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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>Form.  Function.  Beauty.</description>
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		<title>By: Christine Thompson</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-7184</link>
		<dc:creator>Christine Thompson</dc:creator>
		<pubDate>Fri, 03 Jun 2011 16:05:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-7184</guid>
		<description>Dear Dr. Sadrieh,

My 10 yr old daughter has had the arthroereisis implant surgery on her right foot in 2009. It went perfectly. Then six months later had the left foot done as well.  The implant had to be removed two months later.  So now we are looking to have it reinserted again.  I am wondering if the Liber-archy technique would be better suited for her.  I know something has to be done because of the pain in her left leg radiates up and is getting worse.  

Is there someone in the Columbia SC area that could perform the surgery or in the Tampabay area of FL, which is where she had her first surgery and we could have it done there over the summer  The best thing would be to see you, I am willing to go anywhere to help my baby.

Please help...</description>
		<content:encoded><![CDATA[<p>Dear Dr. Sadrieh,</p>
<p>My 10 yr old daughter has had the arthroereisis implant surgery on her right foot in 2009. It went perfectly. Then six months later had the left foot done as well.  The implant had to be removed two months later.  So now we are looking to have it reinserted again.  I am wondering if the Liber-archy technique would be better suited for her.  I know something has to be done because of the pain in her left leg radiates up and is getting worse.  </p>
<p>Is there someone in the Columbia SC area that could perform the surgery or in the Tampabay area of FL, which is where she had her first surgery and we could have it done there over the summer  The best thing would be to see you, I am willing to go anywhere to help my baby.</p>
<p>Please help&#8230;</p>
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		<title>By: Tristan's mom</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-2788</link>
		<dc:creator>Tristan's mom</dc:creator>
		<pubDate>Thu, 02 Sep 2010 02:59:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-2788</guid>
		<description>Hi Doctor:
My 4.5 year old son &quot;out-toes&quot; 30-35% on each side and has flat feet. He trips a lot when he runs.
Can the &#039;liber-archy&#039; procedure be performed on a child that out-toes? Are there any procedures that can correct his out-toeing? 
I have taken him to pediatric orthopedists, but they just prescribe inserts. We have to buy a larger shoe size to fit the inserts (since there&#039;s less room in the shoe), and this makes my son trip even more. You are correct about inserts, it is impossible to keep up with children&#039;s changing foot size for the inserts and to get a child to keep the inserts in his shoes and not hide or destroy them.
We live near-by. 
Thanks for any advice you can give me!</description>
		<content:encoded><![CDATA[<p>Hi Doctor:<br />
My 4.5 year old son &#8220;out-toes&#8221; 30-35% on each side and has flat feet. He trips a lot when he runs.<br />
Can the &#8216;liber-archy&#8217; procedure be performed on a child that out-toes? Are there any procedures that can correct his out-toeing?<br />
I have taken him to pediatric orthopedists, but they just prescribe inserts. We have to buy a larger shoe size to fit the inserts (since there&#8217;s less room in the shoe), and this makes my son trip even more. You are correct about inserts, it is impossible to keep up with children&#8217;s changing foot size for the inserts and to get a child to keep the inserts in his shoes and not hide or destroy them.<br />
We live near-by.<br />
Thanks for any advice you can give me!</p>
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		<title>By: Jennifer Marks</title>
		<link>http://www.beverlyhillsfootsurgery.com/introducing-the-liber-archy-procedure/comment-page-1/#comment-2617</link>
		<dc:creator>Jennifer Marks</dc:creator>
		<pubDate>Thu, 29 Jul 2010 16:44:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.beverlyhillsfootsurgery.com/?p=774#comment-2617</guid>
		<description>Dear Dr. Sadrieh,

    My 7 yr old daughter has a flat foot that has inverted inward(collapsed arch) and her big toe turns outward from the collapsed arch. I am afraid of either a bunion or arthritis will form. I have been to several doctors from orthopedics to podiatry. They all have said the same thing to me &quot;Your child will grow out of it.&quot; Just as your article states. My father would not go along with the doctors saying and took my daughter to Germany last summer where they made orthodics. The only problem is that they are to flimsy. I would like to know if you can refer me to a reliable doctor in the Ft. Lauderdale or Broward county area that I can take my daughter to. She has been complaining of her legs hurting at night. If this problem does not get treated I think she will have bigger problems in the future. Please Help!</description>
		<content:encoded><![CDATA[<p>Dear Dr. Sadrieh,</p>
<p>    My 7 yr old daughter has a flat foot that has inverted inward(collapsed arch) and her big toe turns outward from the collapsed arch. I am afraid of either a bunion or arthritis will form. I have been to several doctors from orthopedics to podiatry. They all have said the same thing to me &#8220;Your child will grow out of it.&#8221; Just as your article states. My father would not go along with the doctors saying and took my daughter to Germany last summer where they made orthodics. The only problem is that they are to flimsy. I would like to know if you can refer me to a reliable doctor in the Ft. Lauderdale or Broward county area that I can take my daughter to. She has been complaining of her legs hurting at night. If this problem does not get treated I think she will have bigger problems in the future. Please Help!</p>
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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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		<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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		<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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