Cast Removal

Plaster casts can be removed by two means. They can be removed shortly before the next cast with a cast saw, which is vibrating bit/blade that usually can not hurt skin. If you put your finger on the blade, there will be no injury. In most cases should the cast saw cause an injury, it is minor. However, an experienced cast tech should not allow this to happen. If the padding under the cast is too thin however, this is a potential risk. These injuries are more of a skin "burn" than a cut, and will heal under the next cast. This is not always a reason to change doctors, but it may be a reason to ask for a different cast tech.

If your doctor cuts casts off you will be able to save your casts for posterity. Soaking casts off does not allow for this particular bit of memorabilia.

Soaking Casts Off

Soaking the casts off eliminates any risk of injury from the cast saw. Some parents and doctors prefer this method, while others are happy to get the cast removal done in a very short time. Soaking the cast off does take much longer, although it also allows you to bathe your baby at the same time. There is no "right" way to remove a cast, other than to make sure to do it within a couple hours of each next appointment for a new cast.

**There is study data that indicates that cast removal the night before increases cast frequency by half. The babies who had their casts removed the night before averaged 11 cast changes, vs the babies who removed the cast right before the appointment had on average 5 casts.

  • If you can, find some blunt tipped surgical scissors. These will help you cut through the cast material once it's softened.Your local pharmacy (Wallgreens, Rite-Aid, Walmart, your local grocery/pharmacy) has these, send daddy or another helper out to find them or order ahead of time online.
  • If the above is a hardship, ask the doctor for some surgical scissors. There are disposable options available within the hospital system, and you should always ask for what you need. If a clinic asks you to take casts off yourself, but can't provide you with safe scissors to faciitate that, this is suspect.
  • Add a little vinegar to the soak, this can encourage the plaster to soften.  Try pouring vinegar straight into the cast while babe is lounging, this method can accelerate cast softening.

  • Some doctors leave a little "nub" of sorts, which is the end of the cast tape so that you can begin unwinding it.  This does not usually mean the cast is all one long piece and can be unrolled fully.  Your will still likely need to use the surgical scissors to complete the removal process.

Find a Doctor

We can help you find the best Ponseti Method doctor for clubfoot treatment

Find Support