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They slip on one of those protective casting socks, and make marks with a water pen or marker, to indicate heal, ankles, wear the toes start, etc. Then they put this rubber cutting strip down the front of the foot/leg, and wrap the casting material. Before it's completely set, the cut down the front of the rubber strip and remove the cast. The markings transfer to the inside. They send the cast out, and within a couple weeks - the new braces are shipped to the clinic.
You go in for a fitting, and in our case - the clinic makes the adjustments right there while you wait (shorten the toe, add inside heal & ankle pads, ensure straps are in place, etc). If all is well - you walk out with a pair of braces. One think to make sure of, is that the heal lines up symmetrically with the top of the back of the brace (shouldn't be bent at the ankle by any degree). We had this problem once, and had to have a new pair cast. It didn't cost us anything, but it was a delay.
It's not painful at all. When I had mine done, I was lying on my tummy on this soft table and they took a plaster like substance & put it on my foot & let it get hard. Not sure how long that took, this was back in 01', but it was easy, not messy & done in less than an hour. Is the insurance covering this? I know for me, I had to pay $350.00 for mine and I can't find them right now, I am in panic mode b/c I can't afford it again & they're somewhere in this house.
Now... as far as a child, it might be different. My 8 year old has "inserts" b/c the podiatrist told us that they can't cast him b/c he'll need a replacement almost yearly (they're feet grow fast) & until they are done growing, they don't do the casting. But...his feet are bad but not as bad as mine. His cost us $80, but that is a yearly cost until his feet are fully grown.
Yep, we have insurance and they'll pay for the APO's. but shoes are up in the air. She will get braces b/c inserts won't help stabilize her. She's wobbly and needs support. Her problems are not just her feet, it's her entire body.
Thanks for replying! Ava is to the point where she's had enough of people touching her, so next week will be lots of fun.
Oh, goodness! Good luck with that! I hope that it goes quickly! We've never had this done to any of us, personally, but I say AMEN to having them check and double check that everything lines up! I had to have my foot set in a similar manner when I broke it (they usually don't cast/set broken feet, but mine was weird) and the guy screwed up. I'll have pain forever. That sounds like a terrible thing to tell you, but the same guy did orthotic fittings, so I'm just sayin'...
I'm sure it will go fine-and hopefully quickly!!! Here's hoping that little Ava takes right to them!!!