In regard to the guidelines , may I make a couple of suggestions.
For the ages 0-4yrs you suggest referral to a physio?
I feel that a paediatric practitioner should be able to teach parents how to
adequately provide stretches.
There is also no mention of the equinus of determining whether the cause is
of neurological origin, how to determine this, and the appropriate referral
protocal.
In many cases there is also a large habitual component particularly in early
toe-walkers, which needs to be addressed as no amount of stretching etc. is
going to help if the child continues to toe-walk or exhibits continuing
early heel lift.
It would also help in determiming what exactly is meant by `knee
instability`.
Regarding the stretching exercises, I would have felt that 10 secs was of
insufficient time to overcome the stretch reflex within the muscle group.
Hope to attend the meeting
Tony Achilles
----- Original Message -----
From: "jellies72" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 19, 2001 11:11 PM
Subject: Podo-Paediatric Special Interest Group


> For all podiatrists interested in |Podo-paediatrics please could you
> look at the following 'GUIDELINES' for the treatment of ankle equinus in
> a child.  These have been put together by a number of Podiatrist that
> meet Quarterly as part of the Podo-paediatric special interest group,
> which is holding another meeting on Thursday the 27th September at the
> London Society Head Quarters, if any body is interested in attending
> please contact Steven Lowe at Leigh Infirmary, Greater Manchester.  All
> Constructive comments will be gratefully received.
> Thanks
>

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