Whether your child has a traditional (non-waterproof) or a Delta Dry lined (water-proof) cast, there are some things to keep in mind after the cast has been applied.
General Precautions:· Follow the doctor’s instructions exactly.
· Do NOT insert any objects inside the cast the skin under the cast may itch as it may cause a sore which could become infected .
· Do NOT pull out or rearrange the cast liner.
· Do not break off or trim cast edges.
· Do not try to remove the cast at home.
· Stay out of the sand.
· Keep the cast clean.
· Rough spots may be filed down with an emery board.
· If fiberglass edges rub on skin where rough spots are you may purchase “moleskin” to put on the edges. You may purchase it at CVS, Walgreens or Walmart.
Traditional (Non-Waterproof):· Do NOT get the cast wet.
· Do NOT pull at the cotton liner inside the cast.
Delta Dry (Waterproof): · Do NOT pull at the liner inside the cast. · Do NOT heat to dry the cast. The liner will allow the skin and cast to dry by evaporation. · If swimming or doing hydrotherapy, be sure to thoroughly rinse the inside of the cast with clean water to remove chlorine, salt, dirt, or other substances. Contact our office for any of the following:· Swelling, numbness, and/or persistent tingling.
· Blister or sore develops inside the cast.
· The cast breaks, cracks or develops soft spots or becomes too loose.
· There are questions or concerns regarding treatment.
· Cast may feel snug and you may have swelling if so elevate extremity above your heart to help the swelling go down. If continues more than 2-3 days or extremities are bluish purple please call our office.
· We may bring you in to determine if your cast May or May Not need to be changed. Most insurance companies do not cover a 2nd cast unless medically indicated so you may have a fee if insurance does not cover.
“Par for the Course”
The cast will not be changed because of odor. Itching and having a less then pleasant odor are normal for having a cast. Running water down the cast, tapping on the outside may help with itching. If the patient is able to take Benedryl this may also help with itching. Unpleasant odors are normal but if the odor gets extremely foul or you notice oozing from the wound please call us.Remember the cast helps the healing process. Avoid activities that might interfere with healing, and always follow the doctor’s specific instructions about proper care of the cast and the injury.
We thank you for choosing Children’s Orthopedic Specialists to care for your child.