Dynamic Flex Casting and Serial Casting

Dynamic Flex Casting and Serial Casting services offered in East Point, GA

Here at PT Works, we provide a variety of cast techniques to include Dynamic Flex Cast and Serial Casting. Dynamic Flex Cast is a soft cast that allows for not only alignment of the foot and ankle, but also movement inside of the cast. Movement inside the cast allows the muscles to be active which reduces the chance for muscle atrophy (muscle loss) while progressively improving range of motion. We utilize serial casting on ankles, knees and elbow to improve range of motion, improve circulation, reduce risk for jt contractures as well as improve function and quality of movement.

Dynamic Flex Casting and Serial Casting Q&A

What is serial casting?

A cast is typically removed after 3-14 days, and a new cast is then applied after the joint is moved into the improved position. Casts are applied until the patient progresses to their most optimal functional level per the physical therapist. Serial casting can be required for several weeks depending on each patient’s specific needs.
Serial casting is also utilized to stabilize joints that are hypermobile. This process allows static stabilizers to stiffen over time, creating improved alignment and stability.

Home program activities

Throughout the casting program, we recommend the family carry out home activities to aid in progress, including:

Sleep positioning on side with a pillow between the legs
Play position in all tolerated positions
Walking activities with skid-resistant socks on; hamstring stretches
Standing activities for strength and balance

Caring for the cast

Ensure the cast DOES NOT get wet.

During bath time, you can wrap plastic wrap over the cast or use waterproof plastic bags. Waterproof bags or casting covers can be purchased on Amazon for $11-13.

Emergency removal of cast

In the case of an emergency, the patient or parent may need to remove the cast at home. To remove the cast, cut through the cast ONLY, then pull the cotton and sleeves off with your hands. Emergency circumstances may include:

Atypical uncontrollable crying or severe complaints of pain
Unusual color, odor, or coldness and swelling around the casted area
Skin reactions such as rash, blisters, or abrasions
A cast that has become thoroughly saturated

When to contact the therapist

If you have any questions or concerns, contact Dr. Bristol per instructions provided.

This includes situations such as:

Cracks, dents, or objects in the cast
Dampness or odor coming from the cast
Redness, chafing, or itching around the casted area
Slipping or changes in sleep or mood while in the cast
Refusal to bear weight on the casted extremity