Cast Care

The following is a guide to the care of your cast

It is important to:

  • Keep your cast dry at all times
  • Keep the limb elevated high for at least the first 48hours:
  • A sling or two pillows for the arm
  • Elevate the leg on pillows higher than your heart until the swelling goes down
  • Exercise all joints either side of the plaster eg fingers and toes, shoulder and knee
  • Wriggle the fingers and toes on the hour every hour, 500 times a day
  • Use crutches as instructed
  • Mild pain killers as directed are fine. If strong pain killers are needed then the cast maybe too tight

Do Not:

  • Don’t stand on, rest on or walk on the cast until advised to do so
  • Don’t let the cast get wet
  • Don’t put anything down under the cast, not even for an itch. If the skin is damaged then it may become infected or the skin can die
  • Don’t cut or interfere with the cast

Report Immediately:

  • Severe pain increasing in intensity or increased swelling of that part of the limb behind the plaster
  • Pale, cold fingers or toes, pins and needles or numbness in fingers or toes, not relieved by elevation above the heart
  • Blue discolouration of fingers or toes
  • Localised burning pain or uncomfortable feeling of pressure within the cast or at the edge of the cast
  • The cast needs to be split or removed immediately if any of the above occur
  • If the cast is damaged, split or cut
  • If there is a wound an offensive smell is present

 

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