01/10/2026
Heidi’s trying out her new princess AFO’s and Billy shoes. Our goal is to get Heidi to walk more flat footed. Without AFO’s, Heidi walks on the outside of her feet and toes. Most of the time her heels don’t touch the ground. This leads to unsteadiness and constant falling. If you see her normal shoes, the toes are all scrapped up and black because she catches her toes on the pavement. Heidi still walks with her feet pointed inward so we may have to add a strap to pull her feet outward. Best way to understand what Heidi is dealing with, walk on your toes all day long without heels to support.
This is one big challenge for all Sanfilippo kids. If we fix the issues, they will come back and could get worse. The Achilles tendons get tighter which leads to toe walking. This is why orthopedics, physical therapy, and physical medicine is vitally important for Sanfilippo kids.