These are baby girl’s feet. Her ankles look like this because of the missing fibrillin. In August 2011 we got her SMO’s (Supra-Malleolar Orthosis). The orthopedic’s office custom-made them for her. At that time, she was still belly crawling, so they were sufficient (she did start hands-and-knees crawling in September 2011). If she did do any standing, they helped to support her legs by keeping her ankles straight. These orthotics were made with room to grow. When they were nearing the end of their usable life, we met with the orthopedic doctor again. I went to that appointment with much anticipation. I had a feeling what the next step was.
Vivian had shown interest in standing and assisted walking. As far as balance went, she pretty much had none. When the doctor recommended we get AFO’s (Ankle-Foot Orthosis), my heart sunk a little. OK, maybe a lot. The SMO’s went just over her ankles and were pretty much unnoticeable. AFO’s look like this:
The fact that something was wrong with my daughter would now be much more visible.
I knew I had to accept that these braces would help her, but nonetheless it was hard. It still is. Fortunately, she has made great improvements over the last few months. Unfortunately, she is still not walking. November 5 Vivian turns 3.