"We have had a lot of success in the past with serial casting and botox injections to maintain the muscle length we achieve through surgery," she added. "Ian's right leg shows that at best he is able to at least put that foot flat. However, he has had an enormous growth spurt and is very tight again from toe-to-hamstring on the left (leg), affecting his gait. He needs at least one more lengthening surgery. We hoped to do one his freshman year, but he was growing way too fast and we would lose whatever we gained in surgery with that kind of growth."