I have a pretty severe equinus, i toe walked till 10-12 years old. Then injuries to ankle knees and hip, plus adapting to the requirements of football mechanics, and also social conforming i started to normalise my gait. The issue being im just walking with the heels forced down with shit stability, poor muscular recruitment ect. Small orthotics down do anything. The increase in height just increases the amount my torso compensates by shifting backwards. Going to try larger wedges but i do t think it will achieve much as my resting no muscle tension position is similar to this girls. My question that i would appreciate, massively if you could answer is: Im scheduled for pre sugery meeting at the end of december but im really not doing great atm. Im basically just constantly crippled atm. In the meantime, would i actually be better off leaning in to the toe walking and strengthening the legs in a toe walking position? With the heels down or even anywhere near down my gait is awful. No consistancy, insanely ridgid, no real push off just diagonal shifting and i get frequent chained muscle spasms at this point. Am i just making things far worse? Just thinking about it, it makes a lot of sense that id injure my ankle, lose the ability to stabilise it as its a demanding task, and then never really gain the stability back as i would be attempting to rehab to a non equinus neutral, which i simply cant achieve due to the short tendons ect.
Thank you for sharing your experience. Leaning into the toe walking will not help. From your description, the achilles tendon would need to be lengthened. Keep in mind there are a couple types of ATL procedures. Confirm with your surgeon which procedure is being done so that you have a realistic expectation of the outcome. Thanks for watching our video.
@PediatricFootAnkle ok, thsnks for the advice. I have some 3cm heel lifts in atm abd thats helping. Way less pressure on my low back and neck. Back to the waiting game i guess
I walk like this on both feet however my left leg causes me no pain cuz it’s not as bad as my right one, physically cannot put the right foot down flat, I’m 26. Can you still get it corrected at such an age?
Thank you for watching and sharing your experience. Pain drives intervention. For a resolution to your condition, an evaluation with a podiatry specialist would be appropriate. The surgery noted can be done, however, an accurate diagnosis comes first, ruling out any other underlying conditions as well. The link below may be helpful to find a podiatry provider in your area. If you have any further questions you can contact our office directly. podiatryboard.org/ pediatricfootankle.com/
I'm 16 and its been 4 years since i have been suffering from sever's disease, i underwent physiotherapy and bedrest for 2 years. There were special shoe insoles made for me but sever's still kept coming back. The recent x-ray showed that my heal plate is joint still i feel heel pain after little physical activity , my orthopadecian suggested that it is due to inflammation around my heal and is asking me to undergo ultrasound physiotherapy again, what should i do??
Thank you for watching our video. We are sorry to hear the treatment you received did not produce long term results for you. You mentioned "special shoe insoles", which is interesting. The correct custom orthotic can really make a difference in addressing inflammation. In our clinic we utilize a custom orthotic called the mikki device. It has been effective in 95% of those treated. Perhaps you and your parents could discuss that with your medical provider. Hope this information helps. The link below may also be helpful pediatricfootankle.com/foot-conditions/severs-disease/
@@PediatricFootAnkle Thank you for responding , this mikki device is the same thing which was custom made for me using some machines , which ive been wearing regulary for the past 2 years , still there has been no improvement.
Thank you for your comment/question. An evaluation by a pediatric podiatrist would be a good place to start. Utilizing a splint or brace must be consistent. Compliance on the part of the child can be a big part of the success of treatment. Also, the age of the child can be a factor. If you do not have access to a pediatric podiatrist, our clinic does offer virtual consults.The link, if needed, is noted below. pediatricfootankle.com/contact-directions/
There is definitive treatment for toe-walking. However, your sons medical provider, knowing him best with his diagnosis, could refer you to a specialist to address the toe-walking. Thank you for watching our video. If you have any further questions, feel free to contact our office. Link provided below... pediatricfootankle.com/contact-directions/
This is what I do with one foot but only because when I was 11 I fractured my leg. And a dr put a cast with a hump on bottom and I think since I was growing it messed me up. I’ve been crippled since 22 and don’t know what to do I’m 44 my life has been ruined.
@@PediatricFootAnkle I did he said my Achilles is tight and gave me a paper with stretches to do. No amount of stretching, massage or cupping works my Achilles and calve feel so tight. That’s when I put my foot flat feels feels even tighter and causes my whole leg to feel so tired and shredded fast if I need to walk more then 30 mins. I also have severe tightness in my quadratus like when I say severe I mean severe. It feels as though there is a tight elastic band squeezing the life out of it. And when the quadratus is even slightly pressed on it’s unbelievably painful. I don’t know if this is from one condition like SIJD or what cause I have groin and buttock pain too sitting and laying is unbearable.
Thank you for watching the video and your question. The link below outlines the cost through our clinic. Other providers may charge a different fee. (you could use this as a guideline) pediatricfootankle.com/self-pay-rates/
Each surgeon has their own process and protocols and there can be variations in the type of surgery doctors perform. We have concluded in ten years of practice here, doing one leg at a time has eliminated complications that could occur. Also, we consider what a child can handle and their day to day mobility and functioning after surgery. Our patients utilize a knee scooter the first 4 weeks while they are in a cast, then transition to a boot. They are still mobile enough to attend school independently. In our clinic, the second surgery is performed 2-1/2 months after the first. Hoping all goes well for your daughter. Thanks for watching our video.
I have a pretty severe equinus, i toe walked till 10-12 years old. Then injuries to ankle knees and hip, plus adapting to the requirements of football mechanics, and also social conforming i started to normalise my gait.
The issue being im just walking with the heels forced down with shit stability, poor muscular recruitment ect.
Small orthotics down do anything. The increase in height just increases the amount my torso compensates by shifting backwards. Going to try larger wedges but i do t think it will achieve much as my resting no muscle tension position is similar to this girls.
My question that i would appreciate, massively if you could answer is:
Im scheduled for pre sugery meeting at the end of december but im really not doing great atm. Im basically just constantly crippled atm.
In the meantime, would i actually be better off leaning in to the toe walking and strengthening the legs in a toe walking position?
With the heels down or even anywhere near down my gait is awful. No consistancy, insanely ridgid, no real push off just diagonal shifting and i get frequent chained muscle spasms at this point.
Am i just making things far worse? Just thinking about it, it makes a lot of sense that id injure my ankle, lose the ability to stabilise it as its a demanding task, and then never really gain the stability back as i would be attempting to rehab to a non equinus neutral, which i simply cant achieve due to the short tendons ect.
Thank you for sharing your experience. Leaning into the toe walking will not help. From your description, the achilles tendon would need to be lengthened. Keep in mind there are a couple types of ATL procedures. Confirm with your surgeon which procedure is being done so that you have a realistic expectation of the outcome.
Thanks for watching our video.
@PediatricFootAnkle ok, thsnks for the advice. I have some 3cm heel lifts in atm abd thats helping. Way less pressure on my low back and neck. Back to the waiting game i guess
I walk like this on both feet however my left leg causes me no pain cuz it’s not as bad as my right one, physically cannot put the right foot down flat, I’m 26. Can you still get it corrected at such an age?
Thank you for watching and sharing your experience. Pain drives intervention. For a resolution to your condition, an evaluation with a podiatry specialist would be appropriate. The surgery noted can be done, however, an accurate diagnosis comes first, ruling out any other underlying conditions as well. The link below may be helpful to find a podiatry provider in your area. If you have any further questions you can contact our office directly.
podiatryboard.org/
pediatricfootankle.com/
I have this issue and my left foot got sprang while I had this issue and now it does not work properly anymore
I'm 16 and its been 4 years since i have been suffering from sever's disease, i underwent physiotherapy and bedrest for 2 years. There were special shoe insoles made for me but sever's still kept coming back. The recent x-ray showed that my heal plate is joint still i feel heel pain after little physical activity , my orthopadecian suggested that it is due to inflammation around my heal and is asking me to undergo ultrasound physiotherapy again, what should i do??
Thank you for watching our video.
We are sorry to hear the treatment you received did not produce long term results for you. You mentioned "special shoe insoles", which is interesting. The correct custom orthotic can really make a difference in addressing inflammation.
In our clinic we utilize a custom orthotic called the mikki device.
It has been effective in 95% of those treated. Perhaps you and your parents could discuss that with your medical provider. Hope this information helps.
The link below may also be helpful
pediatricfootankle.com/foot-conditions/severs-disease/
@@PediatricFootAnkle Thank you for responding , this mikki device is the same thing which was custom made for me using some machines , which ive been wearing regulary for the past 2 years , still there has been no improvement.
Hi dr. German my child he had this splint a long time and it doest help him to walk flat in his left foot and physiotherapy doesnt help what can i do
Thank you for your comment/question. An evaluation by a pediatric podiatrist would be a good place to start. Utilizing a splint or brace must be consistent. Compliance on the part of the child can be a big part of the success of treatment. Also, the age of the child can be a factor. If you do not have access to a pediatric podiatrist, our clinic does offer virtual consults.The link, if needed, is noted below.
pediatricfootankle.com/contact-directions/
He is 5 year old toe walker left leg even he took botox injection 3 years ago and didn't help at all
My son suffers from cerebral palsy and walks on tiptoes. Is there a definitive treatment for his illness?
There is definitive treatment for toe-walking. However, your sons medical provider, knowing him best with his diagnosis, could refer you to a specialist to address the toe-walking.
Thank you for watching our video. If you have any further questions, feel free to contact our office. Link provided below...
pediatricfootankle.com/contact-directions/
This is what I do with one foot but only because when I was 11 I fractured my leg. And a dr put a cast with a hump on bottom and I think since I was growing it messed me up. I’ve been crippled since 22 and don’t know what to do I’m 44 my life has been ruined.
Thanks for sharing your experience. Perhaps a consult with a podiatrist would be helpful in finding a solution. Link provided below.
www.apma.org/
@@PediatricFootAnkle I did he said my Achilles is tight and gave me a paper with stretches to do. No amount of stretching, massage or cupping works my Achilles and calve feel so tight. That’s when I put my foot flat feels feels even tighter and causes my whole leg to feel so tired and shredded fast if I need to walk more then 30 mins. I also have severe tightness in my quadratus like when I say severe I mean severe. It feels as though there is a tight elastic band squeezing the life out of it. And when the quadratus is even slightly pressed on it’s unbelievably painful. I don’t know if this is from one condition like SIJD or what cause I have groin and buttock pain too sitting and laying is unbearable.
How much does the operation cost??
Thank you for watching the video and your question. The link below outlines the cost through our clinic. Other providers may charge a different fee. (you could use this as a guideline)
pediatricfootankle.com/self-pay-rates/
My daughter is having this surgery next week but they are doing both legs at the same time! Is this not typical?!
Each surgeon has their own process and protocols and there can be variations in the type of surgery doctors perform. We have concluded in ten years of practice here, doing one leg at a time has eliminated complications that could occur. Also, we consider what a child can handle and their day to day mobility and functioning after surgery. Our patients utilize a knee scooter the first 4 weeks while they are in a cast, then transition to a boot. They are still mobile enough to attend school independently.
In our clinic, the second surgery is performed 2-1/2 months after the first.
Hoping all goes well for your daughter. Thanks for watching our video.
Wait does the surgery hurt?
The patient is asleep under general anesthesia during the surgery, so no they can't feel it.
Thanks for watching our video.