RE: [ozmidwifery] Talipies

[Robyn Thompson]

Sandy Palpate both ankle bones internal and external and see if you can feel any difference in the structure and if both ankle bones are palpable and the same, see if they are flexible enough to move.  X-ray would give you more information but I am sure nothing needs to be done immediately.   Robyn Have you thought about calling Andrea? -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Sandy Cochrane Sent: Monday, December 02, 2002 12:55 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Talipies Dear Robyn Thanks for the quick reply.  Kathy has taken Abbey to see the GP for the referal, but he did not know very much about the severity of, or treatment for the talipies.  It looks more then postional talipies to me.  The right foot has positional talipies which has improved slightly already, but the left is much more pronounced, and faces outwards rather then in, and lies almost flush with the leg at times. Is there a way to determine skeletal involvement without xray? Thanks again. Sandy ----- Original Message ----- From: Robyn Thompson To: [EMAIL PROTECTED] Sent: Monday, December 02, 2002 12:15 PM Subject: RE: [ozmidwifery] Talipies Sandy Do you know what type of talipes?  Generally talipes is positional if the baby has been in a tight spot for a while.  The real assessment is to establish whether the ankle bones are complete and not effected. If these are ok, gentle massage and very gentle stretching of the tight ligaments would be preferable, most times it corrects itself without interference.  Surgery and splinting is usually the outcome for skeletal involvement.  Why don't you talk with the local GP or physio rather than make the long trip to Melbourne.  Andrea Quanci and experience midwife in the area would also be helpful in advising you.   Please email direct if you want Andrea's details.   Robyn robynt@iprimus.com.au www.melbmidwifery.com.au  -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Sandy Cochrane Sent: Monday, December 02, 2002 11:57 AM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Talipies Dear all Just a quick note to ask for a name or two.  My amazing little sister gave birth to a beautiful little girl at home with myself and a friend (both midwives) in attendance.  Abbey the gorgeous is perfect, but was a little bit squished inside her mum and so has talipies on her left foot.  Unfortunately here in Shepparton she will have to wait for another three months to be reviewed by the pead to see if there should be any treatment. This is not acceptable to Kathy and Steve (mum and dad) and they would like to know the name of a pead in Melbourne to whom they can be referred too.  Not having been in Victoria long, I would like to hear from anyone who knows of a talented pead who is not afraid of questions.  Thanks heaps.   God bless, Sandy