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, Dr. Bristol may be contacted during business hours Monday through Friday, 8AM to 5PM, at 404.963.7615 or after hours at 470.733.2135.
This includes non-emergent 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