your leg by using the right type of lifts. That doctor who told you you could only use about half? He is not entirely clear on the concept of how the body will compensate for an LLD, especially one as large as yours. Where do you liv e? I want to see if I can find someone who knows what the hell they are doing to refer you to for the right approach, OK? Please email me at pisnoopy2003@yahoo.com and I will get to work on that.

    Are you wearing any sort of lift right now? How much? What kind of shoes are you wearing? A 5 cm lift will not "disbalance" the shoe, unless it is made too narrow, so this tells me that doctor has never worked with a really competent orthotist or shoe therapist. Let's get you hooked up with someone who is willing to work with you properly.

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  37. Just got my CT results back. The doc isn't quite sure how to proceed, so to start we are going to try out afos one last time. Should get them in about 2-3 weeks. I wasn't surprised by her response to my "unique feet."

    On a funny note, my feet were so complicated they stumped the radiologist and s/he completely misread the scans. Awesome!!! I like being a challenge to all those that consider themselves medical geniuses.

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  38. I am 48 (born in 1963) and was born with bilateral club feet. They started casting before I went home. Around 14 months old they did heel cord lengthening surgery on both legs. I was always told that I would need to work in a job that was mostly sedentary. I never was able to stand for long periods of time and my Achilles tendons were always tight. I had one major flair up when I was in 7th grade - I was told it was caused by being forced to run in P.E. and the doctor wrote an excuse for me to get out of P.E. I remember wearing "corrective" shoes until I was in high school - I then decided that I would buy my own shoes. I found that the plain Nike tennis shoes actually felt way better than the corrective shoes. I had another big flair up in my early twenties, but after resting my feet for a couple days, it seemed to clear up. Once I hit around 28, it started going downhill. I went through various inserts until my mid 30's and then started with the AFO's. When I was around 42, I had a triple on my right ankle. When I was 44, I had my left ankle done. When I was 45, they removed the screws from my left ankle and found a ganglion cyst was growing at the end of one of the screws, but due to scar tissue, it didn't cause the normal bump that they usually cause. I still have a good bit of pain and still can't stand for more than about 20 minutes without "paying for it" later.
    My current doctor has started back with custom orthotics and has now done a couple rounds of cortisone shots. The first time it lasted close to 2 months. The last time, it seemed to wear off after about 2 weeks. I currently take between 1200 - 2400 mg Motrin daily, but there are some days that I almost think it would be better to have the feet removed (I know phantom pain is just as bad, but...).

    ReplyDelete
    Replies
    1. From Kimberly *Do you know much about ankle replacement surgery. My doctor has suggest that I have ankle replacement surgery. I'm rather skeptical as I had some of my bones fused in my club foot about three and a half years ago. Do you think its worth looking into. I presently am wearing a AFO on my right club foot. Recently had a cortisone shot which is wearing off now. I have had these shots for close to twenty five years now.

      Delete
  39. Jeffrey,

    Welcome to the club! People here understand, and in most instances, share your experiences daily. There is a lot of information throughout this blog, and whenever I am able, I try to locate resources that might help make a difference for my fellow clubbies. And do look over on Facebook at the adults/teens with club feet group, if you aren't already there. And stick around - there's much more to come here.

    Notumbo

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  40. One of the things that has almost made me laugh, is almost every doctor I have been to, initially says, "Your feet look pretty good," until they look at the x-rays and then they say, "Yes, you were born with club feet". I guess the physical look is not as important as the inside position and shape of the bones.

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  41. Jeffrey,

    Yes, that's it in a nutshell. The primary goal of the "correction" of club feet (by the way, it was originally known as clubbed feet, as it described how the feet looked - like a club), is to get those puppies plantigrade. Essentially, put the plantar surface of the foot on the ground where it belongs - like all those normal people have. Gee, see how nice they look now! But there's the rub - they "look normal." The problem is, they do NOT function "normal."

    Stay tuned - I am working on a very substantial post about this conundrum, and it may take a bit to get it completed. But I consider this one of the central issues that bear on the post-club foot and it's on-going pathomechanics. The thing to remember now is this - plantigrade is not the same thing as truly functional biomechanics. And we, my friend, do not have anywhere near truly functional biomechanically sound feet. We got modified clubs.

    Notumbo

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  42. Hi everyone.

    I'm the "fortunate" recipient of a left club foot at birth. But the kicker is that I was the identical twin born with a deformity while my brother was born fine.

    What are the chances of that in the general population? 10 million to one? A million to one?

    It took me a very long time as a youth to properly deal with being distinguished from an identical twin on the basis of a deformity.

    But I'm grown up now and view it with humor and irony.

    I'll tell my story in the near future as I just found this wonderful site. I'm a 60 year old male.

    SUPERFOOT, not !

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  43. Hey there, Mental detector - you have me beat by two years! I thought I was one of the proud and few older clubbies, so thanks, I don't feel to "out of it":-) You should also know about the Facebook group, adults/teens with club feet - great group of clubbies, much humor, and you'll be fully welcomed! Also, this coming Friday, there's a big world-wide forum for adult clubbies - see the newest post on this blog's main page for details.

    As for the odds? Yeah. pretty high, but unless you had a family history of CF, there's a high likelihood yours was in fact positional/developmental - in the womb, your foot got "hung up" in some fashion that slowed it's "unfolding. There is a lot of info on this blog, so I urge you to explore older posts, as well.

    Welcome, again, and hope to see you here often! By the way, where do you live? Always trying to "build a map" of clubbies.

    ReplyDelete
  44. Notumbo - Thanks.

    My name is Birney and I live in New Hampshire. All my family of six remained in the Philly area.

    The truth be known, I moved to NE to escape the unbearable comparisons to my twin brother. I was mentally weak for a great many years.

    In the near future I'll post my story and hope it is not insufferable for fellow clubbies.

    Thanks again..........Birney

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  45. Hi my name is chris, iam female and i was born in may1951 with bilangual talapese(horses hoof) as i am told,never had surgery, but had maliputation and calapers. Now all my problems have started with boots made by the local hospital, which have now given me problems with my knees. Am having physio to help strenthen my legs, but also have sciatica which is giveing me so much grief, cannot see the light at then end of the tunnel, but will keep excersising.

    ReplyDelete
  46. Hello, Chris! I am sorry you are having so many problems getting the proper answers to your post-club feet issues. But here, we understand fully what you are going through. Are you also aware there is a Facebook group, adults/teens with club feet? Check it out, it's open to all post-clubbies, as many now call themselves! There is also a lot of info on this site, so please explore the older posts and the other pages. It would be helpful to know what country/state you are from. And as a 58-y/o clubby, I can honestly say - you are NOT alone! Hope to see you here often!

    Notumbo

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  47. Hi, my name is Bryn, born in 1994 from the uk. Got one bilateral club foot and the other is calcaneovarus (sp.?) or something (points up, can't really move the toes). Because of this i limp , get strange looks and used to be bullied and that. It's a shame as i can't really play sport, particularly (association) football as well as i otherwise would be able to because of the lack of speed . Also can't dance at house parties :( Just a speculative shout wondering if there is any way i could make my limp less pronounced (already have raised insoles courtesy of the lovely nhs)? any replies would be greatly appreciated.

    ReplyDelete
  48. I wrote in my journal recently that I wanted to join some sort of club foot support group and/or to find better shoes for myself - and through that found this blog. I would love to find some good shoes for myself...so far I've been sort of designing them myself and then taking them to a cobbler - which has mixed results at times - I kind of want my own sanding machine for shoes. Either way, I guess I'll try the facebook group, etc.

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  49. Bryn, Stephan - welcome, glad you found this blog. I do work to find people what solutions I can, though honestly, most good solutions are not cheap, so it kind of comes down to a decision on what value you place on increasing comfort, decreasing pain, etc. If you haven't found it yet, do join the Facebook group, adults/teens with clubfoot - several hundred fellow clubbies from around the world, with the largest contingents in the US and the UK, but other places, as well.

    If you can both tell me more specifically where you live, I will try to direct you to solutions in your area, IF they are substantially capable, in my view, of providing some real alternatives for you. Unfortunately, our feet tend to fall outside the experience of many shoe therapists, so it is often better to consider "making a pilgrimage" to someone who does have the right skills. Often this means travel, at least for the first pair of shoes and/or orthotics. Subsequent pairs are then easily managed over the phone, as the correct model has already been solidified.

    Please stay in touch, and hope to see you both on the FB group!

    ReplyDelete
  50. i just looked for the facebook group and cant seem to find it!!!! What am I doing wrong? LOL

    ReplyDelete
  51. It is called adults/teens with clubfoot, exactly that. Here is the URL:
    https://www.facebook.com/groups/24892886820/?notif_t=group_activity

    You have to request permission to become a member, but that's just a formality, to keep the nasty commentators out.

    ReplyDelete
  52. My name is Kimberly and I have a right club foot. I had a severe case where my right foot and calf were turned up next to my right hip. However, that being said, what I'm not reading on anyone's post is the problem with insurance companies not covering orthopedic shoes or orthotics for people with club feet. This has been an on going problem for me since I had to wear orthotics. Does anyone else have a problem with thier insurance companies not covering orthotics. Also, how many of you clubbies have had doctors just drop you from their patient list; literally phased you out because they can not help you. The reality is that a lot of insurance companies are selective in whom they will cover such as people with diabetes. I find this very frustrating because the orthotics are not cheap; but I need them to walk fairly well or I would not be able to walk without being in excruciating pain.

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  53. Hi, I am 57 with a right clubed foot. When I was young my parents wouldn't tell me what was wrong with my foot. They said they would when I was 16! So I had a leg Iron(brace) until I was 18mths old & Achilles tendon surgery when I was 10. I don't remenber how I walk before I was 10 but a school friend I met when I was older said it was strange. I just told people I had one leg shorter than the other. I always had a built up shoe origonal just the heel now the whole shoe. I walk 25 miles for charity when I was 14 I was very proud I was the only person I knew who didn't have blisters (Oh those ugly othopedic shoes had there uses) I did however haver fluid on my ankle for the next 6 months.
    When I was 16 I was told I had a talipes foot. So I went & looked it up & saw these awful pictures, looked at my foot & decide I couldn't have had much of a clubed foot! It wasn't until I in my 20's that a Dr looked through my notes & found the information that I had a severe clubed foot. I managed the next 20 years mostly on my own with my foot I had childrens size feet, only occasionaly find an adult shoe in my size that didn't have stilleto heels that could be built up. I have 2 smallish crates of shoes ' that were my size, I could get my square feet in & they could build' of course many of them I never could wear.
    Ten years ago I had hip pain & I went to see an orthopedic surgeon. He upped the build on my shoe, said I had hip wear go play with the build on my shoe as I could put even more build on & come & see him again when I couldn't live with the pain! I upped the build & found that the extra weight of the build mean't that as my leg tiered I wasn't lifting my foot clear of the ground & I was falling over. I then fininsh up having loose cartilege removed from my knee. I reduced the build on my shoe & carried on.
    I now find I'm keeling over to one side my Long leg is trying to shorten its self. I have been refered first to podietry who gave me inserts for my shoes, which lasted about 3 days as I couldn't walk only hobble. I wasn't sure why they thought my left foot needed it any way. I'm now seeing orthotics & she has said I realy need the extra build ion my shoe. so I now have one inch on the bottom of my shoe with a rocker bar under my toes (this is a good place for it to be) & a leg braceto lift my toes up & stop me falling over. this is ugly, uncomfortable & scary. I have abandoned the brace & brought a walking stick in the hope that this will stop me falling over. I'm ok at home & work with out the stick. But I am scared about falling over & the changes.

    ReplyDelete
  54. Please, what is your name? And where do you live? There may be better options for you, and I may be able to point you in the right direction. Also, you should come over to Facebook, to https://www.facebook.com/groups/24892886820/?bookmark_t=group which is the adults/teens with clubfoot group - they are very supportive, full of information, and all are "clubbies" as we have come to call ourselves. It really helps to talk to people who know exactly what you are dealing with. Please stay in touch!

    ReplyDelete
  55. Please, what is your name? And where do you live? There may be better options for you, and I may be able to point you in the right direction. Also, you should come over to Facebook, to https://www.facebook.com/groups/24892886820/?bookmark_t=group which is the adults/teens with clubfoot group - they are very supportive, full of information, and all are "clubbies" as we have come to call ourselves. It really helps to talk to people who know exactly what you are dealing with. Please stay in touch!

    ReplyDelete
  56. Sorry, My name is Max (Maxine) I live in the south of england. I was in London until 10 years ago. I was born in what is part of St Thomas's Hospital & I think I recieved pretty good care under them. But of course after they discharged me at about 16-18. After 2 or 3 years they don't have to take you back if you no longer live in the area. I will have to try facebook at the weekend as I don't have access at work. I mostly look at the internet early in the morning at work but before work starts. I have been looking at this site only in small bites as it makes me cry when I read some little thing that I think Wow I had that problem too. But I also know I don't suffer as bad as some.

    ReplyDelete
  57. Max, There are many clubbies in the UK who are on the Facebook group, so do check in there. One in particular is in the Yorkshire area, I believe, though I don't know how close you are to that area. People on the group are very friendly and generous with their knowledge - if they have local connections to resources, they can definitely help in that regard. And frankly, I have found it a waste of time to be concerned with whether my CF problems are worse or less than others - they are what I have to deal with, just as for you. Comparing doesn't help - it might offer some perspective, but the problems you face day-to-day are real, and not to be discounted. We, most clubbies, anyway, were often made to feel that, if our feet hurt, it must be our fault, because after all, the doctors "fixed" them, so perhaps it was us who later "broke" them. Hogwash. They fix nothing. Keep reading the various stuff on this blog - there's lots here, that addresses this and many other issues affecting clubbies. And welcome to the Club!!

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  58. hello guys, 22 year old clubbie from the Bahamas

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  59. I'm J, (from the bahamas) I also suffer from CF (both legs) .. Its has gradually gotten worst over the years. Growing up I wasn't as conscious as i became during my teenage/adult years. Just like most clubbies, I was also teased & ridiculed in school & in the neighbourhood. Which nearly made me suicidal ... I'm from a big family and I'm the only 1 that has CF! Ive never had any treatment on my feet, my parents sometimes pretends it doesn't exist, like it'll magically go away. As much as I hurt physically, it hurts more emotional feeling like they don't care... I know they dont have much money but For years & Years ive been promised by them that that'll help me seek treatment but they never came through! Now my feet as gotten so bad I can't walk anymore :( this is my 4th year being in a wheelchair, & its frustrating. Going from walking (slight limp) all my life to not walking AT ALL! Its humbling, I'd do anything to even just go back to limping again if that was my only option now! You guys, I'm just looking for any recommendations for a CF specialist (the Bahamas doesn't have any) I'm really looking forward to any assistance. Watching my lil brother get his license before me really put me at a new low... I can't live like this anymore! In willing to have surgery, travel, whatever I have to do, I'll do it!

    Thanks for reading. God bless

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  60. Hi J,

    It is always so heartbreaking to me to read stories like yours. There is a group on Facebook that most probably can point you to doctors and/or charitable organizations.

    http://www.facebook.com/pages/Global-Clubfoot-Initiative/210336562327115?ref=ts

    Laura

    My son is 8 years old with left unilateral clubfoot just underwent osteotomy, tendon transfer. Had casting previous to surgery which helped a lot so the doctor decided he didn't need an achilles tenotomoy. He had 2 of those before age 2, along with casting and braces. We had regression. Even at this late age the foot bend looked a lot better after the casting. Hopefully this surgery will be all we need. But I think that might be too optimistic a view. I don't think he will want to go through it again. I know he will remember the pain. The doctor seems to be open to new ideas... can't think of the right word. But she was talking about botox to help with the achilles tendon. I hadn't done any reading in a few years so didn't know about it. So went with just the casting. But since then I did read and it sounds quite helpful.

    Trying to read about older people with club foot to see what we can do to prevent future surgeries. Or if they would even be worth the trouble. I've also read surgical research papers which seem to say there are more complications with subsequent surgeries. Not in those words. I'd have to do a new search to quote them. Which I might do. Just want ideas abt what I should look for in therapy, orthotics, basically any non-surgical treatment over the next 15 or so years while he is still growing. Luckily they haven't noticed and difference in leg length as of yet. Hopefully that is a good sign that we won't have to deal with problems regarding that.

    ReplyDelete
  61. If you go to the Medical Items tab on this blog, you will find the abstracts of a lot of studies about CF, including a few long-term outcomes studies, for what they are worth. As for leg length difference, when we are young, we can usually compensate so easily that we can hide the true nature of a discrepancy. That early compensation can mask the real issues, which may later be revealed by something as simple as an ankle sprain that subsequently fails to heal properly, or an early knee or hip problem, or lower-back strain that becomes chronic. So while it does not appear to be present, it is smart to have him properly evaluated by someone with real experience - which may take some searching to find such a person, unfortunately. Leg length imbalance is poorly understood, and even more poorly trained into medical students.

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  62. Hi. My name is Erica and I am 47 years old, and live in England. I was born with talipes in both feet, which was considered at the time severe. My Brother was born with talipes in just his left foot. I had surgery in Portsmouth at the ages of 5 and 7, and my understanding is that on my right foot this involved some movement of the achilles tendon which involved a skin graft. My left foot surgery did not involve the same procedure, and whilst that foot had less unsightly scarring, it has, until the past 5 years or so, been the more troublesome, and been the more mishapen.
    Like Max, I find reading this site makes me very tearful,because it is the first time I have found other stories similar to mine. I feel in many ways I have been lucky, because I haven't experienced some of the things some people have had to endure. However, I do remember painful manipulation of my feet, Dennis Brown boots with a bar at night and not being able to get to my parents when I had nightmares, and my fair share of teasing at school. "Plug foot" was the nick name, but it was never particularly malicious and did not last. What I have had, however, is pain throughout my life in both feet. The pain has been, and still is, largely on top of my ankles, and goes deep inside.
    Five years ago I had a hip replacement, around which I spent nearly two years on crutches. During this time my right foot took a real battering, and I have developed quite severe arthritic changes in both feet. I consulted an orthapaedic surgeon about four years ago who felt there was insufficient structure within my feet to sustain any surgery, but I saw a biomechanic podiatrist who prescribed orthotics. I have recently been back to see him, and I now have complete right midfoot collapse with neurological overlay, and my left foot is heading the same way. I have one leg shorter than the other due to my hip surgery. Walking for me now is very restricted, though I do cycle when I can, and have access to a gym and a wonderful personal trainer who takes an active interest in my mobility. Whenever I put weight on my feet it is painful, and this pain increases with the time spent on them. Fortunately, once I take the weight off them I am generally pain free, unless I have had a very active day with a lot of standing. I still have a very good quality of life, work full time, and manage to do most of the things I enjoy. I would really struggle if I weren't able to drive. I am not interested in surgery, but am extremely frustrated with conflicting opinions and advice about footwear, and with the lack of interest in ways I might minimise the decline of my mobility. My feet and ankles are constantly very swollen, so I have to buy wide fit boots. Shoes don't feel like they offer enough support. My personal trainer has me strenghtening my core, but also has exercises for my feet and calves which the Biomechanics man says are a waste of time. The hip man doesn't talk to the foot man, and the foot surgeon laughs at the neurologist's opinion!! The biomechanic trained with my podiatrist but they both suggest different types of footwear. Arrggggghhhhhhh!!!
    I would be very interested in names of professionals in the UK who might have an interest in "older clubbies", who might be able to offer a more holistic approach with a little more interest and confidence than the well meaning but disparate and ever growing network of professionals involved in my care.
    Can anyone help?

    ReplyDelete
    Replies
    1. Peggy from LouisianaOctober 17, 2012 at 5:56 PM

      I to have one leg shorter than the other and have 2 shoe size difference. Do you have the back and hip pain like me?

      Delete
  63. Peggy from LouisianaOctober 17, 2012 at 5:48 PM

    Hi, I am new to this site and think it is very informative. I was born with a left club foot and was corrected at birth after sever surgeries and had to wear braces and special shoes. My parents didn't tell me to many details. I dont suffer with my foot as much as tremendous back and hip pain. So much it holds be back from doing normal every day chores.I tolerated this pain for years and am finding it very hard to handle. I am 37 years old now. Trying to get doctors to help me is challenging and am waiting on an appointment to see an orthepedic doctor. What's in store I wonder. Hpefully getting rid of this pain! From time to time I also have pain in the famous much smaller calf and ball of my club foot. Feels like Im stepping on glass. Someone please respond, I havent seen much of anyone complaing about the back and hip pain like me much. Its really debilitating!!

    ReplyDelete
  64. Peggy,
    Many clubbies have back and/or hip pain - it's a part of the bad biomechanics we are "blessed" with. There is a lot of info on this blog, so keep looking around. And if you don't already know about it, you should join the adult/teens with club foot Facebook page, where you will encounter more than 400 other clubbies who love to share. Same for you, Filiperi!! Come on over, and join up. It is a very safe and supportive place, rants are encouraged, bad jokes and puns abound, and we all truly do "get it" about your pain and struggles - because we have the same ones!

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  65. Hi all, my name is Tash. I'm from Australia. I was born with severe talipes in both feet. I just had my 25th birthday and I am realising just how bad myfeet really are so I am looking for help.

    As soon as I was born I had my feet turned and put in casts. My feet where backwards and upside down. I had them on for about 9 months and my parents told not to let me learn to walk.

    I then went through years of people saying all I needed was orthotics, I tried hard, soft, half and half. These did nothing and where extremely painful.

    I had had enough and told my parents I wanted to see a surgeon. We found one in Melbourne. He told me that the orthotics didn't work because they can't push up bone. He told me I would be in a wheel chair by 30 if I did nothing. My foot was severly mis shaped I had no arch at all and bones fused or just plain not meant to be there in my ankle. He said that I was an interesting case and agreed to take me on, this was a relief after all the people that had agreed I needed surgery but had no idea what.

    We schedualed the surgery the day after my year 11 exams. He had never done one and didn't really know what he was going to do everything from take a look or fusing my foot was on the table. 6 hours later I was out. I had a full ankle reconstruction, tendons lengthened, my arch was created, my feet where pretty much reconstructed and I had a screw running from my heel to just under my little toe. I was put on one panadol until the screaming began and they thought I deserved some more pain killers. I was in 2 different casts. The recovery was hydro therapy.

    A year later and with my last foot still not healing in one spot still open. I had my other foot done. This time I told them to drug me up. It was better than the first one. I had two smaller screws in my heel but still had to have the full reconstruction of the ankle and foot.

    So now it is a few years later and I am still in pain to the point where I didn't notice when I broke my big toe. I can't go shopping and walking the dog leaves me laying down all day. The swelling is extreme. My toes are callused from my shoes (I have tried everything including special mad shoes). My ankles have artheritis in them.

    So I'm here for thoughts and suggestions because I can't keep going on just dealing with it. I have had to quit uni (doing medicine) because of it. I'm also not sure about having children. I just need some help and my drs seem to have no ideas other than orthotics. Thank you for all your help.

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    Replies
    1. Hello, Tash! First, glad you found this blog - all things clubby is my motto! And you should also be aware of a Facebook group - adults/teens with club foot, at https://www.facebook.com/groups/24892886820/?bookmark_t=group - where you can get a lot of support, and never feel alone again, with more than 400 members now!

      As for what you've been through, I wish I had a magic wand, and could make it all change. But the first indication that the doctor is probably the wrong one is when they say, "well, we could do...." which means they haven't a clue. Sadly, most surgeons haven't a clue when it comes to post-club feet.

      When you come to the Facebook group, look uo Lacey Phipps. She has gone through pretty much exactly what you have, and she finally came to the decision to have both feet amputated and go to prosthetics instead, and she could not be happier with her decision.

      And keep reading this blog - there's a lot here to read, and leads to possible answers, even if only partial ones. Glad you found me!

      Delete
  66. Hi, my name is Yasmin and I'm 20 years old. I was born with severe club foot on both feet (T.E.). I had my feet manipulated up until I was 9 months old my feet being in plasters every 6 weeks and then operations to "correct" my feet further, three on my left and two on my right, up until I was 5 years old. After that I then had ongoing physio and saw a consultant every six months up until I was sixteen. I then got myself re-referred to see my consultant at eighteen years, he told me that since he'd seen me last the X-rays showed that my feet had been "over corrected". Around this time I had recently acquired a job and this involved standing for long periods of time, due to this he informed me that I could develop arthritis. I am now seeing a new consultant who is urging me to get a new job. Easier said than done. After that she is going to discuss with me wether it is necessary for me to have my heels repositioned and after that my tendons near my subtular joints fused.

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  67. I am an adult who was born with talipise in 1981. My mother was a bit of a hippie, and not too fond of western medicine generally. She learned shiatsu massage and healed me herself. I have had no problems as an adult, was walking at around a year, and thought nothing of it. I am now 31 and am pregnant with a baby boy. He has been diagnosed with talipise also. My mother has since passed, and I am uncertain what the right course of action is. Ponsetti does not seem too invasive - but it is still unpleasant. I would love to try my Mum's method, but there are no guarantees. What are your thoughts?

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  68. hi i am selina. i was born in Australia in 1987 with severe talapies of my right foot.i had casts as a baby. i had no complications as a child. at 17 began to have pain and Dr fixed this with pain killers therefore it got worse at 18 i had orthotics made that provided some relief for a brief time, at 20 i had an operation to straighten my heel by a Dr i later found out had never seen my condition. 6yrs later it has returned. i have continual foot pain calf pain and have started yo have issues with knee and hip on other side. Most nights after doing my duties as a mother i have to use a walking stick just to move and have resorted to sitting in the shower as i can't handle the pain of standing for that long. At 26 it is not a good feeling to rely on others as much as i do. i can't handle aford orthotics again and can't have further operations until my daughter can at least wipe her own but. i am curious is physio therapy beneficial to people with this problem as it has never been offered to me? i am just grateful my daughter was not born with this as well. thank you for this wonderful blog im pleased learn Ivan not alone thanks for takingvthe time to create this

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  69. Hi, so glad to have found this site! I had talipes in both feet at birth (1979), mum had to manipulate feet regularly and I had to wear shoes on wrong feet as a toddler. Was told at 18months i was fine.

    Had knee probs as a teenager, sciatica when a bit older and have always walked on outside of feet wearing down shoes on one side very quickly.
    Last year I had a numb foot and after some electric shock type tests was told the peroneal nerve was damaged prob because of sciatica. Since then my walking has gotten considerably worse and am wearing down shoes much quicker, I am getting a lot of foot pain now and think ii have peroneal tendinitis at the moment. Had xrays and should get results next week.
    Do you think these problems could be related to the talipes?
    Thanks,
    Sam

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  70. Hello, Sam! Good probability it is related. With post-CF, our biomechanics are pretty screwy, as is shown by how you wear your shoes, which also messes with the biomechanics of your entire body. Read some of the other material around this blog to get a better handle on understanding how this works. Also, if you haven't already, drop in and join the Facebook group at https://www.facebook.com/groups/24892886820/?bookmark_t=group which is adults/teens with club foot - lots of great support, info, and more clubbies than you ever knew existed!

    There is also a lot of resource leads here on this blog, and I am always trying to get more (hint, hint!) Glad you found us, and hope you can get some good help here and on the group!

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  71. Hi. My name is Sandra. I'm 53 years old, born with club feet, first casts at 11 days old, and surgeries started as infant through 12 years old, many night casts until 12, saddle shoes, tap dancing and such.
    Had a wonderful doctor and I felt comfortable and fortunate as I was a teen. I was an athlete throughout high school, still very active most of my adult life. Last words I remember from my doc at 17years, when I was in need of a doctor’s note saying it was "okay" to get into nursing school, to make sure I could withstand long hours of standing etc., were that I may experience later foot issues as an older adult. Well, 2 months ago, on a 50 degree, sunny January day, I did a power walk with a "secondary" pair of athletic shoes (primary pair, our pup got to and destroyed). Went 3 miles and felt pretty good until day 2. I could barely walk! Literally I was crawling around as we had no crutches only a walking stick which wasn't enough. Eventually pain subsided a bit, iced it, days later some heat. Kept aggravating it at work(bakery, lots of walking to-fro, some standing on rubber mats but mostly on cement, rolling my foot over every other day by stepping off edge of mats!,6-8+hour shifts, part-time. Also I drive a standard and had noticed occasional clutch foot pain due to outward pronation (irritated years ago too but didn't really pay much attention to). Didn't think too much of that until now. Then nights when ice didn't work, heat worse. Aspirin, Advil, etc., but not round the clock, helped. I tried to work in some exercise as it felt better but usually just reverted back to pain and barely able to walk. 2 months of this now. I needed answers and solution, too active to be hobbling around, too young, getting depressed. Just went to foot/ankle specialist for exam/x-ray today. My thought was a sprain, maybe a hairline fracture, pulls...something that had a remedy/solution so I could get back to my norm. To my dismay, found out it was arthritis. Saw the arth in the x-ray, all between the bones on my left foot. The day of my demise, power walk with poor footwear!! I kick myself now because I know better. Doc said I most likely have arth in my right foot too but just isn't showing yet. Remedy per this specialist....pain should subside with Ibiprophen (800m/3x day)/aspirin, Alieve, etc for indefinite period of time. Need to bring down the swelling as to relieve pressure. 2nd option, cortisone shot but I won't do this unless pain doesn't subside. Otherwise he said I need to stay in footwear with good support, good shock absorb., stay on flat surfaces (in other words, no mowing the steep front lawn with the push mower), minimal to no barefoot walking, drive an automatic, best form of cardio exercise for me is swimming or cycling but I can resume another form as long as I recognize my limits and resume once my foot simmers down. I know that probably one of the best remedies to get back to a pain free or as close as possible, is to ELIMINATE ALL MY POOR FOOTWEAR, i.e. no more flats, older, rolled-over shoes, high heels are OUT...PERIOD! I will live in 4-6 pairs of top quality brands, supportive shoes only from here on out. Brands that I love these days are Keens, Merrill’s, Sanita, some Tevas, El Natura Lista (THE BEST!!!)and more but can't think...I love clog types and some maryjanes. And ladies, there are some non-frumpy, very hip shoes out there. I can't wear any flip-flops as my toe alignment has never been right for comfort, besides usually no support anyways. I have very wide feet too as most of us do plus high instep. For athletic types, I like Asics the best, widest toe box out there, so comfy. Others work to but I am patient to try on all types, gel soles seem to give me the best comfort and shock absorb. Please let me know if you have other good quality brands in everyday footwear or athletic types.


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  72. Con't my previous post...
    In reading past posts, my club feet issues seem mild compared to many. I do feel fortunate that my case, as severe as it was at birth, has caused minimal issues until now. But none the less, a huge setback in my personal life and realization that constant awareness is vital from here on out. This will not beat me; I will take the best care of my feet from now on. My arthritis is here to stay but I WILL MANAGE IT AND STAY POSITIVE no matter what! :) Best to everyone and thanks for your sharing.

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  73. Sandra, welcome. Glad you found us here, and I believe over at the FB group for fellow clubbies - https://www.facebook.com/groups/24892886820/?bookmark_t=group - and are able to share your story. The truth about post-CF is often harder for those with later-onset to deal with - it just seems so, well, unreasonable! And given how little attention the medical profession has paid to those of us who suffer from this, it is quite unfair. But that means we clubbies have to become the experts on dealing with our chronic pain, etc. If you spend a lot of time exploring all the material on this blog, plus all the comments by other clubbies, you will get lots of good, useful ideas. And the FB group is full of very supportive, understanding, and occasionally dementedly funny clubbies all willing to share and listen. Again, glad you found us!

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  74. Hi my name is Katie, I am 17 years old going on 18!. I was born with right foot talipes. When I was six moths old I had surgeries to bring my heel back down an position it correctly, bones in foot were also fused to help me walk. I have had many other surgeries since then (also for other medical reasons). I have hit ten surgeries, last year when completing year 11 I had three operations. I had been pain free for many year until I turned 15, I suffered chronic pain for over a year and was taken to a naturalist, he put me on multiple natural medications to try and stop my pain, but after being on heavy pain killers, I began to get stomach pains, so I was taken off as I was at risk of getting stomach problems. The pain got even worse and I went to my old orthopaedic surgeon, she told me i would need my ankle fused, but she doesn't do it so she refereed me on to one of the best foot and ankle trauma specialists in Australia. I also went and saw one of the top guys in Melbourne and he wanted to put me on heavy steroids and said I was better off with amputation. My foot is very unique they have all said and is quite difficult to handle, so many of these surgeons out my case in the to hard basket and send me off to somebody else. After years of being told different things and being pawned off onto somebody else, we saw Les in Sydney, he promised to help me be pain free and was lovely. In 2012 I had surgery to carve away the floating bone that had been chipping off and to round the bone in my foot as it was flat. I was out of action for 3 months, I ride horses and plan to make my career out of them so I must be able to walk around pain free. I was okay for 3 moths and could finally manage the pain, I was riding everyday and then the pain returned. We flew back to Sydney to see Les and he was stuck because it is a hard case. He talked to a panel of international doctors and many others in Sydney. He wanted me to undergo a series of cortisone injections and i have been (he does not want t fuse my ankle as there are already many bones fused in my foot, so I would be prone to stress fractures and many other things, he is also resistant because of my age). I have had two prior to this idea. I had my first lot at the beginning of this year, and it has done nothing but make my pain worse, I struggle to walk from one class to another and because I already walk a little funny and with a limp, am over being stared at because the pain is that bad I can't keep up with my friends and it kills me walking to my classes. It is even now starting to impact my riding. The fact that it is affecting my riding is heart breaking, I live to ride and ride to live. I feel like my horses are the one thing in the world that won't judge me and they even walk slowly for me. My parents and sister went to the city today, and I couldn't go because I can't handle the walking and pain. It is hard, and I know there are many other people out there worse off then me, but I feel sad all the time because of this. I will never be able to wear high heels or flats, and I don;t wear shorts or skirts because along with my club foot, I have no calf muscle, so my leg looks like a wooden stick. I know appearances aren't everything, but being this age, they kinda are. I don't wont people to stare. Even though my parents try to understand and help me, which i love and appreciate immensely. They don't get it and sometimes I feel really alone, like nobody understands. It is nice to find a site like this and be able to share my story with people who will understand.

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  75. Katie, Glad you found the blog. And you should also join the Facebook group, adults/teens with club foot, where you will meet many other clubbies from around the world, including many from Australia. You might also want to meet Lacey Phipps, a young Irish clubbie currently going to school in Lubbock, Texas in the US. She has a very similar story, and finally opted for amputation and getting prosthetics, which has dramatically changed her life for the better. So drop in at https://www.facebook.com/groups/24892886820/?bookmark_t=group and ask Werner, the group's founder, to join - he never says no to another clubbie! Just remember, katie - you are NOT alone!

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  76. Hi, my name is Adrian and I am 26 years old. I was born with right foot talipes. I had many operations to try and correct it and I never experienced much pain until I was 22. It really did just seem to happen over night and my life has changed forever. I am in constant pain everyday, some worse days than others. No pain medication has ever worked for me and the pain is worse when I am sitting or lying down so I can never relax without being in pain. When I walk it relieves some of the pain but the more I walk, then the worse it will be after so I can't win. I have rocker soles, insoles and I do think they have helped abit but not enough to live a normal life. My leg is alot thinner and foot smaller but that doesn't even bother me anymore, I really wish I could get help with pain. I know there are people worse than me and I am greatful that I can walk but the pain is so unbearable most of the time. I went to my doctor several times over the last few years since the pain has got that bad and basically was told 'You have a club foot, so you will have to learn to live with the pain'. I was really taken back when he told me and went to see somebody else. I have tried acupuncture which didnt help, i tried physio which didnt help and it feels like no one understands the pain I or anyone else living with the condition is in. I don't think enough is done for people who are born with club feet. I feel so sorry for children who have to live with constant pain as its not fair, I am lucky to have lived a normal enough child hood with minor problems but that has all changed now. I can cope and live with having this disability, but I am struggling to cope with the pain. It is good to find people who are living with the same condition and to know I am not alone.

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  77. Adrian, you should also drop into the adult/teens with clubfoot group on Facebook, at https://www.facebook.com/groups/24892886820/?bookmark_t=group and meet 600+ other clubbies from all over the planet. You will get lots of support, ideas, bad jokes, and great friends. And read more of this blog - there are many ideas about coping with pain, and you need to try them all to learn what works best for you. It is always a different mix for any one individual, so be prepared to spend time looking at all the alternatives. Glad you found us!!

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  78. Hello, my name is David and I'm 28 years old. I was born with bilateral clubfeet, was put in casts at 1 week, 2 surgeries at age 1, another surgery at 12, followed by surgery on my left ankle last March and my right ankle this March. As of August 16th the only other option given to me by my surgeon is fusing, and as I told him I would rather have an amputation... don't think that will happen though. Currently the pain is just as bad as before the last surgeries, which tends to make me depressed and angry. I ask for pain medication that will allow me to live a "normal" life, but they continue to push anti-
    inflammatory garbage that does nothing for the pain. Seems like the people who truly need real pain medicine are pushed away, while dope fiends are loaded up with it. Enough of my rant though, glad I found this page and before anyone asks, yes I did find the Facebook page and requested an invite.

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  79. David, why is it that you don't think an amputation will happen? Is it that you do not want one, or that the docs are trying to make a case against it? There are now a number of clubbies who have chosen amputation over living with perpetual pain, and their results are nothing short of amazing. Once you are on the FB group, talk to Lacey - she's the best example I know of!

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  80. Thanks for laying it al out there,Don. Your story echos many a clubby's story, as I am sure you are seeing here. I hope you also know about the group on Facebook, nearing 800 clubbies from across the globe. Keep exploring this blog - there is a lot of information and resources. BTW, have you tried custom orthotics yet? They can help to some degree - it differs for each of us, both on the basis of our level of involvement, and the expertise of the orthotic maker and doctor who casts you - not a lot of consistency out there, sad to say.

    Stay in touch - you aren't alone!

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  81. Thanks for the warm welcome NBWK. I wanted to say that I currently use an orthotic in my right shoe for arch support. I have had a total of 5 different type braces made, and none have worked. I live with this pain daily, and can relate to just about every story in this blog. If I am on my feet for more than 15-20minutes, I am down for the next day or 2. When I lay or sit, my feet get hot and feel like they burn. This is nerve pain I believe, and am taking Gabapentin for it. It is hard to explain what we clubbies go through. My own family doesn't even seem to understand. I had 2 brothers born with club of the right foot(not as bad as mine)and they were luckily able to live a fairly normal life. One is a cop, close to retirement. I don't know what to do, I feel like my life activities are being taken away from me. EX. One day my fiance and I put a 8' Piece of gutter on our home. I was on my feet about 4 hours and was up all night in pain, even with pain meds. I hurt so much it brought tears to my eyes. This is the frustrating part. I can't even do small projects around the house. I tried to explain this to my pain mgmt dr. and was told to find other activities, like cooking or baking. I do help cook, usually cutting up ingredients for dinner. I normally sit on a stool just to do this. The things that I have always been able and proud to do have been taken from me. Working on my cars, keeping the house fixed up, working in the yard. And it is not just my feet. My back feels it is getting worse, and I am afraid of what the future holds. I am 40, My body feels like an old man, and my mind does not match. My testosterone levels have also been affected, and I have to be given pellet injections to keep my testosterone at normal levels. I don't want to go in a wheelchair, I feel like I will be throwing in the towel and giving in. I am also afraid of my Fiance's response to this. I feel like less of a man, and that is a very frustrating feeling. It is hard to find a orthapedic or podiatrist that has dealt with adult clubfeet. I have seen at least 8 dr.'s over the years, and Dr. Dobbs was the only one I felt knew anything about what I was dealing with. But he works mainly with children. My newest dr wants to cut a wedge out of the right side of my right foot, and open a wedge on the left side of my right foot and place a wedge of bone in the left side to try and straighten my heel bone. He then wants to remove cartiladge from my forefoot and my toe bones, and slowly seperate with an external cage and allow bone to fill in the gap. Was told there was a chance it would not work due to small blood vessels and limited blood flow to my toe area. I would then be looking at a partial, or full amputation. I do not feel confident about this. I have been told by several dr.'s that amputation would leave me with phantom pains due to long term chronic pain.

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  82. Continued...
    I know there are others out there who are worse off than I am(my mother reminds me of this everytime I talk about my feet). I understand this, but this is about me(that sounds so selfish). I feel there are no answers for me. I am afraid I will end up alone and that scares the hell out of me. If not for my Fiance, I don't know how I would make it. She does so much for me. Cleaning house, shopping, cooking. I do what I can, but that is getting to be less and less. I find myself constantly thinking about what I am supposed to do. How much worse is my quality of life going to be. I have tried everything I can think of and has been mentioned by others. Physical therapy, injections, orthotics, braces, chiropracter; and pain meds are the only thing that comes close to helping. But the pain never completely goes away. It is always there, and I know it has changed me as a person. I am less positive about life, I am emotionally guarded, and fearful of my future. how do we as clubbies make it day to day. I guess we just bear down and deal with it. And people that are close to me don't understand. I seem somewhat normal physically, because I don't want to seem different from others. And when I try to explain this deformity, people just can't grasp why it is so debilitating. To coin a phrase, I am sick and tired of being sick and tired. Do i just give in, and jump in the wheelchair? Do I take a chance and do the surgeries? Or like i feel everyone else thinks I should do, just deal with it? I hate to go on such a rant, but I am glad I have a place to vent. Extreme frustration is my daily life...
    I am scheduled to see a psychiatrist in Dec. per my pain mgmt dr.'s request. Hopefully he can help, but what if he has no experience with clubfeet patients. Any advise is welcomed. P.S. I will be joining the Facebook site.

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    1. Don,
      First off, amputation can deliver some phantom pain, but they do diminish - when you join the FB group, make contact with Lacey Phipps - she has recently gone through a bi-lat BK amputation and is now walking with less pain that she ever has - and she had a really bad case, especially after 20-some odd surgeries that just kept making everything worse. There are now at least three on the group who have chosen this option. You need to realize - I suspect you already do, but are not yet ready to trust that knowledge - that very few doctors really "get" what post-club foot syndrome is. They don't study it, and hence, do not even acknowledge it as existing. So when they come to you with ideas that start with the phrase "well, we could do...", you need to understand they don't have a clue. And when they try to talk you out of amputation, I suspect they just cannot admit they haven't a clue. You choosing amputation is telling them they are ignorant of anything that will make a difference.

      As for seeing a therapist - I highly recommend it. I have been seeing one for more than 30 years, after all the abuse and violence I suffered from various people, especially in school, just for being the local cripple. But on top of that, living with a disability that also delivers chronic pain, and being in a system that cannot even recognize that you have a real and persistent problem you need help with can drive anyone into depression. But while meds for depression can help - I have used them myself - the real need is to have someone you can talk to about these issues on a regular basis who isn't going to judge you, who will help you find yourself behind all the other stuff the world forces you to put out as yourself when it isn't remotely who you are. As long as you are worried about how others see you, you are going to have a double burden - your feet, and your fears. Your feet are clearly a bigger burden than most people ever have to carry.

      You are right - we bear down and deal with it. But there are things we can do that at least makes it more bearable and doable. Some can be found here, and some on the group. But the most important things you can do is to find your own resilience. Like you, I have lived in pain most of my life, but I have also pursued knowledge to try and resolve as many of my pains and frustrations as possible. Now, I know not everyone wants to focus on shoes and orthotics and the study of biomechanics just to be free of pain, but I apparently was crazy enough to take that path. And one thing I can tell you - most orthotists have no clue how to make the right orthotics for our feet, nor do most doctors understand the right way to evaluate and cast for orthotics. I know this because I used to teach both groups on this topic, and few ever really were sufficiently interested to really learn it well.

      Remember that "dealing with it" can mean many different things. But it most decidedly does NOT mean what others try to tell you it does. "No pain, no gain" is a lie - we clubbies have lower leg muscles and soft tissues that have highly distorted cell structures compared to non-clubbies, and those muscle cells don't build up very well at all, no matter how much exercise you do. That is part of the syndrome. And thus, not your fault. Another thing to remember, speaking of your brother's milder CF, is that every CF case is different, either by degree of involvement, or severity of the deformity. The important thing to remember is that our CF is NOT just a positional deformity, it involves the muscles and nerves, as well. And the pain we experience appears to some degree to be associated with an early breakdown of the cartilage that cushions and lubricates our joints. And as of today, there is still no way to repair cartilage. So the next time someone tries to cast doubt on the severity of your pain and it's reality, tell them about that little fact.

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  83. To Merissa: I know how hard it is to have your feet hurt so bad so young. I was on my high school swim team too, tho not captain. I functioned pretty normally through my teens.

    I was born in 1976 with bilateral clubbed feet. I had surgery at 7 months and at 6 years age. Then at 24 an unfortunate series of events involving a bad job, bad doctor, bad boss, bad physical therapist, bad orthotics and another bad doctor caused severe foot problems and Erythromelalgia; a very rare disease combination of neuropathy and vasculopathy. My Feet are always either icy cold or bright red, hot and swollen.

    I now can only walk about 10 feet at a time and even that only a certain number of times per day. I have to use a wheelchair when I go anywhere outside my apartment.

    To Notumbo:
    I have been wearing shoes that are way too small for me for the past 3 years because I can't find anyone who will make a pair of orthotics that don't feel like they are poking/stabbing me in the bottoms of my feet.

    I DESPERATELY need an orthotist who takes me seriously and works HARD to fit me. Can you please recommend someone? The last place I went said they would call me when the orthotics were ready, but never did, and The manager has not responded to my emails for 5 months now. No one gives me any RESPECT. I am at my wits end.
    I live in Rochester Minnesota.
    Thank you
    SR

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  84. I've just stumbled upon this blog as I was looking for people in the same sort of boat as me. I was born in 1995 with a club foot on the my right foot (sorry for lack of technical terms here, I'm now looking into it further). I had one operation just before my 3rd birthday and was in boots until I was about 5. Apart from one leg longer than the other and one foot bogger than the other I functioned quite normally. I was unable to run in a coordinated manner doing sports during primary school but had physio throughout this time. I improved well and played regular cricket (even making it to play county cricket). I was also wearing insoles to help my (nonexistent) arches. I found these quite cumbersome and hated the fact that I had to wear massive lace up shoes with them. Not great at high school! However my first match for the county was when things became worse. I played that game in agony. I limped the whole way through it and found it very harder to recover. I made it through that whole season one painkillers which probably did my ankle no favours at all. Subsequently I went back to the hospital who ended up x-raying my ankle and finding it had become arthritic. The ankle bones in the joint are not the right shape and grind constantly when I move then. This becomes inflamed. During this time I had volunteered myself to do the duke of Edinburgh award. I ended up being sick because I was in some much physical pain but finishing that is one of my proudest moments. I do not let anything stop me in what I want to do but I was in constant pain. I am now wearing a splint at all times and this is helping ease the pain. I end up seeing a succession of different orthotists who don't really understand the condition so it is hard for them to get the splint right. My newest one has taken them 5 attempts and still isn't right. I suppose all I'm looking for is whether others have experienced the same things. Lastly has anyone experienced times of having constant pins and needles in their club foot? This has come on recently and I'm not sure if I need to get it sorted.
    One last thing. I now teach sports in schools. Despite literally hating it when I was young I want to show the youngsters that when they put their mind to it than can do it. All sports can be accessible to everyone.
    Thanks everyone and great to find a blog here
    Kate

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  85. So glad I found this blog!! I was born in '59 with severe bilateral club feet. Surgeries at 2 months and 5 years of age then braces, "weirdo" shoes, orthotics, ... I've never been able to find a professional who understands post-surgical, adult club-feet problems. Have had problems with excessive pain in my feet for the past few years (because we all know there is hardly any time in our lives where pain is non-existent) and now have a tendonitis in my left ankle. Does anyone know of a doctor in the Montreal area who is good with club feet?

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  86. Wow! Thank you for this blog! (And for the referral to Adults/Teens with Clubfoot on FB. I've sent my request.) It's amazing reading about everyone's experiences and treatments from all over the world.

    My name is Adrienne. I'm 40 years old and was born with a right clubbed foot. I started with castings and a tendon release before I was 6 months old. That was followed with more castings and a tendon transfer when I was in kindergarten. I also wore boots and bars as a baby and had a leg/foot brace as a child. I was treated at Shriner's Hospital in San Francisco, before they closed and moved into the new Sacramento location.

    Making the 1.5 hour drive to San Francisco for my cast changes and check-ups was a huge highlight of my growing up. Most often, my dad took me. We'd get up before the sun and start our drive by stopping at the donut store. I loved Shriner's and everyone on my treatment team. Mrs. Dawson was my favorite though. She was a small little black woman with a slight limp and a hunched shoulder and she always took me in to see the Saw Man, who was equally cool. ;0) I think about her often.

    I was never teased about my foot, skinny leg or slight limp. I was fortunate to be able to wear "regular" shoes most all my life. I just have to buy them a half size too small for my left so that they fit better on the right.

    I was never self-conscious about my foot or leg. It was all I had known, so I never really thought about it at all. Once, at camp, a friend was following me and yelled, "What is that on the back of your leg". I turned to try and see behind myself, asking her "where" and swatting at whatever she was seeing. "Right there!", she screamed and pointed. "Where?!", I cried, stamping my feet trying to dislodge whatever huge bug must be there for her voice to have sounded that way. Finally, she was close enough to me to actually point and touch the back of my right leg. It was my tenotomy scar that goes from my heel to half way up my calf. I was so relieved. lol

    I was never told I couldn't do something because of my club foot growing up. I played outside, rode bikes with my friends, climbed trees. I remember the surprise on my grandmother's face when I told her I was climbing trees. "You can do that?" Of course. Why wouldn't I be? I think that's when I first realized that my foot was "messed up" when I was born and the fear that my parents and grandparents must have had about the kind of life I would be able to live. Reading others' stories here and elsewhere, I know that I am fortunate. For that, I am thankful.

    It wasn't until Middle School that I started experiencing pain and stiffness in my ankle joint, especially after heavy use. I was also diagnosed with scoliosis then. My local scoliosis doctor wanted to do surgery and totally poo-poo'd the idea that my LLD had anything to do with my curvature. Thank God for Shriner's. We went back to see them for a 2nd opinion and they took two sets of x-rays, one standing and one sitting. Lo and behold, yes, I do have slight scoliosis, but it is definitely exacerbated by my LLD, and nothing that required surgery. That was when I got my first pair of built up shoes.

    Over the years, I've dealt with the pain my ankle feels after over-working it with OTC medication and rest. But, now, it seems that my over-work limit seems to come sooner than it used to, and the OTC meds aren't having as strong an impact. I've made an appointment with an Orthopedist that is a couple of weeks out from today. I haven't worn orthotics or a built up shoe in probably 20 years. I'm thinking it's probably time to get back on top of my treatment or I'm really not going to be happy when I'm 80. ;0)

    Thanks for entertaining my little novella here. I'll be checking back in. Oh, btw, I'm in Oklahoma City. ;0)

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  87. Just like many of you I stumbled upon this blog while reading around for people in my situation. You would think for such a common "deformity" that I would have run across at least one other person with it. But I never have.

    My name is Hannah and I am 23 years old. I was born with fairly severe bilateral clubbed foot. I did get lucky by having an amazing orthopedist when I was a child. Dr. Dietz in Iowa City. I have and am kind of complacent about my condition. I have tried getting more out of my feet but when things don't happen I become disheartened. I have spent the last 7 years of my life dedicating myself to bettering the life of my feet. It began by choosing to walk to school rather than take the bus. I've obviously seen some improvement but I find it sad that it is not what I would expect.

    My feet have been corrected using the Ponseti method as well as a tendon transfer on both feet and one tenotomy as well as the foot abduction braces (in fact my first word was shoe because of the brace). I am constantly told by those around me that I should be happy that I can walk. And of course I am. But the fact remains that it is not without complications. Despite years of trying to progress I find myself a slower walker than everybody I know, I find it hard to stand for longer than 30 minutes, my feet and ankles are constantly swelling and I find myself, like many of you in constant pain.

    My family, for their part never allowed me to complain too much about my feet. Always trying to make me feel better about the issue. The problem being that I never felt that they quite understood what I was trying to describe. However, whenever I try to make it clear that this is not some small pain I sound like some petulant "misunderstood" teenager.

    I try not to complain much and try to only when I really need some form of rest but it still feels like my life is somehow, diminished. Everywhere else I've read tries to sweep the pain we feel under the rug. By saying something like "most people move on to live happy and healthy lives able to do anything anyone else would." This is frustrating to me because I DON'T feel that way. When I go see a concert I have to make sure there is a place I can sit down, when I went to Washington D.C. with my family I felt that I was holding them back when I had to sit for 15+ minutes to get the pain to go away. This doesn't feel like a normal life of a 23 year old. It feels like the normal life of an 80 year old.

    Trying not to be too negative I do know that it is only by the miracle of science that I can walk and I am very very grateful to my orthopedist for that. I owe him a whole lot that I will never be able to give back.

    The constant pain, like many of yours has become an every day part of my life. My feet, knees, hips and back constantly ache and has limited my work heavily. I was lucky to find a work at home job that works for me and I feel very lucky for that as well.

    It was so cathartic to me to hear the pains that I have echoed back over so many people.

    I don't know really why I am typing all this out. I guess I've been thinking a lot about my feet lately. They've started swelling more and aching a lot more in the mornings. I feel.... I KNOW I need to see an orthopedist again soon (I haven't since I was 10) but I'm terrified to hear what they are going to say. Like some of you my OTC medications don't work any more and I don't even bother with them any more. I'm scared of what life has to bring if my pain is like this at 23.

    Hopefully soon, I will get the courage to go back to my original orthopedist (the only one I really trust, I have a thing with doctors) and will hopefully get some THING to do about it besides point and flex.

    Not sure if anyone reads this blog any more. It's fine if not, it was cathartic just typing things out. Thanks for reading mystery people.

    Oh and I'm in Kansas City, MO.

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  88. I just tried to post a big long intro and it didn't show. .I don't have the strength to type it all again. . Long story short I'm Thomas, bilateral club feet, I'm 37 years old and im so tired of hurting I'd like to chop my legs off...

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    1. Hi Thomas, I too was born with bi lateral club feet, I have just come across this blog, I am 44 and have begged and pleaded with my consultant for years to chop off my right foot, I am also tired of hurting, I have had many operations, the last one was in March last year, when they had to remove a screw that had worked its way free, I have been told that cutting off my leg will not make a difference, as I have been in pain for so long, I will experience "Phantom pain" , every step hurts, my hips my knees and my elbows and my hands (due to using crutches) also cause me pain sometimes, but, the only thing that anyone will or can do, is keep me on various pain killers, together with counseling for depression. To all of you all the best with everything that you do.

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  89. hello, Iam 22 years old, born with a right club foot.. until now ive been doing research about club foot, i haven’t
    seen a dr since I was young, nor had any type of surgery since I was little.. a few weeks ago I went to the drs for the 1st time,
    they asked if I had any disability, I lied and said no, just because I know they wont be able to
    help unless I see a specialist..??..I have pains here and there from time to time,
    nothing too major, but when I do, I bare with the pain or sleep it off.. my main concern is my right calf “muscle”, as everyone knows, the affected foot/leg is smaller that the other, and the leg is shorter than the other, I hate the fact that I cant wear shorts during summer time and enjoy days like others do, but heyyy, that’s the life we got, right??…at this point, i want a calf implant, but cant seem to find a place to go to, the sites ive found are from areas far away from where i live and are expensive :/
    can anyone help me please? are there any “calf surgens”?? out there who can help, or at least take any type of insurence, or something?
    if anyone has answers, please reply to Anonymus 003, so i know its for me..lol
    i live in California, OC and the IE would be closer areas for me..
    thank you for your time, im glad to know there is more ppl out there like me..
    Anonymus 003..

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  90. Wow what great spirits most of you have. You know what they say: when the body is weak the spirit becomes stronger in its stead.

    Do you know of any clubbie dating sites? If not someone should start one and let us know...I had a dream my soulmate had bilateral club feet like mine.

    I have gone through the gamut as you have fortunate to only have had two surgeries at age 6 and 12. Because I had great parents I pretty much lived a normal life and had kids but his my feet from embarrassment. No intimate relationship has worked for me although my career and academic achievements have soared. At 50 I was forced to face my disability thru scar tissue and severe pain and deterioration. I never realized all the perks available to the disabled in the U.S. I am truly blessed to be able to enjoy the third and fourth quarter of the game of life at a slower pace in a subsidized apartment from the beach!. I hurt everyday of my life but thanks to a great holistic practitioner, chiropractor, massage therapist and 3 handsome grandsons they have made it much easier. One day the pain will be gone when we leave these bodies but for now we are the lighthouse gatekeepers God uses to see how folks are going to treat those less fortunate. When the race has been completed we will be rewarded for our task. God bless you all

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  91. P.S. Trying natural prolozone shots google it and tulle woman croc shoes are my best friends.

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  92. Dear All, its amazing to go through the posts in this blog. Thank you for all the members who constantly help with suggestions and opinions. I requested the FB group to join as well, thank you for the reference.

    I'm Mahesh, from India. My son is born with right club foot and gone through the Ponseti method with 5 castings, a tenotomy at ~2nd month and splint shoes till 4th age.

    Kindly help me with your suggestions about my situation to go for "Tibialis Anterior Tendon Transfer" surgery or not:

    Now, my son is 4 years 7 Months. Recently our doctor suggested Tibialis Anterior Tendon Transfer surgery, as the foot has slightly relapsed and while running the right foot is pulled bit inward. It feels so bad to think of my son to go through a surgery at this age. He's very active kid. He's love of our lives. It pains to think of him to go through all this trouble.

    Kindly suggest based on your knowledge and experience on:
    1. The relapse is not too high (~30 degrees). Does the inclination increases as he grows?
    2. Is Tibialis Anterior Tendon Transfer surgery mandatory? Can we avoid the surgery and use any other methods like casting again or splints again or .. ?
    3. If he goes through the tendon transfer surgery, does it require re-surgeries again as he grows?
    4. Are there any complications involved with this surgery?
    5. After going through this surgery, what are the good chances of him just continuing with regular physical activities and studies without needing any further attention?
    6. We're consulting at Sparsh hospital from beginning. Took a second opinion from other private doctor too. He gave same opinions. Any other doctor do you suggest in the vicinity?

    Sorry for the long list of questions. There are too many worrying thoughts going on in my head. Kindly bear.

    And, again, I'm glad to come across this blog. I highly appreciate your help and suggestions.

    Regards,
    Mahesh

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  93. Hi,

    I am a 42 year old male. Was born with structural talipes in my right leg, none of the medical staff spotted it on delivery - my mum got the shock of her life when she was nursing me for the first time.

    Had surgery at 2 weeks of age, then put into Denis-Browne splints until 6 months old, then another surgery at 14 months to stretch my achilles and operated on my foot medially- I have long scars (12cm) on the left inside of my foot and up my achilles. My right leg is 1.2cm shorter, right calf has major muscle wasting. My foot and lower leg is essentially a fixed unit, have some rotation, can point toes up and down, cant bend right knee and without lifting right heel, ie: cant do much with it!

    I was very lucky- my mother is a nurse and is the hardest worker I know - she exercised my foot every 4 hours during waking hours from 6 months until 14 months, and then once a day from 14 months until I was 5. I wore ankle boots with a quarter inch rise on the right side of my shoe from 14 months until 14 yo.

    School was terrible, didnt have many friends, having to wear brown boots didn't do much for my social status:) Every day was a reminder that I had been dealt the short straw and why did I have to suffer? I remember being humiliated in sports carnivals, coming last in running races and always being the last one to be selected in team sports. Didnt do much for my confidence!

    As I hit my mid to late teens it didnt bother me so much, I ditched the boots in year 9 and started wearing sports shoes on sport day, I still remember the day, joy! I actually won a 100m sprint in late high school - vengence was sweet, the looks on the other lads faces was priceless, they were beaten by a "cripple"!

    Nothing to report from teens until 18 - my fourth toe was folder under my third and hurt alot when walking so had it removed by a surgeon, hurt like hell for weeks but was worth it in the end. My sub 5 year old kids are intrigued by my "baby stump".

    20 yo, went for a game of paint ball, leant over suddenly and my back fused. Saw a podiatrist and got a pair of orthotics which didnt last long but fixed the problem, a few years later (I think I was 25) I got a pair made which have lasted me to this day. I put the orthotic over a 4mm thick shoe that sits in my right shoe.

    I get some pain in my right foot from time to time but not severe, mainly in cold weather/during winter. I consider myself extremely lucky that at my age I have not had the same issues that many others have experienced.

    I sit alot for work and started getting major pain/swelling in my tail bone last year but did some research and bought a "Back-Joy" which has been amazing (problem fixed touchwood)

    To any parent of a clubby I would recommend the continual exercising of my foot from an early age as critical. This is the only reason I attribute my relatively good outcome.

    I think overall my CF has made me a more empathetic and grounded person. I try not to worry about trivialities so much, and I think good health is a blessing which many people take for granted.

    As an aside, does anyone know of any good CF specialists in Sydney Australia? i have scarring on my achilles (a big lump), think I will leave it alone but would like to keep it under observation.

    All the best

    John




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  94. Hi, I am a 40 year old female in the midwest US (Michigan, actually!) born with bilateral club feet.

    I actually know fairly little of this, because my (very young/naive) parents believed the treatment I received as an infant (I think *just* the boots/bar but am verifying) made me "normal." I think my dad (in his mid 60s) even had casting as a baby, but he never talks about problems. Anyway, it seems to have gotten rugswept in my family. In spite of at least 11 years of childhood in the care of the same group of pediatricians, I wasn't seeing specialists nor was anyone talking to me about my feet. Sometimes I remember my mother trying to push different orthopedic-type styles of shoe on me when I was, say, under 12, because she said I needed the support. But like lots of young girls I only wanted to wear what looked cute. I never had orthotics though some of my friends did. But, I am also seeing a pattern that non-urgent, regular medical care wasn't terribly consistent in my family.

    I grew up considered normally-abled and just thought myself clumsy. I was *constantly* rolling an ankle and losing my balance. I was a swim team standout but running of any sort was miserable and not natural, and I thought I had shin splints all the time in spite of stretching as I was taught. I wore all my shoes down from the outsides noticeably, as I still supinate a lot, and although my flexible arch isn't obvious just looking, it needs a significant support in the shoe. As a young adult woman, I forced myself to adapt to higher and higher heels but even found my gait somewhat easier to sustain in a moderate heel. (With less need for actual foot motion, right?)

    In very recent years, I have had more pain and struggle. The feet are horribly stiff in the morning or after spending time off them. They pop, crack, and can be cracked constantly. I have bilateral hip pain. I was blaming inactivity (classic desk job/commute situation) and some weight gain, even pregnancy laxity that I probably didn't take care of. I also have a husband who has gotten on board the "barefoot shoe" movement and he ridicules all my danskos and merrells and sculpted footbeds. So I even thought that he might be having a point about weakening my muscles and tissues and having to strengthen them all back up.

    Then I started (apropos of nothing) looking at clubfoot. I found this site and a couple others like it. I found medical articles that seem to explain that our internal anatomy is still not normal after cosmetic repair. This is so infuriating to me because I have already struggled with a bite alignment/TMJ that got quite severe which I thought was solely because of a wonderfully cosmetic orthodontic "fix" in my teens that left me with anatomic dysfunction. Maddeningly, I reported much clicking and pain in the jaw and I guess wasn't believed so I stopped saying anything....until I connected with a pain specialist in my mid 30s and learned I have some really "wrong" structures in there now, and like *no* cartilage. This pain specialist also has some kinesiology and chiropractic training and said I was "very twisted," so my frame was definitely in compensation. Probably the bite AND the foot weakness involved there.

    I guess this is my long winded introduction, a "me too," and my gratitude for the site and the validation.

    K

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  95. Hi,
    I've just come across your blog as i was searching for chiropractors who work with cf. Are you still seeing the chiro in CA? My daughter is 2 and born with bilateral clubfoot. Please join https://www.facebook.com/groups/clubfootresource/ it's a group a few cf mom friends and i created to discuss holistic treatments for clubfoot. I'd love to know any professionals you've worked with in regards to cf that were HELPFUL! Hugs, Krystal my email-
    clubfootbracedtkafo@gmail.com

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Welcome to The Truth About Talipes! Your comments are welcome, and strongly encouraged. We with post-club feet are the best sources of information about the issues we face. Join in! (If your comment fails to appear, make a second attempt - Blogger is known to have "issues" with Comment upload from time to time.) And right now, it seems it does not want to display comments on the main page, but it will show them for individual posts, so don't give up yet!!!