Plaster care

Given time and the right care, the bone is able to heal itself

A plaster cast is applied to hold the arm or leg fracture in place while the bone heals. Once the plaster has been applied, you are advised to see a doctor the next day to check that it is fitted correctly.

On average, plaster casts stay on for about six weeks. This time is sometimes longer or shorter, depending on your age, general health and type of fracture.

During this time, x-rays are done to check that the bone is healing well

If there are problems with the type of fracture or the way in which the fracture is healing, you may be referred to an orthopaedic surgeon (bone doctor). Common issues include:

Fractures can be painful. The pain can be extreme at the beginning but it will ease when the plaster is on
the fractured limb is supported

The pain will settle even further over the next few weeks. Simple painkillers, such as paracetamol, are often needed.

Check the packet for instructions

The plaster causes itchiness for a few days, but this should ease.

The plaster cast supports and protects the fracture while the bone heals

However, the cast can sometimes cause circulation problems

To help prevent this: In the case of an upper limb plaster cast, exercise the fingers often. In the case of a lower limb plaster cast, exercise the toes often. Keep the plastered body part raised to prevent swelling, especially for the first 48 hours.

For example, use a sling to keep an arm raised, or place pillows under your leg.

Ask the doctor or nurse for suggestions

The plaster is important, as it keeps the fracture in an acceptable position. Suggestions include: Rest for a couple of days once the plaster is applied to allow it to set completely.

Keep the plaster dry

Put a plastic bag over the plaster and seal with a rubber band when having a shower or bath. Try to keep the plaster out of the rain. Don’t stick objects down the plaster, as this will damage the skin.

Don’t cut or interfere with the cast. Don’t walk on the plaster.

It is better to use crutches instead

Don’t lift anything or drive until the fracture is healed.

Follow all plaster care instructions given to you by medical staff

You should see your doctor or go to the nearest hospital emergency department straight away if you have: Any concerns about your plaster cast.

After the plaster cast is removed, common issues include:

There may be some stiffness
weakness in the limb. This should improve as you go about your normal activities

Sometimes physiotherapy is needed to help you recover

Physiotherapy involves exercises to improve muscle strength, joint mobility and balance.

These exercises help you to safely return to normal activities

The bone is still healing so you should take care for at least another month

You may feel a lump at the site of the fracture. This is the new bone, which will eventually take on the shape of your original bone. Pain and itchiness Caring for the fracture Caring for the plaster Seek urgent medical help Pain despite taking painkillers Fingers or toes of the affected limb that go white or blue Fingers or toes that won’t move Pain on moving your fingers or toes Numbness or pins and needles Once the plaster is removed Where to get help Your GP (doctor) Emergency department of your nearest hospital Orthopaedic surgeon Physiotherapist.

Key Points

broken bone is a common event Common issues include: Fractures can be painful plaster causes itchiness for a few days, but this should ease
However, the cast can sometimes cause circulation problems
To help prevent this: In the case of an upper limb plaster cast, exercise the fingers often