We sat with a doctor who answered all of our questions. No one knows what causes club feet. This renowned doctor, Doctor Ponseti, who the doctors at Shriners have trained under thinks it’s something with myosin- a part of the muscle-that has sort of malfunctioned in the leg and foot. Some people have said positioning in the womb but this doctor really thinks it’s something more genetic with mysoin. Anyway, they really aren’t sure. But it’s about 1/1000 kids who are born with club feet and most all of the cases are totally correctable.
So the process- First: casting for 5-20 weeks- which means that every Tuesday we will go in and they will take off Ben’s casts and we will be able to bathe him and then they will put new ones on. Each cast moves his feet just a little bit more (sort of like braces) until they are in a good position. Step #2. Possible cut of the Achilles tendon. This happens in about 90% of the cases in club feet. That tendon is too tight which is part of what pulls the feet inward so they cut the tendon which grows back lengthened (like a salamanders tail). Finally step #3- braces. After the casting and cut of the tendon, Ben will most likely wear braces on his feet 24 hours a day for about 2 or 3 months. Then he will cut back to wearing the brace only during naps and at night. Ideally this is done until age 4 but the doctor said most kids make it to about 2 or 2 ½ . There is chance of recurrence in which kids go back to wearing the braces or casting if necessary but after age 7 the chance of recurrance is very very small. So it’s treatable completely and Ben will probably be totally fine in the long run. But getting those casts on today was so sad to me. I held him as they put the casts on and he cried. They go up his entire leg and he’s so uncomfortable. I imagine it hurts too to have them put his foot in a position he’s not used to being in. Plus he loved having his legs curled up by his body and now they are stuck in two heavy casts that he can not move at all. He has cried and cried today, this cry of pain and it has broken my heart.
It’s interesting what life teaches you though. This experience is so minor in comparison to what so many children and parents experience. And I am only getting a taste of the feelings these parents experience as they watch their children in pain or as they see other people stare at their children- a reminder that indeed their child is different. But my heart has been softened today and I have felt compelled to count my blessings, the way God helps us in our lives, and the goodness of other people. We hear so much in the world today of what is going wrong- especially right now with all our politics, economics, foreign policies…but today I was the benefactor of some incredibly generous people I do not even know who will help my son heal his feet. Today I saw children who suffer and parents whose hearts break to watch them suffer but who keep going cheerfully. Today I watched my son cry in pain because his legs hurt but I could only be grateful that we have the medicine and technology to fix what his body did not give him and that he will be able to run someday. Today I was touched by my two year old's look of concern when he saw his week old little brother in casts “Ben have an owie mommy?” Today I felt the sweet spirit of an infant as he cried and then fell peacefully asleep on my chest. Today amidst pain and need I saw the hand of God.
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