too tight cast

Hi everyone,  I am almost 3 weeks post-op and had my stitches out and a new cast put on last Thursday (6 days ago).  When the cast tech was putting it on she was pulling really hard on it as she wound it around my leg.  I thought that was really weird but didn’t say anything because the previous one was so bad that anything had to be better.  The first cast was put on while still under general and they somehow managed to rotate my foot in towards my other leg and under so that all of the pressure of the cast was on the surface of my foot.  The result was severe burning pain and numbness.  Since I have never had a cast before, I thought that maybe there had been nerve damage during surgery, but when I had my stitches out my foot was really twisted and they had to force it into the correct position for the new cast.  So back to that one.  When I got home the pain became progressively worse again, after having improved for the 20 minutes the cast was off.  Friday I toughed it out because I thought that maybe it was just swelling due to the cast change.  Monday and Tuesday the clinic was closed for Canada Day, so that brings us to today.  I called the hospital and they said to come in if I wanted and they would have a look at the cast.  The two techs took of the old one and the top of my foot was covered in bruises.  The tech thought that it was from the surgery, but six days earlier when the cast was changed there was extensive bruising only on the back of my ankle and the sides.  He then checked the inside of the cast and said “yup, there is a big lump in the cast right where all the bruising is, its a good thing you came in”  I have to tell ya I was annoyed because the burning pain has been intolerable and medication didn’t help.  I now have a lovely new hot pink cast and am hoping that third time is the charm and I will no longer have pressure issues on the top of my foot.  Morale of the story?  If you are really uncomfortable, get yourself checked, you might be suffering needlessly.

17 Responses to “too tight cast”

  1. Hey Jenny-
    Sorry you had to go through that. i got a pressure sore on my heel because my splint was wrapped to tightly and I didn’t know what was causing the pain, or that I could loosen my splint. It hurt like crazy and didn’t respond to pain meds. I hope this cast works better for you, if not definitely be the squeaky wheel until they get it right, pressure sores aren’t something to mess around with!

  2. I had an unplanned cast change because of pain and burning. I was afraid my incision had opened! Of course, the incision was fine, but there was alot of rubbing and red skin on my leg. So, when I got the second cast, the doctor added more padding. (Interesting - I go to a large ortho practice, but the doc has done all the casting!) Although the second cast was still tight and somewhat claustrophobic, it was much more comfortable.

    I agree, when something does not seem right, go after it. You might be sheepish that you complained when everything is fine, but you might end up with some much needed relief! Who cares what the doctor or techs think?!

  3. Hi there I just read your blog and I think I will go to my doctor tomorrow my cast is really bothering me as well. When I called in right before the july 4th holiday the nurse told me the cast was tight due to swelling and it will get better over the weekend.Here I am though my foot feels like it wants to burst and I have it up most of the day. What do you do about covering it in the shower,these stupid bags and tape are annoying! Have you found a sock that fits over the cast?lol Feel free to email me,

  4. Thanks for your comments Jenny. So sorry to hear that you have had trouble with your casts. After 9 days II have pain when upright and blood pools in the foot, but I think this is regular and just a result of the poor circulation… it is certainly alleviated when elevated! Hot pink eh? good for the summer.

  5. Hi
    That sounds horrible poor you. I hope you’re having better luck with your new cast. I would totally agree if you feel uncomfortable/sore or more pain then usual go and get it checked out. I broke my ankle about 3 weeks ago now and I had a non weight bearing cast after the operation for a week which was fine. My foot was healing ok when they took it off to put the plaster cast on which I was supposed to wear for 10 days. It then it went down hill. After about a week I started getting pain in my foot. It felt like something was stabbing in my toe and I noticed my toes were bigger. I went to the doctor they said the circulation was fine and just to stay off my feet until my 10 day check up which was 3 days away. I stayed in bed with my foot elevated. The pain was just getting worse and worse and I was on really strong pain killers but they were doing nothing for it. In the end 2 days before my 10 day check up I noticed some blood on my toes. I decided enough was enough and went to A&E and they cut off the cast. They found that my toes and the front of my foot had swollen up badly and I had blisters because the cast was too tight. I now have the new air boot cast which is much better and my ankles healing well but the front of my foot is still very swollen and very painful and is probably going to take a long time to go down. All because I was stupid enough to try and wait to my appointment instead of going to A&E as soon as I noticed the pain. So don’t make the same mistake I need it’s not worth it.

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