Sunday, August 9, 2015

Plaster Cast And Splint Care: Dos & Don'ts


1.   Keep your casted arm or leg raised above heart level with pillows for at least 2-3 days to decrease swelling.
2.   Move your fingers or toes of the casted limb frequently to avoid stiffness.
3.   Always keep your cast in good condition.
4.   Before bathing, cover your cast in a cast protector or a polythene bag.
5.   Do not walk, run or play sports with your cast unless recommended by your doctor.
6.   Keep your cast as well as the casted limb dry; do not wet it with water/ oil or lotion.
7.   Do not pull out the cotton padding from the splint or cast.
8.   If you have itching in the casted limb, blow cool air into the cast with a hair dryer. Or you could place an ice pack covered in a towel over the cast to cool the underlying skin, but without wetting the cast.
9.   Avoid inserting objects into the cast for itching as a retained object in your cast can result in serious injury or infection of the skin.
10. Follow up with your doctor as advised. Prolonged use of plaster cast can lead to various complications. 

Consult your doctor in case of any of the following complications:
·      Persisting and/ or severe pain even after one week.
·      Inability or difficulty in moving your fingers or toes.
·      Fingers or toes are cold and appear bluish/ white.
·      Cast is damaged or cracked.
·      Numbness, burning, swelling or tightness around or inside the casted limb.
·      Cast has a foul odor.


Reference:
1.  WHO Surgical Care at the District Hospital 2003
2.  http://orthoinfo.aaos.org/topic.cfm?topic=a00095

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