Guest guest Posted April 7, 2006 Report Share Posted April 7, 2006 Hi Tom, I have about 3 seconds here, and found this post I sent a while back which explains how to find out where the sore is in relation to the shoe. sorry, I just have to send and run Kori >Date: Sun, 05 Mar 2006 00:38:15 -0800 >To: nosurgery4clubfoot > >Subject: Re: Help...small blister appearing > >Hi, and welcome! > >You can try to heal the blister in the shoes. But if it doesn't >start getting better right away, if it stays as is for more than a >day or so call it a day and resign yourself to having to do >something else to get it healed. The duoderm Christee suggested is >a good option, but it didn't work for my daughter while in the >shoes. Not that it wouldn't work for you, worth a try at least. I >loved it for after we cut the hole out though, that did work with >the duoderm. You put it on, leave it on till it falls off. the >sore heals under it. It's used for bedsores in hospitals mostly. > >If you can't get it healed nor at least better soon, consider >removing the offending area. In simple terms, cut a big hole in the >shoe lol. > >Consider though that every clubfoot patient should have a 3w last >cast, regardless of tenotomy. So while it didn't take too long to >get him corrected, that is something that may be worth considering >here. If he's almost corrected... that's great. But almost >corrected doesn't make for a good shoe fit. > >Can you tell us about his casts? he had two? what did the last one >look like? I am just not sure, because it seems to me that two >casts isn't enough to get the foot into the proper position due to >the nature of the correction process itself. I can't imagine >getting through the steps with out the third cast. It just seems >that there are at least three steps in getting the foot corrected, >fully dorsiflexed and fully abducted. I could be wrong though >because I don't understand the correction process that detailed quite yet. > >Incomplete correction is by far, the most prevalent cause of these >kinds of sores and blisters. With user error being second, and >atypical clubfoot the last. Only three reasons why shoes don't >work. All can be remedied. So first look to correction. If you >have the ability to send pictures, take this series: > >1 each - from front AND back - directly from the knees down with >baby standing (hold him up) bearing weight. >1 each - soles >1 each - from the side (profile) with leg straight and you using >your palm to push his foot up as far as possible past " L " as >possible (relax him, tickle him - he'll push against you and suddenly release) >1 - each outside view with him standing and bearing weight. > >You can't send pictures to this list, but at the CFPics list you can >in an email as an attachment. A short survey is sent to you to >return for membership, it is located in the file that is sent to the >email addy you subscribe with for this list. Send that back and you >will be able to send those pictures to the list after approval. I >will not be available tomorrow, but Beth and the other members will >who will be able to help you troubleshoot this. > >http://health.groups.yahoo.com/group/CFPics/ > >If correction is good, you'll need to look to fit and how you're >putting them on. Is he slipping? Can you use any of the tips to >modify the shoes so they can be made tighter? is the heel 150% down >in the back of the shoe? Don't know? Cut the hole, and see what's >going on inside there. A window is a good thing, and if you get the >pressure spot off the sore it'll heal up nicely. The shoe will hold >up. I think these shoes would hold up under nuclear war >actually... To find out where to remove the shoe, use a bandaid and >mark it right over that sore (put bandaid on baby) with a water >based marker (like crayola). Open the shoe fully and press his heel >back in there deep and tight (as if it was fully into the bottom of >the shoe - this is easy with a fully open shoe) and it'll make a >mark in the shoe. That's where you cut. Not where the spot is >rubbing. Because once you cut the hole, you'll always see his foot >where it should be and will be able to get it there easier. This >spot is where the sore will sit now, not where it was rubbing when >he was slipping/not seated properly. > >Anyway, hope to hear good things when I get back online tomorrow >evening. Hang in there! We'll help you get this figured out for sure. > >Kori > > > > >At 01:22 PM 3/4/2006, you wrote: >>This is the first time I've written to this group. I just joined a >>couple of weeks ago and wish I had joined earlier... First a simple >>introduction and then a question. >> >>My son was born 17 Jan 06 and diagnosed w/ a unilateral left clubfoot >>prior to birth. I did some research on the net and found out about >>the Ponseti method prior to his birth. We are currently seeing a >>peds orthopedic surgeon in Strasbourg, France. He was not trained by >>Dr Ponseti but stated during our interview w/ him prior to my son's >>birth that he followed Dr Ponseti's method. We were confident w/ him >>so 1 week after my son was born he was put into his first cast. Our >>physician stated that the foot was a " soft deformity " and would >>require 2 casts prior to the DBB. My son's foot appeared corrected >>after the 2nd cast was removed, and was placed to a DBB on 6Feb06. >> >>I thought it would be smooth transition and was not prepared for the >>first couple of nights w/ the DBB. The first night we were up all >>night. My son only slept 20min at a time all night long. Since then >>he has been sleeping at 2-3 hr intevals and seems to be getting used >>to the DBB. Since his cast was removed I also take him to physical >>therapy 3x/week. All has been going well, but tonight when I removed >>his shoes I saw a small area of peeling skin to one of his heels and >>the other appears like it may do the same. >> >>I have to thank this site for sending the handout on the Tips and >>Tricks for Parents, because now I know what I'm looking for. I >>tightened his shoestraps to the next hole in the hope that will >>correct the problem. I realize the sore will not heal, but is there >>anything else I can do in the meantime???? We do have an appointment >>this week, but would like to know if we're doing the right thing. >> >>Dawn in Strasbourg >> >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
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