Casting is an essential part of non-surgical treatment of clubfoot.
The first step
- As early as your baby's first week, we will gently manipulate and stretch the muscles and tendons of his or her feet.
- Tape or a plaster cast will then be applied to hold the foot in position.
- On a casting day, please plan to spend two to three hours at the Clubfoot Program office at DHMC in Lebanon, NH. Please avoid making other commitments during that period.
- Your baby will have new plaster casts applied every week for five to nine weeks.
- Each cast typically is worn for a week.
- The last cast may stay on for up to three weeks.
Removing the casts
- Casts are removed by soaking in a bath, not by cutting through the plaster.
- It may make sense for you to soften the old cast with a wet towel wrapped around it on your way into the hospital so that it can be removed more quickly. We will discuss that during your first visits.
- A small amount of vinegar added to the bath water helps speed the softening process.
Bathing a child in casts
- You must keep the cast dry and so should not bathe regularly; washing with a cloth when the cast is on is the best option.