| Persistent redness | The brace may be applying excessive pressure or may need adjustment |
| Blister or open skin | The AFO should be checked before continued use |
| Heel coming out of the AFO | The foot may not be positioned correctly or the straps may need adjustment |
| Shoe won't fit over the AFO | The shoe may not have enough width, depth, or opening |
| Child is tripping more | Shoe fit, AFO design, or the child's gait may need reassessment |
| Child suddenly refuses the AFO | Investigate pain, pressure, growth, sensory issues, or changes in function |
| AFO feels too small | The child may have outgrown it |
| Straps are worn or no longer secure | The AFO may need repair |
| Walking looks different | The child's needs may have changed, or the AFO may need adjustment |
