Casting and desperate itching

[Jasmin_sunset]

Hi, I have a little nephew with a cast in his arm. It is itching him a lot and I know we should not place baby powder, lotion, liquid, or any instrument inside the cast to help him scratch. I have used the hair dryer in the cold setting and I have put a cloth of cotton on the edge of the cast, but nothing helps. Do you have any good suggestions? I appreciate your prompt advice.

[JustBeachyNurse, LPN]

What did the treating physician recommend in the aftercare instructions?

[traumaRUs, MSN, APRN]

Itching inside a Cast

Itching is a common yet frustrating problem for a person with a cast, especially during hot weather.

• Even if you can reach the itchy area, do not scratch the skin inside the cast. Because the skin is in a hot, moist environment, it is susceptible to damage. Scratching is more likely to injure the skin than under normal circumstances and increase the itchiness.
  
• Do not put anything in the cast, especially to itch. Using objects or toys to scratch is a major concern with young children. A lodged object in a child's cast can cause a pressure sore in addition to a possible infection.
  
• Do not apply powders or deodorant to your itchy skin. This will only increase the itchiness.
  
• If surgery was performed and there is an incision, consult your doctor for pain medication or medication to reduce itching. Using a hairdryer (with the temperature setting on cold) over the area may also reduce the itchiness, whether or not an incision is there.
  
• You may use over-the-counter antihistamines if the itching is severe. If the itching persists, contact your doctor.
  

OFC | The Orthopedic & Fracture Clinic, Oregon

I would also advise calling the Ortho provider. We wish you well

[NRSKarenRN, BSN, RN]

[h=3]Wearing a Cast? Be Careful How You Scratch That Itch - US News[/h]Wateproof Ice pack applied to outside cast seems to help most.