3. What if my child develops redness / irritation / or other skin reactions? What if I see moisture collecting inside the tube?
4. My child has switched from thumb to finger sucking, or vice-versa. OR, my child switched which fingers they suck. What do I do now?
What if my child can remove their thumb from underneath the ThumbGuard?
This usually means that the 2 long extensions are not adjusted properly (the tightness of the bracelet is used only to prevent the entire device from coming off). Although the instructions mention that you should try to match the numbers (such as 2-2), some children can be “in between” sizes, in which case it may help to use different numbers (such as 2-3). In order to position the tube as low as possible on the thumb, you must choose a higher set of numbers. For example, 3-3 or 2-3 will seat the tube lower on the thumb, than a position like 1-1 or 1-2. If the tube does not sit as low as possible, the child will have an easier time getting their thumb out. Before you secure the bracelet, pull the entire appliance down, so that the tube sits as low as possible on the thumb. Secure the bracelet on the thinnest part of the wrist, as tight as possible without cutting circulation (i.e. there should be some slack). Make sure that the red instalock is positioned on the thinnest part of the wrist, not on the hand. The bracelet should go around the wrist as well, not the hand.
If you have adjusted correctly, you will notice the following:
- The tube covering the thumb does not move when pulled.
- The child’s hand is not contorted: meaning the tightness does not deform the child’s hand.
If, after ensuring that the device has been adjusted properly, your child can still remove their thumbs, then you can try the following ideas, which all attempt to prevent the thumb from bending.
Wrap several layers of non-stretching medical tape around the thumb knuckle, underneath the tube. If your child can still bend their thumbs, place a popsicle stick / tongue depressor on the thumb before wrapping it with tape. This will create a makeshift splint, which fully prevents the thumb from bending.
What if my child can remove their fingers from FingerGuard?
If the child can remove the FingerGuard, the first step is to ensure that the device has been adjusted properly. Begin by choosing a set of holes higher up on the extension, closer to the tubes, to thread the bracelet through. Pull down the entire appliance, so that the tubes sit as low as possible on the hand without causing discomfort. It is important that the bracelet is wrapped around the thinnest part of the wrist.
If the child can still remove their fingers, we would recommend one additional step: thread an additional bracelet around the hand, above the thumb, and closer to the tubes. Sometimes, when children bend their fingers forward, it can cause the palm side flap to bend outwards. When it does that, the child has a bit more space to wiggle their fingers out, and by threading an additional bracelet, this flap does not bend outward anymore which prevents the child from being able to remove the device.
If after making these adjustments the child can still remove the FingerGuard, please contact us.
What if my child develops redness / irritation / or other skin reactions? What if I see moisture collecting inside the tube?
Although this happens very rarely, it is possible among younger children with very sensitive skin. This happens because a great deal of moisture or condensation accumulates in a confined space, which allows the skin to become softened, chafed, and potentially irritated. It has nothing to do with the material of the guard, as we use an fda-listed, medical grade plastic with no harmful chemicals. If you notice redness, stop using the device and let the area heal. Once the skin is dry, the area should heal quickly, and over the counter remedies can make the area heal even faster.
Once the area has healed, you can resume using the device, but take the following precautionary steps:
- Always ensure that the skin underneath the appliance is dry and clean. If the area becomes wet, you can either remove the device and clean it (with soap and water, then dried thoroughly), or air dry it with a hair dryer, while the child is wearing it.
- To prevent irritation due to moisture, use any standard hydrophobic cream (like Vaseline, desitin, or any other diaper-rash ointment). Apply a very thin layer over the affected area, either on the skin of the thumb or finger, underneath the tube.
- You can prevent excess moisture from building by punching small, ¼ inch holes in the tube, using a hole punch. This will improve air flow and prevent condensation from forming.
My child has switched from thumb to finger sucking, or vice-versa. OR, my child switched which fingers they suck. What do I do now?
This is more common among children who are younger than 3, and is a sign that the habit has not yet fully matured. It is our experience that it is best to wait 6 months to allow the habit to settle (the child will choose a particular digit or digits to suck, and suck no others), and then target that specific area with the corresponding product.
What if the instalock clips cause discomfort, chafing, redness, or pain?
Update: As of 9/2014, we have corrected this issue and no longer produce instalocks that require trimming. They now offer a convenient twist off connection, which joins the instalock at the top, preventing any kind of irritation or chafing. If you still feel that the instalock is causing discomfort, please contact us.
For kits ordered before 9/2014 or from our distributors: This happens because the instalocks were not trimmed properly. Take care to make sure that the runner from the clip was fully removed; if you run your finger along the edge of the instalock, it should be as smooth as possible. You may have to re-trim any excess material along the edge.