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Hi. I don't know about the swollen toes, that never happened to us. I am

pretty sure that the skin around the ankles is the extra (stretched) skin from

the foot being turned in. Since the foot is corrected the extra skin bunches

up in that area. Kaitlin's grooves were pretty deep at one time and also

resembled cuts or slices in the skin. She still has the folds but is only 7

months

old. It is my understanding that this is normal and usually resolves with

growing. HTH

Freeman

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has a lot of folds in his skin on the feet and ankles. The only casts

that developed sores were the tenonomy cats that stayed on for 4 weeks.

hwcutie hwcutie@...> wrote:

My son has a left club foot and in each cast his toes have grown out

of them and have stayed swollen. One thing that I was concerned about

is when they take the casts off near his ankle it looks like he's

been cut or sliced. When they took off his third cast it was worse

than the previous one and the Doctor was not concerned with it

because they say it's from the skin growing but not being able to

stretch out. Has this happened on any other child? My son gets his

4th and final cast off on Thursday and I'm afraid of what his foot

will look like when the cast is off since he's had it on for three

weeks. We did get lucky and didn't have to have him get a tetnomy,

but I want to know about the skin issue. If it has happened to

someone else how long before it healed? Anyway any suggestions? Thanks

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I remember when 's first casts were removed. I nearly jumped at the girl

that took his casts off. It scared me so bad!! I thought she had cut his

little legs all up with that saw.. After I checked his feet out I realized it

was only where is skin had bunched up. I felt so silly.. But when you see

something like that I guess it's just instinct to protect (especially your

babies). If all it is, is where the skin has bunched up it's perfectly normal.

And they will grow out of most of it...

-------------- Original message --------------

Hi. I don't know about the swollen toes, that never happened to us. I am

pretty sure that the skin around the ankles is the extra (stretched) skin from

the foot being turned in. Since the foot is corrected the extra skin bunches

up in that area. Kaitlin's grooves were pretty deep at one time and also

resembled cuts or slices in the skin. She still has the folds but is only 7

months

old. It is my understanding that this is normal and usually resolves with

growing. HTH

Freeman

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I'm curious as to why your doctor put a 3 week cast on your son if he

didn't have the tenotomy? Did they tell you why it would need to

stay on that long? It was my understanding that the only time a 3

week cast is used in the Ponseti method is post-tenotomy in order to

allow the tendon to heal. Were his other casts changed every 5-7

days?

Regards,

& (3-16-00)

left clubfoot

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My daughter Grace has bilateral CF (right) we see a Ponseti certified

DR in Vancouver BC. Our little girl also did not need the tenotomy

(quite rare according to our Dr. he told us that he almost always

does a tenotomy, he said that Grace was the third or fourth child out

of hundreds that he has treated that he did not preform the tenotomy

on). She was put in the 3 week cast (she had 4 casts in total to get

to full correction) to ensure proper correction before she went into

the DBB brace. She had a growth spurt and had a couple of pretty bad

wounds when we removed the (soft) cast. They did heal in a few

days...we were told that we could put polysporyn on the wounds. Since

her wounds were quite bad and she also had a lot of bruising on her

leg, we, with the approval of Dr. Pirani gave her a week to heal

before she went into the DBB's. We went back to Dr. Pirani to see if

she needed to be re-casted after the week of healing and her foot was

fine to go into the brace, it was still actually in an overcorrected

position, past 70 degrees!

At the time I must say that we were quite upset by the wounds on her

little foot and the bruising on her leg but it did heal quite

quickly, it took about 5 days. You may want to talk to your Dr. about

giving your little some time to heal depending on the severity of the

wounds. For us, we decided that she needed a week to heal even if it

meant that she may need one more cast, luckily, she didn't.

Good luck and I hope your little guy's foot isn't sore when you

remove the cast! :)

Mommy to Grace RCF

>

> My son has a left club foot and in each cast his toes have grown

out

> of them and have stayed swollen. One thing that I was concerned

about

> is when they take the casts off near his ankle it looks like he's

> been cut or sliced. When they took off his third cast it was worse

> than the previous one and the Doctor was not concerned with it

> because they say it's from the skin growing but not being able to

> stretch out. Has this happened on any other child? My son gets his

> 4th and final cast off on Thursday and I'm afraid of what his foot

> will look like when the cast is off since he's had it on for three

> weeks. We did get lucky and didn't have to have him get a tetnomy,

> but I want to know about the skin issue. If it has happened to

> someone else how long before it healed? Anyway any suggestions?

Thanks

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You know what I'm not quite sure, but I think it's because they

manipulated it in the most extreme position and it needed to stay

that way for a longer period. Yes his first three casts were only on

a week or so. athan wasn't able to get the surgery done because

the DR couldn't feel the heel cord on his club foot so they weren't

going to touch it. My son was 5 weeks premature so he's got some

small features although he is two months old and ten pounds. I think

also since they couldn't feel the cord, the cast needed to be on

longer to get the cord to be able to be felt. I will ask though

either at the next appointment in December or if I decide to call and

ask about the shoes since my son likes to work his left foot out(the

one that's clubbed). Anyway good question thanks, I really should

have gotten on before going in to get his cast off and his shoes put

on.

Holly

-- In nosurgery4clubfoot , " jennyandkelly "

wrote:

>

> I'm curious as to why your doctor put a 3 week cast on your son if

he

> didn't have the tenotomy? Did they tell you why it would need to

> stay on that long? It was my understanding that the only time a 3

> week cast is used in the Ponseti method is post-tenotomy in order

to

> allow the tendon to heal. Were his other casts changed every 5-7

> days?

> Regards,

> & (3-16-00)

> left clubfoot

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You know what I'm not quite sure, but I think it's because they

manipulated it in the most extreme position and it needed to stay

that way for a longer period. Yes his first three casts were only on

a week or so. athan wasn't able to get the surgery done because

the DR couldn't feel the heel cord on his club foot so they weren't

going to touch it. My son was 5 weeks premature so he's got some

small features although he is two months old and ten pounds. I think

also since they couldn't feel the cord, the cast needed to be on

longer to get the cord to be able to be felt. I will ask though

either at the next appointment in December or if I decide to call and

ask about the shoes since my son likes to work his left foot out(the

one that's clubbed). Anyway good question thanks, I really should

have gotten on before going in to get his cast off and his shoes put

on.

Holly

-- In nosurgery4clubfoot , " jennyandkelly "

wrote:

>

> I'm curious as to why your doctor put a 3 week cast on your son if

he

> didn't have the tenotomy? Did they tell you why it would need to

> stay on that long? It was my understanding that the only time a 3

> week cast is used in the Ponseti method is post-tenotomy in order

to

> allow the tendon to heal. Were his other casts changed every 5-7

> days?

> Regards,

> & (3-16-00)

> left clubfoot

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Well luckily his wounds on his foot were just fine with this cast so

I was glad, but I'm happy you brought up the bruising because my

son's leg was bruised pretty badly too. I wasn't sure if that was

normal or what. The day after he got his cast off he got a shot to

give him protection from RSV, he's at a higher risk of getting it

because he was born 5 weeks premature, and the nurse that came to our

house to give it to him had told me that he had a bruised leg because

he was kicking so hard with the DBB on. The bruising is almost gone

after only about four days. Thanks for your input.

Holly

> >

> > My son has a left club foot and in each cast his toes have grown

> out

> > of them and have stayed swollen. One thing that I was concerned

> about

> > is when they take the casts off near his ankle it looks like he's

> > been cut or sliced. When they took off his third cast it was

worse

> > than the previous one and the Doctor was not concerned with it

> > because they say it's from the skin growing but not being able to

> > stretch out. Has this happened on any other child? My son gets

his

> > 4th and final cast off on Thursday and I'm afraid of what his

foot

> > will look like when the cast is off since he's had it on for

three

> > weeks. We did get lucky and didn't have to have him get a

tetnomy,

> > but I want to know about the skin issue. If it has happened to

> > someone else how long before it healed? Anyway any suggestions?

> Thanks

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