Back-to-School Cast Care Tips

Back-to-school season is here! Between playground breaks, sports practices and the excitement of returning to class, accidents and injuries can still happen. For children who are already wearing a cast, navigating daily school life requires a bit of extra care and attention.

Here are some simple, practical tips to help your child stay comfortable and safe with their cast during the school year.

Keep the Cast Dry

This is the No. 1 rule: Don’t get the cast wet. A wet cast can cause skin irritation, breakdown or even infection.

• Sponge baths are safer than showers.
• Stay away from pools – even the shallow end.
• Never try to cover the cast with a plastic bag for long periods.
• If your child has a fiberglass cast with a waterproof lining, ask your care team if some water exposure is allowed.

If the cast gets wet, call us to schedule a replacement appointment.

Sweat and Itching

Classrooms, gym activities and the fall weather can make children sweat inside the cast, sometimes leading to itching.

Tips to help:

• Use a cool setting on a hairdryer to circulate air in the cast.
• Choose light, breathable clothing.
• Avoid placing objects under the cast to scratch.

Positioning and Comfort

To reduce swelling and stay comfortable during the school day:

• Elevate the cast limb when possible, especially after activity.
• Use pillows or rolled-up clothing for support when sitting.
• If your child has a hip spica cast, help them change positions regularly.

What to Watch For

Parents and teachers should check the fingers or toes on the cast limb daily. Look for:

• Color: Nail beds should be pink.
• Temperature: warm to the touch.
• Swelling: minimal.
• Movement/sensation: free movement and normal feeling.
• Pain: Localized or constant pain may indicate a problem.
• Position: If fingers or toes disappear into the cast, it may have shifted.

If anything seems unusual, don’t hesitate to call us. Our team will evaluate the situation and provide guidance or an appointment if needed.