Summer had an X-ray last week to identify leg length discrepancy. They did a standing X-ray and her position only revealed a 5mm difference. When I questioned about the orientation of the X-ray, the Radiologist said that they can repeat the X-ray in supine as there may have been some flexion in the right leg.
This morning we were at the Orthotist where they cast Summer’s feet so they can make a new AFO and Orthotic. We discussed leg length, the practical application of a lift, comparison between the X-ray (though inaccurate), Maureen’s measurement, and Karen’s assessment with inserting a lift ‘plate’ (the plastic pads the orthotist uses to measure what it will take to help Summer get her heel down). Karen, the orthotist is confident that a 3/8” lift is sufficient at this time.
I am hoping to not have to repeat the X-ray as Karen said: numbers are great but the practical application is really what counts…. Summer looked great and even when standing on the ‘lift plate’. But this will be the call of her PT in Toronto, as they may need to monitor the long term outcome.
Our PT attended our appointment today too. They both feel that Summer’s AFO should be fixed/rigid for a few weeks until her planting becomes more heel toe. Andree will see her a few times a week when the AFO is delivered on July 13th – so that she can do extra work with her. Then the plan is to engage the hinge in the first week of August before we leave for BC- vacation.
We have returned to a custom orthotic on Summer’s left foot – Great – we get to return to Summer wearing two different shoe sizes on each foot… so much for a victory!
Summer picked a butterfly pattern for her AFO – I am just relieved she didn’t pick the Toronto Maple Leaf’s logo pattern – as if anyone would? HA!
Summer was a pretty good girl for the appointment – though it did cost me two SUCKERS and several readings of ‘Fluffy’s Adventures’.
Evidently Summer's negotiating skills are progressing well too!
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