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Cast removal is a routine orthopaedic procedure conducted to safely and efficiently remove plaster or fibreglass casts used for the stabilisation of various injuries. Employing specialised equipment, such as a cast saw, trained medical professionals meticulously cut through the cast material without compromising the integrity of the underlying skin. While patients may experience mild vibrations during the process, it is typically devoid of pain or discomfort. Following cast removal, individuals may observe transient skin pallor or dryness, which generally resolves with proper post-removal care, including moisturisation and gentle cleaning. Adhering closely to medical guidance ensures a seamless transition towards rehabilitation and optimal recovery outcomes.
The procedure is explained step by step, and consent (verbal or written) is obtained.
The reasons for the removal of the cast are reviewed, along with the risks, benefits, and possible complications.
The oscillations of the saw are demonstrated prior, and the patient should be asked to carefully observe.
The running saw can be touched softly to demonstrate its cutting nature, but if the blade is run across the skin in tension, that can cut the skin.
It should be explained that the vibrations of the saw can give a strange sensation, and the patient is free to stop whenever they feel discomfort.
You will be comfortably positioned with your casted limb exposed.
A special saw will be used to gently cut through the cast. You may feel vibrations and hear noise, but it won't touch your skin.
The cast material will be carefully cut and removed in sections. This shouldn't hurt.
Once the cast is cut, it will be gently opened or removed.
Your skin will be checked for any irritation or dryness after the cast is off.
We will clean your skin and apply moisturiser to keep it comfortable.
You will get instructions on caring for your limb and any follow-up appointments needed.
After the cast is removed, the following can be expected:
The skin may appear dry, flaky, or slightly discoloured, which is normal after being immobilised for a period.
The limb will be cleaned with mild soap and water to remove any residual cast material, adhesive, or skin cells that may have accumulated.
There can also be a sudden feeling of nausea or dizziness as there is a sudden release of pressure on the blood vessels after the cast removal.
The healthcare provider will examine the skin to check for any signs of irritation, pressure sores, or complications that may have developed under the cast.
A complete assessment is done by the physician, and the requirement for another cast is also decided.
There can be some pain experienced after the cast is removed.
As there has been immobilisation for weeks or months, the joints and muscles can be weaker, and there are chances for nerve damage due to the pressure under the cast.
The pain subsides by itself within a few days in most cases, but if it does not, consulting a healthcare professional is necessary.
After cast removal, it's essential to take care of your skin to promote healing and prevent any complications. Here are some tips:
Skin is gently washed at first with a mild soap and lukewarm water.
Gentle exfoliation can help remove dead skin cells and promote cell growth.
It is advised to avoid scrubbing and not use hot water.
Usual exposure to sunlight will help improve the skin.
Picking or scratching at the skin is avoided to combat the irritation, as it can cause infection.
A cream or moisturiser is liberally applied to help with rehydration and repairing the skin.
Consumption of plenty of water and a healthy diet are essential to supporting the health of the skin.
It's normal to experience some weakness or muscle atrophy (loss of muscle mass) after being immobilised in a cast. Physical therapy or rehabilitation exercises may be recommended to help regain strength and mobility in the affected limb.
After removing the cast, it's best to avoid heavy lifting or putting too much pressure on the area that was injured. Try not to engage in strenuous activities that could strain your muscles or bones too soon. If you are unsure about what activities are safe, it's always a good idea to check with your healthcare provider first. They can give you personalised advice based on your specific situation.
Yes, your healthcare provider may schedule a follow-up appointment to monitor your recovery progress, check the healing of any underlying injury, and address any concerns or questions you may have.
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