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Cast Instructions, Serial

(757) 668-7000

Please read the following instructions carefully for the proper care of the cast(s) made for your child. Share these instructions with other caregivers and school personnel.

If you have any questions or problems (e.g., fit, discomfort), please contact us as follows:

  • During office hours Monday through Friday: 8 a.m. to 5 p.m. call the Serial Casting Coordinator (757) 668-6612. If you receive no response within two hours, please contact an office staff member at (757) 668-9796.
  • After office hours: please contact the hospital operator at 668-7000; ask for your referring physician, Dr. ____________________________ or the Resident On-Call ______________________ to be paged.

If you reach our voicemail system, please leave a detailed message including your child’s name and the best number to reach you, state that your child is currently wearing a Serial Cast, and describe the nature of the problem, concern or question.

Cast Care Instructions

For the first hour after cast was applied, do not allow your child to stand, bear weight or walk.

Always wear a sock with a non-skid bottom or a cast shoe when standing or walking.

Check your child’s toes or thumbs frequently, 3-4 times, during the first twenty-four (24) hours. Check your child’s toes or thumbs two (2) times per day, each additional day. If you notice any of the following notify your therapist:

  • No pulse in the big toe or thumb
  • Blue vs. pink skin color
  • Dusky gray or blue nail beds
  • Swelling
  • Muscle spasms or “charleyhorse” cramps

Call your child’s therapist IMMEDIATELY if:

  • An unusual odor is present
  • Cast develops cracks, dents or splits
  • Child refuses to bear weight
  • The cast becomes wet for any reason, even if it is a small amount of wetness
  • Small objects are dropped into the cast
  • Your child's sleep patterns change due to discomfort

Should the fiberglass cast need to be removed, take your child to the Children's Hospital of The King's Daughters Emergency Room. They will remove the cast with a cast saw. Bring these instructions with you.

Occupational Therapist/Voicemail phone #  __________________________________                                          

Physical Therapist/Voicemail phone# _______________________________________

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.

Reviewed: 11/2018

(757) 668-7000