Abducting R-Foot in AFO - Correction

The patient was seen today for a recheck of her bilateral WHOs and her bilateral solid-ankle AFOs. Everything is still fitting appropriately. She has not outgrown these devices. The nurse and the father understand how to apply the devices correctly. The patient was abducting her foot in the right AFO more than we wanted her to. I added a pad along the lateral 5th metatarsal. This straightened out her foot nicely. Everything else was appropriate. She was not getting any red marks from the braces. They are concerned about the fungus that is grown on her right toes. The brace is not touching the toenails in that area. She is also not wearing shoes, and not able to take any medication to treat the fungus due to numerous seizure medications. Other than keeping clean socks on her feet, I did not have any other advice for them. I advised them to contact their doctor with their concerns. The patient will be seen as needed.