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	<title>Comments on: The Liber-Archy Flat Foot Procedure™</title>
	<atom:link href="http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/</link>
	<description>&#34;Beautiful Feet for a Beautiful World...&#34;</description>
	<lastBuildDate>Tue, 13 Jul 2010 17:51:17 +0000</lastBuildDate>
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		<title>By: Donna Murphy</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-2425</link>
		<dc:creator>Donna Murphy</dc:creator>
		<pubDate>Tue, 22 Jun 2010 14:31:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-2425</guid>
		<description>Dear Dr. Sadrieh,

My 13 year old daughter is a very gifted ballerina with one problem, flat feet. She has made it to the Conservatory Level in ballet and dances way beyond her years. The reality is that she will have an extremely difficult time trying to secure a place in a ballet company. More importantly, are the inevitable problems that occur from having flat feet such as hammer toes, bunions, and knee, hip, and back ailments. I wanted to know if she is a candidate for this procedure and if she had it, would she be able to continue dancing on pointe? Will this procedure prevent  future conditions that result from having flat feet?  

I would love to have her seen by you and would plan a family trip to California around her visit.

Thanks so much and I look forward to hearing from you,
Donna Murphy</description>
		<content:encoded><![CDATA[<p>Dear Dr. Sadrieh,</p>
<p>My 13 year old daughter is a very gifted ballerina with one problem, flat feet. She has made it to the Conservatory Level in ballet and dances way beyond her years. The reality is that she will have an extremely difficult time trying to secure a place in a ballet company. More importantly, are the inevitable problems that occur from having flat feet such as hammer toes, bunions, and knee, hip, and back ailments. I wanted to know if she is a candidate for this procedure and if she had it, would she be able to continue dancing on pointe? Will this procedure prevent  future conditions that result from having flat feet?  </p>
<p>I would love to have her seen by you and would plan a family trip to California around her visit.</p>
<p>Thanks so much and I look forward to hearing from you,<br />
Donna Murphy</p>
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		<title>By: Randall</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-825</link>
		<dc:creator>Randall</dc:creator>
		<pubDate>Wed, 13 Jan 2010 20:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-825</guid>
		<description>correction first line should read LH ankle and foot</description>
		<content:encoded><![CDATA[<p>correction first line should read LH ankle and foot</p>
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	<item>
		<title>By: Randall</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-824</link>
		<dc:creator>Randall</dc:creator>
		<pubDate>Wed, 13 Jan 2010 20:53:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-824</guid>
		<description>Ptofile: 58 yr. old malefinally diagnoised with PTTD of the right foot ankle. I still remember the day that the tendon ruptured or broke. Currently i am getting a foot brace to keep alignment proper and saw that you do FDL tendon transfers. osteotomy etc.My foot now is completely flat and toes are slowly turning to the left. I wouldlike this taken care of asap. I have progressive x-rays and mri. I would need to know of any special shots or angles you need.

MRI in 07 i have 010 images surv-ankle
                         025     &quot;      PDSTIR_SA6
                         032     &quot;      PD - CORR
                         036     &quot;      PD - AXIAL
                         030     &quot;      T2SPIR_AX
I also have 2 sets of x-rays LH ankle and foot weight bearing unilateral

I have been to see a orthopedic foot surgeon he hardly looked and automaticly said that i would need a triple arthrodesis. This is unacceptable to me because I am young and still have many miles to travel. Also my left calf muscles are downsizing and am having trouble working them. 

the brace people want me to have subcutaneous achilles lenghteing bore fittinng with foot brace. I am willing to work at this to maximise reabilitating.  hope to hear from u</description>
		<content:encoded><![CDATA[<p>Ptofile: 58 yr. old malefinally diagnoised with PTTD of the right foot ankle. I still remember the day that the tendon ruptured or broke. Currently i am getting a foot brace to keep alignment proper and saw that you do FDL tendon transfers. osteotomy etc.My foot now is completely flat and toes are slowly turning to the left. I wouldlike this taken care of asap. I have progressive x-rays and mri. I would need to know of any special shots or angles you need.</p>
<p>MRI in 07 i have 010 images surv-ankle<br />
                         025     &#8221;      PDSTIR_SA6<br />
                         032     &#8221;      PD &#8211; CORR<br />
                         036     &#8221;      PD &#8211; AXIAL<br />
                         030     &#8221;      T2SPIR_AX<br />
I also have 2 sets of x-rays LH ankle and foot weight bearing unilateral</p>
<p>I have been to see a orthopedic foot surgeon he hardly looked and automaticly said that i would need a triple arthrodesis. This is unacceptable to me because I am young and still have many miles to travel. Also my left calf muscles are downsizing and am having trouble working them. </p>
<p>the brace people want me to have subcutaneous achilles lenghteing bore fittinng with foot brace. I am willing to work at this to maximise reabilitating.  hope to hear from u</p>
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		<title>By: Judith Limpert</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-805</link>
		<dc:creator>Judith Limpert</dc:creator>
		<pubDate>Mon, 04 Jan 2010 11:47:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-805</guid>
		<description>My granddaughter, 10, has this problem.  She is in pain very often.  She is very active, loves dancing and gymnastics.  I know this is interferring with her life now and going to get worse. I would like to explore getting an evaluation from you.  We live in NY.  Is there anyone here who does your procedures?  If necessary, we will come to you.  Please let me know how to proceed.

Thanks,  Judy</description>
		<content:encoded><![CDATA[<p>My granddaughter, 10, has this problem.  She is in pain very often.  She is very active, loves dancing and gymnastics.  I know this is interferring with her life now and going to get worse. I would like to explore getting an evaluation from you.  We live in NY.  Is there anyone here who does your procedures?  If necessary, we will come to you.  Please let me know how to proceed.</p>
<p>Thanks,  Judy</p>
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		<title>By: Tammy Bragg</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-645</link>
		<dc:creator>Tammy Bragg</dc:creator>
		<pubDate>Tue, 29 Dec 2009 05:50:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-645</guid>
		<description>Hi Dr Sadrieh, 

I have been pregnant back to back for the past 5 years. From carrying all the excess weight, I&#039;ve noticed my feet are very wide and my toes look like chubby tootsie rolls!! When I walk my feet tend to roll inward-angle, making it very uncomfortable and painful to wear any sort of shoes. I don&#039;t know what to do about my feet as far as treatment goes. I&#039;m very self-conscious about my feet now, I&#039;m not pregnant anymore, so I don&#039;t understand why my feet won&#039;t look normal? Can you PLEASE HELP me!! Does it sound like I should consider surgery?                 

Thank you, 

Tammy Bragg</description>
		<content:encoded><![CDATA[<p>Hi Dr Sadrieh, </p>
<p>I have been pregnant back to back for the past 5 years. From carrying all the excess weight, I&#8217;ve noticed my feet are very wide and my toes look like chubby tootsie rolls!! When I walk my feet tend to roll inward-angle, making it very uncomfortable and painful to wear any sort of shoes. I don&#8217;t know what to do about my feet as far as treatment goes. I&#8217;m very self-conscious about my feet now, I&#8217;m not pregnant anymore, so I don&#8217;t understand why my feet won&#8217;t look normal? Can you PLEASE HELP me!! Does it sound like I should consider surgery?                 </p>
<p>Thank you, </p>
<p>Tammy Bragg</p>
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		<title>By: Steven Gardner</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-630</link>
		<dc:creator>Steven Gardner</dc:creator>
		<pubDate>Fri, 18 Dec 2009 04:14:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-630</guid>
		<description>Thank you, I will call your office to ask what diagnostics you may need ahead of time. I am scheduling an mri for both feet/ankles and should be able to obtain recent radiographs.

Steven</description>
		<content:encoded><![CDATA[<p>Thank you, I will call your office to ask what diagnostics you may need ahead of time. I am scheduling an mri for both feet/ankles and should be able to obtain recent radiographs.</p>
<p>Steven</p>
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	<item>
		<title>By: Dr. Sadrieh</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-582</link>
		<dc:creator>Dr. Sadrieh</dc:creator>
		<pubDate>Thu, 03 Dec 2009 06:00:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-582</guid>
		<description>Hello Steven.

Thank you for your comment, this will be very helpful to other patients.

Posterior Tibial Tendon Dysfunction (PTTD) is a serious diagnosis.  The PT tendon is a mojor player in the control and function of the foot in teh Gait cycle (walking cycle).  At a Grade 2 level, repair of the tendon can be indicated based on the findings on the MRI.  A more complete evaluation of your foot and study would be best for a definitive conclusion. 

What I can tell however is that the use of Subtalar Joint Arthroeresis (subtalar implant) has been shown to help with PTTD.  In fact, there are now absorb-able versions of these implants showing up on the market that are design for use in adult patients with PTTD.  The concept is that you repair the tendon, and place a subtalar implant to reduce the pronatory forces on the foot, allowing the region to heal well without strain or stress.  The absorb-able versions would eventually dissolve letting the now healed tendon to pick up the slack and the foot will function normally.

I would be interested in looking at your study and if logistics permit, a consultation with you to consider treatment for you.  I hope this helped.

Be well.</description>
		<content:encoded><![CDATA[<p>Hello Steven.</p>
<p>Thank you for your comment, this will be very helpful to other patients.</p>
<p>Posterior Tibial Tendon Dysfunction (PTTD) is a serious diagnosis.  The PT tendon is a mojor player in the control and function of the foot in teh Gait cycle (walking cycle).  At a Grade 2 level, repair of the tendon can be indicated based on the findings on the MRI.  A more complete evaluation of your foot and study would be best for a definitive conclusion. </p>
<p>What I can tell however is that the use of Subtalar Joint Arthroeresis (subtalar implant) has been shown to help with PTTD.  In fact, there are now absorb-able versions of these implants showing up on the market that are design for use in adult patients with PTTD.  The concept is that you repair the tendon, and place a subtalar implant to reduce the pronatory forces on the foot, allowing the region to heal well without strain or stress.  The absorb-able versions would eventually dissolve letting the now healed tendon to pick up the slack and the foot will function normally.</p>
<p>I would be interested in looking at your study and if logistics permit, a consultation with you to consider treatment for you.  I hope this helped.</p>
<p>Be well.</p>
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		<title>By: Steven Gardner</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-577</link>
		<dc:creator>Steven Gardner</dc:creator>
		<pubDate>Tue, 01 Dec 2009 04:08:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-577</guid>
		<description>Profile:  57 year old male with bilateral posterior tibialis tendon dysfunction, flexible flat foot, traditionally described as stage two. Orthotics are helpful but no solution. Pain is high.  3 years ago an mri on left ankle, according to the radiologist showed a partial tear at  left posterior tibialis. Two orthopeadics differed and i have had several different recommendations. The problem i know, is posterior tib dysfunction.
 
 Recommendations have been calcaneal osteotomy to correct hindfind alignment, FDL tendon transfer, etc.

 Generally, could a subtalar implant with or without the an adjunct procedure be a reasonable solution/ possibility?  Would you be interested in evaluting and treating this condition. I could send xrays ahead.

Thank you 

Steven W Gardner</description>
		<content:encoded><![CDATA[<p>Profile:  57 year old male with bilateral posterior tibialis tendon dysfunction, flexible flat foot, traditionally described as stage two. Orthotics are helpful but no solution. Pain is high.  3 years ago an mri on left ankle, according to the radiologist showed a partial tear at  left posterior tibialis. Two orthopeadics differed and i have had several different recommendations. The problem i know, is posterior tib dysfunction.</p>
<p> Recommendations have been calcaneal osteotomy to correct hindfind alignment, FDL tendon transfer, etc.</p>
<p> Generally, could a subtalar implant with or without the an adjunct procedure be a reasonable solution/ possibility?  Would you be interested in evaluting and treating this condition. I could send xrays ahead.</p>
<p>Thank you </p>
<p>Steven W Gardner</p>
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		<title>By: Dr. Sadrieh</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-571</link>
		<dc:creator>Dr. Sadrieh</dc:creator>
		<pubDate>Wed, 25 Nov 2009 06:49:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-571</guid>
		<description>Hello Robin, thank you for commenting and asking about your sons feet.  I hear this question often, and I would refer you to the American Podiatric Medical Association (APMA) for a referral to a foot surgeon in your area who would treat your son.  Unfortunately, I do not know any doctors in your area personally to refer you to.  I hear stories from many of our out of state patients where their own doctors are too conservative and won&#039;t intervene and correct the foot condition their child suffers from.  This is also unfortunate since we live in a time where minimally invasive procedures can be done to significantly improve the condition of your child&#039;s feet.  Ultimately, it is up to the patient to push their doctors to consider newer techniques and update their practices, and if they are resistant look for more progressive surgeons.</description>
		<content:encoded><![CDATA[<p>Hello Robin, thank you for commenting and asking about your sons feet.  I hear this question often, and I would refer you to the American Podiatric Medical Association (APMA) for a referral to a foot surgeon in your area who would treat your son.  Unfortunately, I do not know any doctors in your area personally to refer you to.  I hear stories from many of our out of state patients where their own doctors are too conservative and won&#8217;t intervene and correct the foot condition their child suffers from.  This is also unfortunate since we live in a time where minimally invasive procedures can be done to significantly improve the condition of your child&#8217;s feet.  Ultimately, it is up to the patient to push their doctors to consider newer techniques and update their practices, and if they are resistant look for more progressive surgeons.</p>
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		<title>By: Robin Brooks</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-566</link>
		<dc:creator>Robin Brooks</dc:creator>
		<pubDate>Wed, 18 Nov 2009 09:54:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-566</guid>
		<description>Hello! my son is 9yrs. old and his rt. foot is completly flat. we have seen 
several foot doctors and they only recommend orthotics. My son will run and play, but the next day his foot is swollen and he doesn&#039;t want to wear his shoes . His shoes do not hold his foot in place, so they tear up easily. I live in N.C. is their a specialist that you can refer us to.</description>
		<content:encoded><![CDATA[<p>Hello! my son is 9yrs. old and his rt. foot is completly flat. we have seen<br />
several foot doctors and they only recommend orthotics. My son will run and play, but the next day his foot is swollen and he doesn&#8217;t want to wear his shoes . His shoes do not hold his foot in place, so they tear up easily. I live in N.C. is their a specialist that you can refer us to.</p>
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