Casts: Tips For Comfort And Care

Casts support and protect injured bones and soft tissues but even a cast can’t do its job without proper care. Casts hold the bones at their place while they heal from fractures and breaks, and also reduce the pain and swelling. In some cases, casts are applied following a surgery, where a doctor places the pieces back together in the right position or adds certain support via screws and plates.

Splints provide lesser support than casts. However, these can be adjusted to accommodate swelling from injuries much easier than enclosed casts. In case of injury, your doctor takes ca all on what type of support would be best for your case. Your doctor will explain if any restrictions are required on using the injured arm or leg while it is healing. You have to carefully follow the instructions to make sure your bone heals properly. You have to keep your cast in good condition, which will help in speedy recovery. There are two main types of casts:

Plaster casts: These are easier to mold for some uses, compared to fiberglass casts. The plaster casts are also less expensive.

Fiberglass casts: These casts are much lighter than the plaster casts. Also, X- rays penetrate fiber casts better than plaster casts, making it easier for your doctor to examine your injured bone while you are still wearing the cast.

Taking care of your Cast

  • If you have a plaster cast, you should rest for a few days after the cast has been put on to make sure it fully dries.
  • Keep the injured leg or arm elevated for the first few days, as this will help stop swelling.
  • You should regularly move your fingers and toes to keep blood circulation normal.
  • Protect your cast from water if it is not water-resistant. You can put plastic bags around it and seal it with a rubber band when having a shower.
  • In case you have a water-resistant cast, you may be able to get it wet but consult with your doctor first. Once wet, you should rinse it with clean water.
  • You should keep the inside of the cast clean by keeping food, dirt, lotions, etc. away from it.
  • Don’t put a foreign object inside the cast as it can scratch the skin. They can also cause a rash or infection.
  • If the cast is on your foot, you should not walk directly on it. You can use plaster boot and crutches.

When do you call your Doctor, in case of casts

You also should alert your doctor if you have:

  • A fever (higher than 100 F)
  • Numbness, tingling or burning, in the injured limb.
  • Sores under the cast
  • Cold or pale skin
  • Wet cast that won’t dry
  • A cast that’s too tight or too loose
  • Red or raw skin around the cast

Early rehabilitation is an important aspect of the treatment after a cast is removed. This helps encourage the recovery process and also helps prevent a re-injury occurrence and chronic problems. Physiotherapy ensures you well being by improving the strength and flexibility of your body part, helps you retrain your balance, and then return to activity within a few weeks. Post the cast being taken off, you would need physiotherapy to ensure your muscles start moving normally again.  Physiotherapy after a cast is strongly advised to ensure your limbs can act as normally as they would before a cast was placed and restricted your movements.

Still have questions? Come reach us at Orthocure clinic in our four locations in Gurgaon. We have the best Orthopaedic Doctors, and the only qualified Chiropractic in town, beyond a number of specialist physiotherapists that provide an integrated treatment for your pain and rehabilitation.

7 Ways To Prevent Golfer’s Elbow

It is golf season!  Many of us look forward to this time of year for recreation and good times.  However, golf injuries such as “golfer’s elbow” can occur and are very painful.  Golfers elbow is also known as Medial epicondylitis or pitcher’s elbow.  It is a condition that causes pain where the tendons of your forearm muscles attach to the bony bump on the inside of your elbow.

When you use these elbow muscles repeatedly, small tears develop in the tendons. Over time, this leads to irritation which results in inflammation and pain where the tendon is attached to the bone.

Despite the name, this condition doesn’t just affect golfers. Any repetitive hand, wrist, or forearm motions can lead to golfer’s elbow.

The injury can occur from using the poor form or overdoing certain activities, such as:

  • Golf
  • Baseball and other throwing sports, such as football and javelin
  • Racquet sports, such as tennis
  • Weight training
  • Repeated twisting of the wrist

People in certain jobs may be more likely to develop it, such as:

  • Painters
  • Carpenters
  • Plumbers
  • Construction workers
  • Cooks
  • Assembly-line workers
  • Computer users
  • And more…

Common Symptoms of golfer’s elbow include:

  • Pain and tenderness. Usually felt on the inner side of your elbow, the pain sometimes extends along the inner side of your forearm or wrist. Pain typically worsens with repetitive wrist movements. The pain of golfer’s elbow can come on suddenly or gradually.
  • Stiffness. Your elbow may feel stiff and making a fist might hurt.
  • Weakness. You may have weakness in your hands and wrists.
  • Numbness or tingling. These sensations might radiate into one or more fingers — usually the ring and little fingers.

You can prevent this condition by doing the following:

  • Strengthen your forearm muscles. Use light weights or squeeze a tennis ball. Even simple exercises can help your muscles absorb the energy of sudden physical stress.
  • Stretch before and after your activity/game. Walk or jog for a few minutes to warm up your muscles. Then do gentle stretches before you begin your game Stretches at the end of the game/activity is also very important as it helps with decreasing soreness after strain full activity. Please talk to your physiotherapist to give you these stretches.
  • Correct your form. Whatever your sport, ask an instructor or your physiotherapist to check your form to avoid overload on muscles.
  • Use the right equipment. If you’re using older golfing irons, consider upgrading to lighter graphite clubs. If you play tennis, make sure your racket fits you. A racket with a small grip or a heavy head may increase the risk of elbow problems.
  • Lift properly. When lifting anything, including free weights, keep your wrist rigid and stable to reduce the force to your elbow.
  • Know when to rest. Try not to overuse your elbow. At the first sign of elbow pain, take a break. If you feel minor ache on the inner part of the elbow or forearm or weakening of the grip, if the soreness lasts more than 72 hours then please talk to your health professional before returning to the activity.
  • Stay hydrated: Always make sure that you are hydrated during the game.

 

It is important to rehab this injury by visiting a physiotherapist and following these recommendations:

  • Resting or pacing the activity which increases the symptom
  • ICE: Apply ice packs to your elbow for 15 to 20 minutes at a time, three to four times a day for several days. To protect your skin, wrap the ice packs in a thin towel. It might help to massage your inner elbow with ice for five minutes at a time, two to three times a day
  • Modalities: Your physiotherapist can use modalities like Ultrasound, Laser, IFC, etc. for pain relief and help with inflammation.
  • Stretching: Selective stretching will help you to maintain muscle flexibility and to decrease the chance of any future injury
  • Strengthening: it is important to strengthen your forearm and wrist muscle so that they can take the the strain you put during activity/game.
  • Guarding the part by brace or taping: a counterforce brace on your affected arm, which might reduce tendon and muscle strain
  • Posture education and maintenance during game or activity: Keeping proper posture during the activity/game can decrease the chances of injury significantly please talk to your physiotherapist regarding postural.
  • Gradual return to the activity: It is very important that you gradually return to activity/game as it gives time to your muscles to meet up with work demand.

Dr. Vikas Puri 

B.Sc., D.C, Toronto, Canada

President and Co-Founder of Intelligent Health Group.