Orthopedic care

Water got inside my cast. Who should I call?

What the cast clinic needs to know when the lining feels wet after a shower.

General information to help you prepare for a conversation with your clinician.

You take the cover off after a shower. The outside of your wrist cast wipes dry, but the padding near your thumb still feels damp. Call the clinic that fitted the cast and tell them where the water went. If they gave you instructions for a waterproof liner, follow those instructions for your particular cast.

What to say when you call

“Water ran in at the thumb around eight this morning. I can still feel wet padding against my wrist. Do I need to come in today?” If the clinic asks what the cast is made of and you’re unsure, say so. The staff can check what they used. A hard outer shell can cover a lining that needs to stay dry.

Mention any change since the shower. Does the cast feel soft in one spot? Is the skin at the edge sore? These details help the person on the phone understand what needs checking. Leave the padding in place and keep hair dryers and other heat sources away.

When to get help right away

New numbness, fingers or toes turning blue or white, increasing pain, or difficulty moving your fingers or toes needs urgent assessment. If the cast team cannot see you urgently, seek emergency care.

Before you hang up, ask how to protect this particular cast the next time you shower. Save the daytime and after-hours numbers alongside your follow-up appointment.

Sources

Oxford University Hospitals: Caring for your plaster cast

South Tees Hospitals: Adult cast care

Frimley Health: Waterproof cast padding