Can You Get Your Cast Wet? Bathing with a Right Wrist Fracture

Right hand fracture?

Doctor, I would like to ask if it's okay for my right radial fracture to come into contact with water while taking a shower.

Pei Ying, 10~19 year old female. Ask Date: 2015/07/29

Dr. Shi Guozheng reply Orthopedics

If there are no wounds or if the wounds have already healed, it is safe to come into contact with water.

Reply Date: 2015/07/29

More Info

When dealing with a wrist fracture, particularly one involving the radius, it is crucial to follow your doctor's advice regarding care and hygiene, especially when it comes to keeping your cast dry. Generally, it is not advisable to get your cast wet. Here’s why:
1. Cast Integrity: Most casts are made from plaster or fiberglass. While fiberglass casts are somewhat water-resistant, they are not waterproof. If a cast gets wet, it can lose its structural integrity, potentially leading to a situation where it does not provide the necessary support for the healing bone.

2. Skin Health: Getting a cast wet can create a moist environment inside the cast, which can lead to skin irritation, rashes, or even infections. The skin underneath the cast can become macerated (softened and broken down) due to prolonged exposure to moisture, which can complicate healing.

3. Healing Process: The primary goal after a fracture is to ensure proper alignment and stabilization of the bone as it heals. If the cast is compromised by water, it may not hold the bone in the correct position, which could lead to malunion or nonunion of the fracture.

Recommendations for Bathing with a Cast:
- Use a Plastic Cover: If you need to bathe, consider using a waterproof cast cover or a plastic bag secured with tape to keep the cast dry. These are specifically designed for this purpose and can help protect the cast from water.

- Sponge Baths: Instead of taking a full shower or bath, you might want to consider sponge baths. This method allows you to clean your body without exposing the cast to water.

- Avoid Submerging: Never submerge the cast in water, whether in a bathtub, pool, or any other body of water. Even if the cast is waterproof, it’s best to err on the side of caution.

- Check for Issues: After bathing, check the cast for any signs of dampness or odor. If you notice any issues, contact your healthcare provider for advice.

- Follow Up with Your Doctor: Always follow up with your doctor or orthopedic specialist regarding your specific case. They may provide additional instructions based on the type of fracture and the healing progress.

Conclusion:
In summary, it is generally not safe to get your cast wet when you have a wrist fracture. Keeping the cast dry is essential for both the integrity of the cast and the health of your skin underneath. If you have any concerns or questions about your specific situation, it’s always best to consult with your healthcare provider for personalized advice. They can provide guidance tailored to your recovery process and ensure that you are taking the right steps toward healing.

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