How should the visible skin be kept?
Keep it clean and dry. Gently clean exposed skin without allowing water to run underneath the cast.
Can moisturiser be used around the cast?
Avoid applying creams or oils where they could run beneath the cast unless a clinician has advised otherwise.
What if the skin itches?
Do not insert pens, knitting needles or other objects underneath the cast. These can injure the skin or damage padding.
What should you check at the cast edge?
- persistent redness;
- rubbing or blisters;
- skin becoming trapped against a rough edge;
- swelling;
- new tenderness.
What about fingers or toes?
Check colour, warmth, movement and sensation where possible. New numbness, persistent tingling or marked swelling needs attention.
Can padding be pulled out?
No. Removing or rearranging internal padding can create pressure areas and change how the cast supports the limb.
Why should the cast stay dry?
Moisture beneath the cast can soften skin, increase irritation and affect some cast materials.
Important: Increasing pain or new neurological or circulation symptoms should not be treated as normal cast discomfort. Contact the relevant clinical service.

