Well, this wasn't a first that we were expecting to record today, but what parent is ever expecting to bring their child home in their first cast? Luckily no broken bones are involved!
Lily had a standard check up with her orthopedic doctor this morning to check the progress of her feet. She has been wearing new braces since July to help correct her foot positioning and to stretch her achilles tendon. When a child is born with club feet, basically the achilles tendon is to short/tight and this causes the foot to curl. The tighter the tendon the more severe and debilitating the condition becomes. The standard treatment is to have the infant wear a series of casts that increasingly stretch the tendon and then to maintain the position achieved by the casts by having the child wear braces at night until they are old enough to walk(Lily had this procedure done in China). Once the child is walking the weight of their own body will keep the feet properly aligned and the achilles tendon lengthened and they will no longer have to wear braces.
In Lily's case the casting/braces worked well on one foot but not on the other. Normally a child her age has been weight bearing on their feet for quite some time. Lily is not and that is probably a contributing factor to her left foot reverting to its old position.
Now in addition to the series of six casts that she will wear over the next 6 weeks, she will under go surgery to lengthen her achilles tendon. It is hard to have to put her through this, but this is something we have to do now otherwise we are risking her future ability to walk and run and play. The older she gets the less and less flexible and malleable her joints and tendons will become.
Lily has taken this all in stride. Not one single complaint out of her so far. Thankfully we only have to do the one foot. She is such a trooper!
