Casting and splinting for foot and ankle injuries

You may need a cast or splint if you're dealing with an injury or condition that requires extra stability. Common reasons include: 

• Fractures of the foot or ankle, including stress fractures like Jones or metatarsal breaks
• Severe sprains, ligament injuries or Achilles tendon problems
• Post-surgical support after procedures like ankle arthroscopy, tendon repair or ankle replacement
• Heel pain from plantar fasciitis or heel spurs
• Diabetic foot issues or sports-related strains that need extra protection 

Your care team considers the type of injury, swelling and your personal goals to determine the best option for you. 

The type of cast or splint depends on your injury and healing needs: 

• Short-leg casts: Cover the foot and lower leg for full stability, commonly used for fractures
• Posterior splints: Support the back of the leg and under the foot, often for stable injuries or heel conditions
• Stirrup splints: Wrap around the heel and sides for side-to-side stability, ideal for sprains
• Walking boots or braces: Adjustable supports that allow safe, controlled movement during recovery 

Fiberglass casts are lightweight, breathable and more comfortable than traditional plaster. Casting and splinting are typically nonsurgical treatments, though they're often used to support healing after a surgical procedure.

We start with soft padding to protect your skin, especially over bony areas like the ankle and heel. The cast or splint is molded carefully to fit your foot, with extra padding added where needed for comfort. Splints can be adjusted as swelling changes, keeping your healing process flexible. 

• You'll receive simple care instructions to keep your cast or splint dry and safe
• Follow-up visits let your care team check healing and adjust or remove the support as needed
• Once your cast or splint is removed, physical therapy helps rebuild strength, balance and range of motion
• Many patients return to everyday activities within weeks and gradually get back to sports with guidance 

Your care team supports you every step of the way so you can regain comfort, mobility and confidence safely.

Casting and splinting are generally safe, low-risk treatments, but as with any medical care, there are a few things to keep in mind. Skin irritation or pressure sores can occur if a cast or splint isn't fitted or cared for properly. Swelling changes during recovery may require an adjustment to your splint or a new cast. 

Your care team will walk you through proper care instructions and answer any questions before and during your treatment, so you feel confident and supported throughout your recovery.