In this Facebook Live: All Things Orthopedic, Dr. Hoffinger, Board Certified Orthopedic Surgeon, is sharing more about why some patients experience pressure inside their cast or splint, as well as answering other frequent questions. 

As with any injury or surgery, we encourage you to share your concerns with your doctor. If you’re noticing increasing pressure or pain, be cautious & let your orthopedic team know what you’re experiencing.

Why a splint before a cast?

Certain fractures can swell a lot which doctors try to accomodate; it is one of the reasons that people are told in the emergency room not to make an orthopedic appointment right away. If you do, you will have to get splinted and then come back to have it changed to a cast. This is not true for all fractures, but when you are splinted for the most part, doctors are expecting it to swell. Splints are often put on first because a cast can cause a lot of pressure. 

Why is my cast shaped so funny?

When doctors cast a fracture, there is an old saying that “a crooked cast makes a straight bone”. If you have a fracture that wants to angle one way, a doctor will make the cast have a little bit of a bend in the opposite direction. 

Why do some people feel pressure when wearing a cast or splint?

If you are feeling pressure, that is the time to elevate the cast or injury. A little bit of reduction in swelling can make a big difference in how you feel. If you keep the injury down it may hurt more because the blood is rushing to it which causes swelling. Some pressure inside of the cast is normal, just be cautious that it does not keep getting worse or is intolerable. 

We hope this video was helpful & encouraging. Please leave your family-friendly comments below!