Orthopedic Update

Celine had her first Orthopedic appointment yesterday (Friday 11 April 2014).
Her appointment was for 9:05 am but the doctor didn’t even arrive until nearly half past.

Celine waiting for her appointment
We saw the junior doctor first who asked all the usual questions:
“When did it start?” On a school trip in December.
“How did it start?” Celine bent over to pick something up, heard a click, and was sore and limping from that point.
“How often are you sore?” All the time. Sometimes it wakes her up at night (thus mummy finding her awake and watching tv at 2 am that morning).
“What do you take for the pain?” Ibuprofen.

And on and on it went until the senior doctor came in and got a condensed version of all the answers. After a quick check of her leg mobility while she was lying on the bed, we were sent for a new x-ray as her previous one was 4 months old (having been done in December 2013) before going back to talk to the senior doctor. The x-ray confirmed the Perthes Disease diagnosis and that the disintegration of her femur head is getting worse.

After x-ray comfort cuddles

Secretly I was hoping that it wouldn’t but wishes for horses and all that.

We were given all the same instructions.
Remain non-weight bearing. Restrict physical activities. Etc etc etc.

The good news from the appointment is that he wants a closer eye kept on Celine medically so we’ve already been booked into the very next clinic appointment with the pediatrician for June.  A much better time frame than the 3 months we’ve just waited for this particular appointment.

Guess I’m going to have to get onto the disability parking permit after all.

Also an update for those waiting on the Q&A Vlog, I am just waiting for Celine’s school holidays for Easter since this is quite a big project and that is when she has the most free time.
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How to make a Swanepoel Sling

"amummyslifenz" "swanepoel sling" "snyder sling" "how to make"

This is a tutorial on how to make our version of the Snyder Sling which has become known as the Swanepoel Sling. This is part of our Crutch and Sling system of the Wait and See Treatment during the fragmentation stage of Celine’s Perthes Disease. It could also be used for other conditions requiring the use of crutches to keep a leg non-weight bearing.

How to make a Swanepoel Sling

amummyslifenz
materials needed
You will need:
  • A belt (a leather one with a strong buckle is best for long-term use).
  • Material.
  • Thread that blends into the material.
  • A large heavy duty needle.
  • Scissors.
  • Measuring tape
 
 
 
Instructions:


amummyslifenz
(Step 3)
  1. You will need to work out how much material you need to make the Swanepoel Sling. I did this by using the measuring tape to measure the length between the waist and knee. For Celine this measurement was about 40 cm (15.75 inches). You will need to double this measurement plus add a couple of extra cm for the section of material that is attached to the belt. For us this worked out to approximately 85 cm. The width of the material should be about 10 cm (4inches) for comfort. I liked to double the material over for extra strength and comfort. If you do this, then remember to sew along the length seam (Tip: a sewing machine makes quick work of this). Use material that is comfortable but strong as it needs to take the weight of that leg. From past experience, gauzy material or stretchy material will be no good for everyday usage although for one-off events like parties it may work well enough.
Swanepoel Sling
(Step 3)

  1. To work out where on the belt you need to attach the material, put the belt on and mark where the material needs to hang from to be above that leg. Celine’s is aligned with the back of her right leg.
  2. You need a hardier needle than the normal sewing needle to get through the belt and the thickness of the material without injuring yourself all the time or breaking your needle. Place one end of the material on the inside of the belt with 1cm overlapping the top of the outside of the belt. Sew the two sides of the overlapping material where it is positioned. (Tip: I use a hard surface to help push the needle through the belt and material rather than push with my hand or fingers.)
amummyslifenz
(Step 5)

  1. Take the other end of the material and cover the outside of the belt again overlapping 1 cm over the inside of the belt and sew that end to the top of the belt.
  2. Sew along the bottom of the belt securing both ends of the material to it and along the sides for extra support. If you desire, sew a 2nd layer around the belt where the material meets it. Remember, the material needs to take the weight of that leg which is a lot of strain. The more secure the material the better.
amummyslifenz

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I made a Snyder Sling

Well, kind of. It’s a temporary one that will do until I am able to get some decent materials to make a more permanent version.

My work in progress

It’s hard to make when you don’t have a suitable needle and so I’ve pretty much poked the tip of my middle finger to shreds but at least now Celine has something to help her move around on her crutches without putting her foot down.

Celine giving it a try

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