Video Explanation: Living with a Cast – What Parents Need to Know

A cast (or plaster cast) is the most common method to immobilize a fracture during healing. For children and their families, weeks in a cast can be challenging, but with the right information everything becomes more manageable. **Types of immobilization:** - **Traditional cast (synthetic or fiberglass):** Rigid, cannot get wet. Most commonly used for fractures. - **Removable brace:** Can be removed for hygiene but must be worn constantly. Used for less severe injuries. - **"Waterproof" cast:** Casts that allow getting wet exist, but have limited indications. **The first days:** Swelling is normal. Keeping the limb elevated (above heart level) and applying ice wrapped in cloth on the visible area helps reduce it. Some discomfort is normal; intense pain is not. **Daily hygiene:** - Don't wet the traditional cast (use waterproof protectors for bathing) - Don't insert objects under the cast to scratch (risk of injury and infection) - Keep skin around the cast clean and dry - Check visible fingers for color (should remain pink), sensation, and movement **School and activities:** The child can generally return to school. Physical activity should be limited to avoid falls. Contact sports and water activities are prohibited. **When to call the doctor:** Pain not relieved by painkillers, swollen/blue/cold/numb fingers, cast too tight or too loose, broken cast, fever or unpleasant odor.