Transition from cast to DBB/FAB

May 31, 2006

Hello again everyone.

My son, Evan, was in a DBB/FAB about a month ago and developed a sore bad

enough that he had to go back to casts for several weeks. We met w/ our doc

(Dr. Dobbs) yesterday and he said he thought, although not totally healed, the

sore had healed enough to go ahead and get back into the brace. He asked if I

had a preference and I said I'd like to get the 23/7 brace process started to

avoid any problems with Evan's mobile development when the time comes. Well,

less than 24 hours in the brace, he has developed another red spot just below

the previous sore that looks like it will form into a blister. Plus, we think

the scab from the previous sore is going to fall off at any moment, opening that

sore back up. I'm not sure what to do at this point. Dr. Dobbs nurse said that

if the scab falls off and the sore is open, it will take longer to heal. And,

if he's developing another one and it opens up, that will add even more time in

the casts. So, my question is, should I

keep Evan in the brace and see if the sores get worse such that we have to

re-cast? We might not have to re-cast, after all. Or, should I go ahead and

re-cast now in anticipation that these sores aren't going to heal in the brace?

I just don't want the 23/7 schedule to inhibit Evan rolling over, his tummy time

or even getting up on all fours. Has anyone had this kind of problem with sores

and blisters? It's only one foot and I've tried the moleskin pads. My son is

really small (6 months and just 10 lbs; he was the smaller of twins), and I'm

not sure if this is causing some of the problems.

The other option for us at this point is to ask Dr. Dobbs to fit Evan for the

brace, which I understand works fine for smaller babies and usually

doesn't result in the sores, blisters, etc. I'm not sure I'm ready to go to

another brace just yet, but if bracing is better than continuing with the casts

in keeping my son's development moving forward, then I will ask for that brace.

Jennie

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