The plaster is changed weekly initially, and then 2-weekly, gently moving the foot into the correct position. These can be worn 24 hours a day, or at night only. They can be removed easily for bathing. Many children require surgery if it becomes apparent that the foot or feet are not responding to serial plasters or splinting. Surgery is usually performed when the child is about 6 months old, but different children and different doctors mean there is a range in the age of the child undergoing surgery.
Surgery means a day or two in hospital, followed by plaster casting.
If you are breastfeeding, you will be given support by the nursing staff so that you maintain your supply and be comfortable for the time that your child is fasting. The doctor will apply the plaster from above the knees to the base of the toes. Do not hesitate to contact the doctor or hospital if you are at all concerned with the plaster. Your doctor or nurse will explain how to remove the plaster in the bath on the morning of your next appointment. It appears to help if baby is fed shortly before the plaster is applied, and lots of cuddling afterwards seems to comfort.