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Post by TimVS on Oct 16, 2008 12:27:09 GMT
This is causing me a major headache at the moment with a pre-teen who's mum will not consider changing out her ballet pumps for a more accomodative and supportive shoe to fit her orthoses. These shoes are a complete nightmare and I just wondered how you guys address this. Pat has bi-laterally medially deviated axes and loads of medial bulging, so I feel a slimfit device is a waste of time here. One of these cases where the solution lies in footwear and orthoses but I just don't think I'm going to get compliance. I feel a rare refund (and a headache) coming on.  Be gentle with me I'm in an extremely bad mood having just seen this pat and recovering from a shall we say somewhat 'tense' confrontation with mum. Freebie Freebie |
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Post by dtt on Oct 16, 2008 13:34:02 GMT
Hi Tim Calm down its only a solution in disguise !! ;D "ballet pumps" ?? not sure what you mean by that mate. If she is doing ballet then forget orthoses "we were not designed to walk on the tip of our toes and there's no such thing as a free lunch !!  Do you mean "dolly shoes" ?? these thin usuportive shoes all the kids are wearing at the moment ?? Slimfit is your only hope on the grounds that something is better than nothing. Why is the Mother so hostile ?? Have you suggested Trainers to her ?? The reply you will get back is "they wont let her wear them at school". Rubbish!! Write a letter explaining you are treating the child for a structural problem that will require her to wear trainers or trainer type shoe ( not with the bells whistles and traffic lights on) Clark's do ladies neutral running trainers in black. I have yet to have a school refuse and if I did I would suggest the parents take up with the education authority if they wish to block your treatment of her. Then if you do not get compliance you cannot give a proper treatment so slimfit it must be with a suitable explanation as to the responsibility of the outcome rests with the Mother. ;D ;D Now come on Tim you have had a lot worse confrontations in your previous life haven't you ?? Fights ,riots, public disorder ?? Oh sorry I forgot you were in a county service not London  Cheers Buddy Cya at tRoberts podopaeds day ?? D |
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Post by blinda on Oct 16, 2008 13:56:38 GMT
Hiya Tim, It is an age old problem, one where i have many `mature` ladies who point blank refuse to change their `pretty`footwear...."no YOU don`t understand, I paid £230.00 for these, of course they are appropriate!!"  Even worse when mums with their little darlings, look at you in disbelief..."you obviously know nothing about what children need!" (Of course not, I don`t really have a housefull of teenagers). I think you have to be brutally honest and say that the only way to prevent her precious offspring from further foot pathology is to wear the prescribed orthoses, which demand accomodative shoes. Stress that the choice is theirs, comfort and support now or problems later. I did reach a compromise with one 16 year old who bought the `Buttercup` ballerina style shoes in the Hotter catologue, not brilliant but at least they are deep enough, with a removable insole to fit an orthoses. But sometimes we just have to accept that concordance will not be acheived by all pts. It`s a bummer, but don`t let it get you down though Freebie, lifes a bit.......when you look at it, but you know what you gotta do Cheers, Bel |
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Post by robertisaacs on Oct 16, 2008 20:34:41 GMT
hey buddy
Good thoughts from bel' n del.
I would add the following.
This is a situation I am confronted with regularly. It stems from the lamentable tendency of patients to try to shift responsibility for their care to you. Don't let them!
They came to you with a problem. You cannot solve it. You only see the patient for 30 mins a month. Solving the problem is not your job. Your job is to tell them what they need to do to solve the problem and equip them to do it. This you have done. The ball now rests in their court. If they choose not to do what is needful thatis their perogative and you should not let it worry you.
It is much as if I went to m n s, bought a coat, decided not to wear it then took it back because it failed to keep me warm.
In extreme cases where the teenager refuses to co operate I have even in the past told them that I care little if they want their feet to hurt or not! Teenagers are so used to people trying to help them they take it for granted that you are more interested in their wellbeing than they are. You need to dissabuse them of that notion from the outset.of course that works best if the parents are on side!
Otherwise consider trainers as del suggests. Also worth checking planal dominance. If its frontal you may be able to work even in pumps with an adhesive heel skive and valgus pad.
Above all don't let it get to you! You told them how to fix it. You've done your job. What they do is up to them!
Kind regards
Robert
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Post by TimVS on Oct 17, 2008 9:39:01 GMT
Thanks guys for all your supportive comments and helpful practical suggestions. One of the many nice things about this forum I take on board the advice given. To be honest I have come across this problem before and been able to resolve the issue in partnership with the parents. Unfortunately I think I have hit an immovable object on this occasion ! We'll see. Cheers, Freebs |
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Post by dtt on Oct 18, 2008 9:12:37 GMT
Hi Tim A thought Perhaps Mum would like a second opinion from Say Robert Find out what his fee would be and put it to Mum gets you off the hook and our lad will put her straight and hopefully the childs problems will be sorted  Cheers mate D |
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