Plaster Cast Advice
This advice sheet is a guide to anyone in a full or half cast applied to the leg
What to expect
- The cast will take up to 24hrs to fully set.
- It should feel a little heavy but secure
- It should be snug but not feel tight or constrictive at rest
- During the first few days regular elevation on pillows will be needed to keep any associated swelling down.
- You should be able to see all your toes
- It may itch for the 1st few days
What to do:-
- Elevate the limb regularly “Toes above Nose”
- Wiggle your toes as often as possible and move any joints outside the cast regularly.
- Weightbear only as instructed, using crutches appropriately for safety
- Adhere to any anti-thrombosis (Blod Clot) advice given -
- Blood thinning injections or tablets
- Thrombosis stockings
- Elevate the limb if it starts to feel tight
- If despite elevation the tightness persist and / or becomes painful please contact the hospital.
- Bath / Shower – If you must then cover cast completely with a water tight plastic bag, sealed with tape or ideally use a proprietary device from the chemist. (Google search- “Plaster Cast Bag”)
What not to do:-
- Do not get the cast wet
- If it does and becomes soft, soggy or loose – Contact the Hospital
- Only a qualified Nurse, Doctor or Techinician should adjust a cast
- Do not poke anything down or up the cast.
- A scratch or loose item under the cast can lead to infections, sores or ulcers
- If something does become lodged in the cast – Contact the Hospital
When to seek hospital help
- Should your plaster cast become and remain tight or your calf feel painful and swollen despite elevation for 1 hour.
- Should your cast beome loose, wet, soggy, smelly or start to fall apart
- Should your toes become painful, swollen, red, blue, white or numb
- Thrombosis – If you notice uncontrollable Calf pain, Calf swelling, Chest pain or Sudden shortness of breath
- With a cast on your Right leg you should not drive
- With a cast on your Left leg
- Manual Car = You should not drive
- Automatic Car = You should not drive until you’ve discussed it with a doctor AND you’re car insurance company
- It is best avoided if at all possible
- Always check with your airline or tour operator.
- A minimum of 24hrs after fitting a full cast is required by most airlines.
- If you must fly within 24-48hrs then arrangements at the hospital can be made to have your cast split in to 2 halves to allow for any swelling. Upon arrival at your destination arrangements should be made to have the cast completed again.
- This process may have to be redone for any return journey.
Relax, ‘Just Put Your Feet Up’ - ‘Toes Above Your Nose’
If you would like to arrange a consultation to discuss your foot or ankle problems with Mr Williams, then please contact us.