Question about degrees??

January 11, 2004

HI, I was wondering if anyone could tell me about the degrees that

they set the foot at. Does this change during the DBB period? My

son has been in his for 1 month now and we go back to his doctor

Wed. I was just wondering if they will change the degree of the foot

then. Also I read on here that someone said you can try taking the

tongue out of the shoe? Is this safe to do this? My son has never

had blisters but he does have purplish red looking skin when I take

his shoes off at night. It usually goes away by the time his hour is

up and he doesn't act tender to the touch at all but I was wondering

if this is referred to as a pressure sore? I am one of the lucky

ones in that he doesn't mind his shoes at all and has only given me

one bad night in them so I sure don't want them to be hurting him!!

Thanks.

Sharon

Garret DBB 23/7

Uni R/CF

January 11, 2004

No, we had the purplish red looking skin too. A pressure sore is

when after an hour (or longer) the normal color does not return, and

then the skin can become necrotic (die) if the pressure continues.

I'd say leave his shoes the way they are -- don't mess up a " good "

thing! Glad to hear he has adjusted well. The affected foot is set

at 70 degrees with the non-affected foot at 45 degrees (someone

correct me if I'm wrong about that my child is bilateral). Normally

the shoe is set at 70 degrees to start with because that is what the

last cast should have been at and this is usually not changed with

appointments. Continued good luck to you guys and welcome. What Dr.

does Garret see?

Pam and (8-12-01)

> HI, I was wondering if anyone could tell me about the degrees that

> they set the foot at. Does this change during the DBB period? My

> son has been in his for 1 month now and we go back to his doctor

> Wed. I was just wondering if they will change the degree of the

foot

> then. Also I read on here that someone said you can try taking the

> tongue out of the shoe? Is this safe to do this? My son has never

> had blisters but he does have purplish red looking skin when I take

> his shoes off at night. It usually goes away by the time his hour

is

> up and he doesn't act tender to the touch at all but I was

wondering

> if this is referred to as a pressure sore? I am one of the lucky

> ones in that he doesn't mind his shoes at all and has only given me

> one bad night in them so I sure don't want them to be hurting

him!!

> Thanks.

>

> Sharon

> Garret DBB 23/7

> Uni R/CF

January 11, 2004

Hi Sharon-

The shoes should be set at 70 degrees if they are both clubfeet. If only one

clubfoot then that should be set at 70 degrees and the non clubfoot between

40-45 degrees. The degrees usually do not change unless the doctor finds

out you child is loose ligamented and then the degrees may lessen later on.

I wouldn't take the tongue out of the shoe if your son is doing fine in them

from the start. It doesn't sound like a pressure sore if it disappears in an

hour. I'm sure it is just because he is so young. My son is 21 months and

been in the DBB since he was 9 weeks old. He no longer had the purple to his

feet anymore but always has a little red mark on the top of his foot from

his shoes. It has never turned to a sore and is just " there' from the

shoes. I'm sure if your son had a pressure sore he would be crying about it.