Hypermobility

iVillage Member
Registered: 11-28-2006
Hypermobility
6
Tue, 03-23-2010 - 4:08pm

I have a few questions here as I know some of you have kids with these
co-morbids ie low muscle tone, flexible joints etc....

This morning when Nicholas and I were at OT, I told his therapist that I notice Nic walks with his feet pointed out. This is something my father did and it was extreme. I suspect he had his own problems with low muscle tone as it was told to me that he didn't walk until he was 3.

Anyway the OT was looking at his feet and pointed out how far inward Nic's ankles are when he stands. They don't aline straight with his feet and legs and she said it looked pretty extreme. She also pointed out his flat feet. She said this is sometimes caused by people who are double jointed or have flexible joints...

Interesting as Nic always amazes the family get togethers because he likes to put his feet behind his head LOL.

So I have some concerns because she said if It's not looked into (the ankle part anyway) then he will eventually end up in pain with the way he walks and the odd pressure he puts on his feet.

I have been googling information but I thought I'd come here and ask the real "experts" lol. Also who should I take him to to figure out what help he needs? A PT? A Orthopedic Surgeon? A Foot Doctor?

I cant' believe I missed this all these years.

Lainie

Avatar for littleroses
iVillage Member
Registered: 03-28-2003
In reply to: tebald
Tue, 03-23-2010 - 4:47pm
iVillage Member
Registered: 02-28-2008
In reply to: tebald
Tue, 03-23-2010 - 5:44pm

Hi Lanie,

A cheaper way to go would be to get your doctor to write you a PT prescription with a diagnosis of severe pronation and take it to a good sport med PT. Most of them have training in orthotics and foot mechanics since feet are very important in sports. But alot has to do with your insurance plan. Some of them specifically deny treatment for flat feet even though it can cause major problems later on.

That or a good podiatrist would be my recommendation.

Andrea, mom to

Graham
Miles
Anson

Andrea, mom to

Graham
Miles
Anson
iVillage Member
Registered: 06-25-2003
In reply to: tebald
Tue, 03-23-2010 - 7:11pm

It sounds like Nic's ankles are pronating due to flat feet, which is a common problem in hypermobile people and usually correctable.

I would start with a pediatric podiatrist. The doc will probably make casts of Mic feet to make custom orthodics for him which go into his shoes. He may also make footwear recommendations,

Your other option is to ask your ped about it and see what is recommended there, but I'm guessing it will be a podiatry referral.

I HTH and good luck

-Paula

visit my blog at www.onesickmother.com

-Paula

visit my blog at www.onesickmother.com
iVillage Member
Registered: 11-28-2006
In reply to: tebald
Tue, 03-23-2010 - 8:47pm

Thanks guys, you gave me a good head start! I will start with his pediatrician, who I would have to go to first to get a referrel from anyway and go from there. I also see Chris's Ortho doc in a few weeks for his collar bone and will ask him.

Is this also called low muscle tone?

iVillage Member
Registered: 06-25-2005
In reply to: tebald
Wed, 03-24-2010 - 9:07am

My ds is not and never was a toe walker but still has tight muscles and gets sore and fatigued from walking. Ds also under-pronates (I think it was under-pronating, anyway). Ds calls his ankles "ache-els" since his feet ache so easily after walking.

Our doc had ds use a type of adjustable boot that stretched his muscles, but it didn't make much difference (at least in the month's time the doc had ds wear it). Ds tried some temporary orthotic shoe inserts ($75) that helped a little bit. Ds wore them faithfully at first but gradually decided they didn't provide enough benefit to offset the annoyance of wearing them. Insurance wouldn't cover the $600 for better orthotic inserts, so I don't know whether they would have helped more or not.

iVillage Member
Registered: 11-28-2006
In reply to: tebald
Wed, 03-24-2010 - 3:32pm

600 OUCH!

Well I was showing dh Nic's ankles yesterday. Nic was asking questions and I come to find out that it does hurt for him to walk sometimes. Geesh, I wish our kids would come out and tell us important stuff.
And yes I think it's called under-pronating. Right now since he's being homeschooled I can be very flexible when it comes to PE, but I hope this doesn't cause a problem once he's back to the b&m school. Does anyone's kids have adjusted PE for this? Is this something I should look into like for example APE? I'm not gonna ask about it if it's not necessary, but since he says his feet do hurt to walk sometimes I just want to make sure my kid doesn't hurt for PE.