SPLINT AND CAST MATERIAL

PLASTER:

This material is generally used for splinting or casting during the early stage of injury management. The material is easily molded to hold the injured area in the best position. Hardening begins immediately, but you must avoid putting weight on the cast or resting it on a hard surface for several days as denting may occur. The plaster may at first feel hot, then cool and damp for up to 24 to 48 hours depending on the weather.

FIBERGLASS:

This product is lighter and stronger than plaster. Although this material hardens in 20 minutes, it must be protected from breakage, especially during walking.

PROBLEMS THAT WE SHOULD BE MADE AWARE OF:

1. Report extreme pain unrelieved by moderate use of pain medication.
2. Report pain or persistent rubbing at one point under the cast as this may indicate a pressure sore.
3. Report cast tightness that is not relieved by elevating the extremity for at least a haIf hour.
4. Report persistent numbness and tingling that is not relieved by elevation for at least a half hour.
5. Coldness in the extremity or discoloration of the fingers or toes may indicate interference with circulation.
6. Breakage, destruction, and wetness of the cast should be reported. Please do not ever attempt to remove the cast.
7. Report any unusual amount of itching or skin irritation. Please do not try to scratch under the cast, this only causes further irritation. An object should NEVER be placed down inside the cast.

HELPFUL HINTS:

• Elevate the extremity above heart level during the first few days of injury. This helps reduce swelling and discomfort.
• Exercise your fingers and toes; this also helps reduce swelling and allows earlier function after the cast is removed.
• Use a hair dryer set on COOL and blow cool air into the ends of the cast to relieve uncomfortable itching. (Only can be used with casts, NOT splints!)
• Keep your cast dry. Cover the cast with at least a towel and a plastic bag during bathing to prevent it from getting wet.
• If a cast develops rough edges, an emery board can be used to lightly sand them until smooth.
• If you are a patient of Orthopedic Associates, feel free to call us at any time with problems or concerns.