Cast Care

1. Keep the cast dry - If the cast becomes wet, I suggest you use a blow dryer on cool so that you do not burn their tender skin. I did this often those first two weeks, but she was so sick that you just couldn’t keep it dry. So I came up with a different solution. Remember that your child’s cast can become wet from excessive sweat so dress them lightly even during the winter months. It is best to carry around a blanket then for them to be dressed in layers. Natalie developed her sores because of her Halloween costume. It was made of a thick material that made her sweat while indoors. It was perfect for outside unfortunately we were indoors most of the evening.

2. StayFree Feminine Pads - I placed stayfree ultra thin feminine pads on the inside of the cast. The pads would get wet or soiled instead of the cast. You can remove the pads, and the child stays dry and happy. Natalie developed sores before we could figure out the solution with pads. She now has scars on the outside of her hip from where she had either soiled the cast or it did not dry from the excessive sweat that her Halloween costume caused. They are in a place that while in the cast it was impossible to reach. I know this because I tried every possible way to get every inch of her cast dry and clean. Sometimes it is just not possible. Placing the pads on the inside of the cast may be slightly difficult for parents with larger hands. Detailed directions for this are at the end.

3. Baking Soda - You will want to keep some baking soda around for the smell if you cannot get the cast completely clean. This will help a whole lot with the smell. ONLY place the baking soda on the outside of the cast because their skin can be easily irritated.

4. Support Blankets - we did this because there are commonly weak spots in the cast that can cause breaks. If the cast breaks, a new will be needed to replace the broken one. This means more anesthesia for your child and the possibility of the hip coming out of place. This is unnecessary if you take the extra precautions.

5. Cast and Food - Do not allow food to fall inside the cast while your child is eating. A large t-shirt or a one piece outfit is the best solution for this particular problem. If food or small toys fall inside the cast, you child’s skin can become irritated or could possibly cause an infection.

Taking care of child in a spica cast can be difficult. I found that the one thing that kept everyone happy was to keep the cast as dry as possible. If the cast becomes wet or soiled it will become very uncomfortable for your child. Natalie’s cast was wet off and on because of a stomach virus in the first two weeks. I found once she was dry, she was a lot happier and everyday life became a whole lot easier. She was more willing to play by herself for about 30 to 45 minutes at a time before she became bored.

Directions for placing the pads on the inside of the cast are a little complicated to explain so I will try my best. You will need a total of three pads to fully protect your child’s skin.

1. Take a pad and cut in half. Take half of that pad and place on the inside of the leg so that half is inside the cast and half is on the outside of the cast. You will want it to be long ways. Then use white medical tape to tape it into place. The sticky part of the pad will only help a little bit that is why you will want more tape. Repeat this step for the other leg.

2. Now take the two remaining pads and slide them through the back side of the cast. The soft cotton side should be to their skin. You should have enough left over so that you can tape the pads into place on the outside of the cast. That means you will want them to be taller than they are longer. If that explains it, like I said it is somewhat difficult to explain. You will want to tape the pad into place so that they do not slip around and irritate your child. This may not be very pretty, but your child will be a lot happier if they are dry.

Below are some pictures that we recently took showing you, rather than just trying to explain it in words as above. Please refer to these pictures while trying to figure out what we’re meaning with all of the cuts, and layout of the feminine pads.

Spica Cast Back Spica Cast Top Spica Cast Top #2
Spica Cast Back Spica Cast Underneath
(Click on the pictures to enlarge them.)