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Cast Removal involves the process of removing the cast, which is a hard bandage that protects and immobilises bone to facilitate healing. The casts are usually made up of Plaster of Paris (POP) or fibreglass.
Pre-procedure: Before getting a cast removed, specialists check the area where the cast is done and may recommend you undergo an X-ray to see if the bone has properly healed and to ensure there are no complications.
Procedure: Specialists use a machine called a cast saw, also known as a cast remover, to remove your cast. A tool is then used to open the cast, followed by scissors to cut the wrap off. The wrap is taken off along with the cast.
Post-procedure: Patients are given post-care instructions to care for the region where the cast was removed. Antiseptic solution is applied using cotton and tissue, and your specialists will try to move the region to check for mobility. Cast Removal does not require hospital stays in outpatient settings.
The Cast Removal process depends on the size, shape, and material of the cast used to immobilise. Generally, the process should take no more than 15 minutes. Larger casts take time to remove compared to small ones. Furthermore, fibreglass casts are easier to remove than POP casts. Furthermore, the removal process may take a bit longer if the cast has irregular shapes or angles.
Cast Removal procedures are painless and do not require any extensive interventions. However, you may experience mild pressure or vibration when the cast saw passes through the material. Since the procedure is done by a trained medical professional, the chances of a cast saw penetrating your skin are very rare. Additionally, a notable sensation of itchiness can be felt after the cast is removed. This is normal, and our specialists will prescribe topical creams or lotions to reduce itchiness around the area.
Our specialists will provide personalised guidelines regarding showering and bathing after your cast is removed. However, in most cases, you should be able to shower after getting your cast removed. Use lukewarm water and mild soap to gently wash the affected area. However, avoid scrubbing or using hot water, as these can exacerbate skin dryness. Use a clean washcloth to remove dry skin.
Depending on the severity of the condition, our specialist will inform you whether you are fit to return to normal activities. Removing a cast may not necessarily mean that you are fully healed. Therefore, general instructions include:
Performing exercises recommended by our physical or occupational therapists to enhance recovery
Since your bone is still in the healing process, avoid any strenuous physical work or activity, and exercise caution while performing routine activities
Elevating your leg above the heart level will minimise swelling. Swelling may persist for at least 12 months in the case of leg injuries. It is necessary to adhere to medications prescribed by our specialists to reduce swelling or infections.
Complications are rare for Cast Removal procedures. Possible risks include:
Injury to the underlying skin, such as abrasions or friction burns
Rarely, acute limb ischemia
Compression neuropathy, distinguished by slow nerve conduction, is particularly caused by ischemia
Compartment syndrome, characterised by excessive pressure buildup within a muscle compartment
The above complications generally occur when the procedure is performed by inexperienced professionals. The Department of Orthopaedics at Manipal Hospitals, Dhakuria, West Bengal, possesses specialists and staff with tremendous experience in carrying out cast removal procedures of varying complexities.
The need for physical therapy depends on the seriousness of your condition, the extent of the fracture, and your general health status. In cases of complicated fractures or individuals who have undergone major surgery, physical therapy is an essential part of the treatment plan. Based on individual factors, our physical therapists will craft a customised exercise plan to help increase your range of motion and regain mobility and function.
General instructions you can follow to care for your skin once the cast is off include:
Wash the area with lukewarm water and avoid scrubbing.
Applying lotions or moisturisers that are free of fragrance or chemicals enhances your skin texture. Moreover, petroleum-based products can facilitate healing.
Exposing yourself to air and sunlight improves your skin texture. However, avoid prolonged exposure to prevent sunburn.
Refrain from picking or peeling dry skin, as it can cause blisters.
Avoid shaving or waxing for 24 hours or until our specialist’s advice.
Adhering to any topical medications recommended, such as anti-inflammatory creams.
Staying hydrated and having a balanced diet.
Abstain from scratching your skin with fingernails. It is advisable to use an open palm to rub itchy skin.
Signs that you should watch for that might indicate a problem after the Cast Removal procedure include:
Open areas on the skin
Increased redness or swelling around the region where the cast was placed
Inability to move or use the body part normally
Extreme pain around the injured part
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