Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
If these signs are severe, do not improve after following the cast team’s instructions, or medical advice is not quickly available, seek emergency care because circulation may be affected.
Changes that develop gradually, such as the foot beginning to turn inward again or the heel lifting during walking, usually require a routine but timely orthopedic appointment rather than emergency care.
Earlier assessment may allow recurrence to be managed with stretching, repeat casting, brace changes, or a smaller procedure.
Contact the orthopedic team promptly if a cast becomes wet, cracked, loose, or slips down.
The team should also be contacted if there is a foul smell, drainage, a new skin sore, persistent swelling, or unusual distress that may indicate pressure under the cast.
Seek urgent medical advice if the toes become increasingly swollen, cold, pale, or blue, or if the baby stops moving them normally.
Regular follow-up is important throughout casting, bracing, and early growth.
During routine visits, the care team checks foot position, ankle movement, skin condition, brace fit, and later, the child’s walking pattern.
Growing children may need new brace shoes or other equipment.
The article also says
Keep all scheduled cast changes.
Every sign above is quoted from the sofidex article on Clubfoot. If you are not sure, err upward — it is always reasonable to be checked.