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RE: Pressure sore??

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Some might disagree, but I think you should be worried. The corrected heel

is more prone to pressure sores because the bone is more formed and therefore

harder against the shoe = more pressure. If you are sure that the shoes are

applied correctly then there are a few things you might try. The first is

moleskin, I doubt this will help because the problem is not likely to be

friction

since it is the non-clubfoot. The next is " blister blockers " made by band-aid.

You can get them at any store that sells band aids. There are many versions

and many brands. They have a cushion like protector in the center that seems

to help alot. Some people have used corn pads, which are little " o " shaped

cushions that adhere to the foot. I have been told that regular band-aids

work, but I think more cushion is needed than that. Also you could try duoderm

(available usually from a doctor or ortho shop) Basically duoderm is a thicker

band aid blister blocker. It is what hosptals use to prevent pressure sores.

As long as the shoes fit right and are the right size and everything is

adjusted properly, the best thing you can do is PROTECT the area until the shoe

is

broken in some more. Do you have plastizode inserts? If not, they might help

some...they are little foam U shapes that help the heel sit away from the

back of the shoe and hold the foot still.

If the sore is caused by friction then the blister blocker pads will still

help. If I were you I would check the foot frequently (every 4-5 hours) for a

few days to make sure it doesn't get worse. It is best to prevent worsening

and wear the shoes as much as possible though.

HTH,

Freeman

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Some might disagree, but I think you should be worried. The corrected heel

is more prone to pressure sores because the bone is more formed and therefore

harder against the shoe = more pressure. If you are sure that the shoes are

applied correctly then there are a few things you might try. The first is

moleskin, I doubt this will help because the problem is not likely to be

friction

since it is the non-clubfoot. The next is " blister blockers " made by band-aid.

You can get them at any store that sells band aids. There are many versions

and many brands. They have a cushion like protector in the center that seems

to help alot. Some people have used corn pads, which are little " o " shaped

cushions that adhere to the foot. I have been told that regular band-aids

work, but I think more cushion is needed than that. Also you could try duoderm

(available usually from a doctor or ortho shop) Basically duoderm is a thicker

band aid blister blocker. It is what hosptals use to prevent pressure sores.

As long as the shoes fit right and are the right size and everything is

adjusted properly, the best thing you can do is PROTECT the area until the shoe

is

broken in some more. Do you have plastizode inserts? If not, they might help

some...they are little foam U shapes that help the heel sit away from the

back of the shoe and hold the foot still.

If the sore is caused by friction then the blister blocker pads will still

help. If I were you I would check the foot frequently (every 4-5 hours) for a

few days to make sure it doesn't get worse. It is best to prevent worsening

and wear the shoes as much as possible though.

HTH,

Freeman

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I am not sure about this but I thought that we didn't get fitted for shoes until

all casting is done. If your doctor told you he needs the tenonomy I think he

should be in casts until that is done. We had 2 inbetween casts done. His feet

were corrected but we needed to schedule the tenonomy and have that done and 3

weeks of casts before the shoes and bar were done.

Not an expert but I am seeing a red flag here. Maybe one of the other moms/dads

will have better information.

Dawn

wbb_lr lori.webb@...> wrote:

Hi again!

Weston received his DBB and Markell boots on Thursday. He has a red

spot on the back of his corrected foot (unilateral). The spot does

not go away when we take the shoes off for 30+ minutes. Should I be

worried? Thanks, Lori

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I am not sure about this but I thought that we didn't get fitted for shoes until

all casting is done. If your doctor told you he needs the tenonomy I think he

should be in casts until that is done. We had 2 inbetween casts done. His feet

were corrected but we needed to schedule the tenonomy and have that done and 3

weeks of casts before the shoes and bar were done.

Not an expert but I am seeing a red flag here. Maybe one of the other moms/dads

will have better information.

Dawn

wbb_lr lori.webb@...> wrote:

Hi again!

Weston received his DBB and Markell boots on Thursday. He has a red

spot on the back of his corrected foot (unilateral). The spot does

not go away when we take the shoes off for 30+ minutes. Should I be

worried? Thanks, Lori

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Dawn has a point, I think. If the foot still needs a tenotomy, its

not going to sit correctly in the boot which is going to be

uncomfortable for the baby.

Elijah has pink spots on the back of both heels that dont really go

away. Ive heard other moms here say that thats normal. Elijah's never

change, dont get worse and arent painful. Are the spots pink or more

red like its irritated and painful?

Lori C

and Elijah 7.5 months atypical RCF DBB 23/7

> I am not sure about this but I thought that we didn't get fitted

for shoes until all casting is done. If your doctor told you he

needs the tenonomy I think he should be in casts until that is done.

We had 2 inbetween casts done. His feet were corrected but we needed

to schedule the tenonomy and have that done and 3 weeks of casts

before the shoes and bar were done.

>

> Not an expert but I am seeing a red flag here. Maybe one of the

other moms/dads will have better information.

>

> Dawn

>

> wbb_lr wrote:

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

>

>

>

>

>

>

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Lori, how long was Weston in his last cast?

Daiga

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

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Lori, how long was Weston in his last cast?

Daiga

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

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All casts were weekly with the exception of a few that were 10 days. Lori

_____

From: Daiga Grady

Sent: Monday, November 15, 2004 8:52 PM

To: nosurgery4clubfoot

Subject: Re: Pressure sore??

Lori, how long was Weston in his last cast?

Daiga

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

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All casts were weekly with the exception of a few that were 10 days. Lori

_____

From: Daiga Grady

Sent: Monday, November 15, 2004 8:52 PM

To: nosurgery4clubfoot

Subject: Re: Pressure sore??

Lori, how long was Weston in his last cast?

Daiga

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

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The spots are pink/red. We are going to the orthotics group today to get it

checked out. Thanks! Lori

_____

From: Lori

Sent: Monday, November 15, 2004 7:41 PM

To: nosurgery4clubfoot

Subject: Re: Pressure sore??

Dawn has a point, I think. If the foot still needs a tenotomy, its

not going to sit correctly in the boot which is going to be

uncomfortable for the baby.

Elijah has pink spots on the back of both heels that dont really go

away. Ive heard other moms here say that thats normal. Elijah's never

change, dont get worse and arent painful. Are the spots pink or more

red like its irritated and painful?

Lori C

and Elijah 7.5 months atypical RCF DBB 23/7

> I am not sure about this but I thought that we didn't get fitted

for shoes until all casting is done. If your doctor told you he

needs the tenonomy I think he should be in casts until that is done.

We had 2 inbetween casts done. His feet were corrected but we needed

to schedule the tenonomy and have that done and 3 weeks of casts

before the shoes and bar were done.

>

> Not an expert but I am seeing a red flag here. Maybe one of the

other moms/dads will have better information.

>

> Dawn

>

> wbb_lr wrote:

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

>

>

>

>

>

>

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The spots are pink/red. We are going to the orthotics group today to get it

checked out. Thanks! Lori

_____

From: Lori

Sent: Monday, November 15, 2004 7:41 PM

To: nosurgery4clubfoot

Subject: Re: Pressure sore??

Dawn has a point, I think. If the foot still needs a tenotomy, its

not going to sit correctly in the boot which is going to be

uncomfortable for the baby.

Elijah has pink spots on the back of both heels that dont really go

away. Ive heard other moms here say that thats normal. Elijah's never

change, dont get worse and arent painful. Are the spots pink or more

red like its irritated and painful?

Lori C

and Elijah 7.5 months atypical RCF DBB 23/7

> I am not sure about this but I thought that we didn't get fitted

for shoes until all casting is done. If your doctor told you he

needs the tenonomy I think he should be in casts until that is done.

We had 2 inbetween casts done. His feet were corrected but we needed

to schedule the tenonomy and have that done and 3 weeks of casts

before the shoes and bar were done.

>

> Not an expert but I am seeing a red flag here. Maybe one of the

other moms/dads will have better information.

>

> Dawn

>

> wbb_lr wrote:

>

> Hi again!

> Weston received his DBB and Markell boots on Thursday. He has a

red

> spot on the back of his corrected foot (unilateral). The spot does

> not go away when we take the shoes off for 30+ minutes. Should I

be

> worried? Thanks, Lori

>

>

>

>

>

>

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I am feeling very unsure myself. I am trying to get in to get a second

opinion. We are also going to the orthotic clinic today re: sores. Thank

you! Lori

Re: Pressure sore??

I am not sure about this but I thought that we didn't get fitted for shoes

until all casting is done. If your doctor told you he needs the tenonomy I

think he should be in casts until that is done. We had 2 inbetween casts

done. His feet were corrected but we needed to schedule the tenonomy and

have that done and 3 weeks of casts before the shoes and bar were done.

Not an expert but I am seeing a red flag here. Maybe one of the other

moms/dads will have better information.

Dawn

wbb_lr lori.webb@...> wrote:

Hi again!

Weston received his DBB and Markell boots on Thursday. He has a red

spot on the back of his corrected foot (unilateral). The spot does

not go away when we take the shoes off for 30+ minutes. Should I be

worried? Thanks, Lori

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Share on other sites

Thanks for the helpful information! Lori

_____

From: mjz28ss@...

Sent: Monday, November 15, 2004 7:26 PM

To: nosurgery4clubfoot

Subject: Re: Pressure sore??

Some might disagree, but I think you should be worried. The corrected heel

is more prone to pressure sores because the bone is more formed and

therefore

harder against the shoe = more pressure. If you are sure that the shoes are

applied correctly then there are a few things you might try. The first is

moleskin, I doubt this will help because the problem is not likely to be

friction

since it is the non-clubfoot. The next is " blister blockers " made by

band-aid.

You can get them at any store that sells band aids. There are many versions

and many brands. They have a cushion like protector in the center that

seems

to help alot. Some people have used corn pads, which are little " o " shaped

cushions that adhere to the foot. I have been told that regular band-aids

work, but I think more cushion is needed than that. Also you could try

duoderm

(available usually from a doctor or ortho shop) Basically duoderm is a

thicker

band aid blister blocker. It is what hosptals use to prevent pressure

sores.

As long as the shoes fit right and are the right size and everything is

adjusted properly, the best thing you can do is PROTECT the area until the

shoe is

broken in some more. Do you have plastizode inserts? If not, they might

help

some...they are little foam U shapes that help the heel sit away from the

back of the shoe and hold the foot still.

If the sore is caused by friction then the blister blocker pads will still

help. If I were you I would check the foot frequently (every 4-5 hours) for

a

few days to make sure it doesn't get worse. It is best to prevent worsening

and wear the shoes as much as possible though.

HTH,

Freeman

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a pressure sore will be purple/black. Red is ok it seems, unless it rubs

and turns into a blister. But a pressure sore looks like a bruise first

and then the skin peels off and it's a sore.

however, I agree with everyone. Tenotomy should not be done after cast is

off for a while. That's a new one and wrong, wrong, wrong. And the

comment that the casts were weekly except for a few which were 10

days?? How many casts total anyway? Sounds like this doc is trying to

reinvent the wheel here and do his own version of the Ponseti Method all

willy nilly. Run, far, far away from this doc and find one that knows what

they're doing.

Kori

SAt 07:40 PM 11/15/2004, you wrote:

>Dawn has a point, I think. If the foot still needs a tenotomy, its

>not going to sit correctly in the boot which is going to be

>uncomfortable for the baby.

>

>Elijah has pink spots on the back of both heels that dont really go

>away. Ive heard other moms here say that thats normal. Elijah's never

>change, dont get worse and arent painful. Are the spots pink or more

>red like its irritated and painful?

>

>Lori C

>and Elijah 7.5 months atypical RCF DBB 23/7

>

>

>

> > I am not sure about this but I thought that we didn't get fitted

>for shoes until all casting is done. If your doctor told you he

>needs the tenonomy I think he should be in casts until that is done.

>We had 2 inbetween casts done. His feet were corrected but we needed

>to schedule the tenonomy and have that done and 3 weeks of casts

>before the shoes and bar were done.

> >

> > Not an expert but I am seeing a red flag here. Maybe one of the

>other moms/dads will have better information.

> >

> > Dawn

> >

> > wbb_lr wrote:

> >

> > Hi again!

> > Weston received his DBB and Markell boots on Thursday. He has a

>red

> > spot on the back of his corrected foot (unilateral). The spot does

> > not go away when we take the shoes off for 30+ minutes. Should I

>be

> > worried? Thanks, Lori

> >

> >

> >

> >

> >

> >

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