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Cast Care

WHAT YOU SHOULD KNOW

Casts are used to keep an injured part of the body from moving so it can heal. A cast can be made of plaster or fiberglass. Plaster looks and feels smooth, while fiberglass looks like woven cloth and feels rough on the outside. Fiberglass also comes in many different colors. The cast feels hard 10 to 15 minutes after it is applied. However, it takes 24 hours to dry completely, so be careful with it for the first day, while it still can easily crack.

WHAT YOU SHOULD DO

  • Put ice on the injury for 15 to 20 minutes each hour for the first 1 or 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your cast.
  • If you can, keep the injury above the level of your heart for 48 hours. This will help relieve the pain and swelling.
  • Keep the cast dry. Cover it with a plastic bag or plastic wrap while bathing. Do not lower the cast into the water.
  • Do not try to scratch the skin under the cast by pushing a sharp or pointed object down inside the cast.
  • Check the skin around the cast every day. You may put lotion on any red or sore areas.
  • Do not push or lean on any part of your cast; it may break. You may need to use crutches if you have a cast on your leg, ankle, or foot. A sling may be necessary to support a cast on an elbow, arm, wrist, or hand.

Call Your doctor If...

  • The cast gets damaged or breaks.
  • You have really bad pain that is getting worse.
  • You have more swelling than you did before the cast was put on.
  • The skin or the nails below the cast turn blue or grey.
  • The skin below the cast feels cold or numb.
  • There is a bad smell from the cast.
  • There are new stains coming from under the cast.

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