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Ask Dr. Yogindra Vasavada Your Own Question

Dr. Yogindra Vasavada
Dr. Yogindra Vasavada, Pediatrician
Category: Pediatrics
Satisfied Customers: 2643
Experience:  M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
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Toe of baby

Customer Question

(I'm sorry I posted it to the wrong category (Neurologist) previously, I hope this time it goes to the Pediatrics category)

For the baby at my family. Toes of her right foot are tense tight, and they are always stretching down. With external help (we using our hands) the toes are able to be lifted up a bit, but they still cannot be lifted up angled like the left foot, and we can feel they are tense tight when we lift them.

And there looks like sth like a vein maybe (or tight muscle??) too. It's not just a line there, one may feel it with our hands as it is protuding out (sorry english is my 2nd language I hope you know what i mean).

Pls see this picture for reference: http://i46.tinypic.com/2nta1s9.jpg


 


Is it a problem of muscle strains? Will it become problem of muscle fibrosis? Cos they are real tense tight.


 


Is this an inborn thing? Or are these blood circulation side effects from the SpO2 monitor that she underwent after birth (which lasted at least around 3 months as she stayed in the hospital)? Or are they caused by those many needlings onto her feet (doctors took quite a number of blood test from her feet)?


 


Baby girl was born premature, at 26 weeks (but the hospital records it as 25 weeks). From birth to now is 4.5 months time.


 


We observed the toe was already slightly down 1 week after birth. And 1 month after birth we could see clearly the foot looks like swollen (both feet look swollen at that time, but right foot looks much severe).


 


More photo references: http://i46.tinypic.com/np2tci.jpg http://i47.tinypic.com/r874u1.jpg http://i48.tinypic.com/2e3x4lk.jpg Thank you so much!

Submitted: 1 year ago.
Category: Pediatrics
Expert:  tumari replied 1 year ago.

Dr.tiwari :

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Pls take your time. :)

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Can other experts step in and help? Thank you.

Customer: replied 1 year ago.
Relist: Answer came too late.
The conversation was started but answer did not proceed further for over an hour.
Expert:  Dr. Yogindra Vasavada replied 1 year ago.
Hello,
Sorry about this problem. It appears that the toe tendon for flexion movement is having contracture and so the toe appears bent - this deformity could easily be corrected by an orthopedic or plastic surgeon when baby grows up and is fit for anesthesia (weight 9-10 kg).
Please consult one of the above specialist and get evaluated by ultrasound test etc first.
Customer: replied 1 year ago.

Thank you Dr Yogindra.


 


Do you think it is more like a born with thing, or more likely it was affected by the treatments she had in the hospital?

The doctors here at the hospital suggests physiotherapy, do you think that might be effective too (esp if that is inborn thing)?

Expert:  Dr. Yogindra Vasavada replied 1 year ago.
Sorry but it is difficult to be sure either way. Such inborn defects are usually found on both sides and symmetrical, while one side lesion on toe could be related to attachment of springed probe for pulse oxymeter.
Gradual stretching by a physical therapist may lead to improvement and must be carried out till such time as there is no further improvement, when surgery may be done - before child starts walking, otherwise may have sores and corns on this toe due to friction while walking.
Dr. Yogindra Vasavada, Pediatrician
Category: Pediatrics
Satisfied Customers: 2643
Experience: M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
Dr. Yogindra Vasavada and 2 other Pediatrics Specialists are ready to help you
Expert:  Dr. Yogindra Vasavada replied 1 year ago.
Thank you for rating. Good luck to him.

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