Peds Frequently Asked Questions

My child loves swimming, how do I protect their cast?

What happens if my child’s cast gets wet?

  • If this happens, please contact our medical team ASAP. Please send an email to toppedsortho@toportho.com or call 435-655-6606. Your child’s cast may need to be removed and replaced, especially if they had surgery, and/or there are pins under the cast.

What if my child experiences itching in their cast?

  • DO NOT STICK OR PLACE ANYTHING IN THE CAST. This can cause an infection or significant harm to the skin.
  • To relieve itchy skin try tapping your cast with a spoon, it will cause your cast to vibrate which may alleviate the itch.
  • We also suggest cool airflow. The main instigator of itching under a cast is sweating so running a fan or blow dryer on low will help alleviate the patient’s itchy sensation.
  • Anything left in a cast will begin to fuse to your skin (in as little as 24 hours) which will likely cause an injury or infection.

How do I know if my child needs to see a pediatric orthopedic specialist?

If your child is experiencing persistent pain or discomfort in their muscles, joints, or bones, it may be a sign that they need to see a pediatric orthopedic specialist. Other indications include difficulty with movement or coordination, limping, swelling, or deformities in the limbs or spine. If you notice any of these symptoms, it’s important to consult with a pediatric orthopedic specialist for a comprehensive evaluation and personalized treatment plan tailored to your child’s needs.

Which hospitals do our Orthopedic Surgeons provide surgical care at?

Primary Childrens Hospital in Salt Lake City, and Park City Hospital in Park City. Please ask your surgeon which place is ideal for your child and their orthopedic diagnosis.

When do I remove the steri-strips?

We typically suggest removing these at ~ 2 weeks following surgery. If they haven’t fallen off on their own by this time, please lift them off and remove them completely. In many circumstances, you will also find a clear suture on each end of the incision. This needs to be removed as well, by lifting it up with your fingers and cutting it at the base. You do NOT need to pull on the stitch. Just lift up and cut. The stitches under the skin will dissolve. If the stitch sticking out is BLUE or Black, leave it alone; your doctor will take this out at your post-op visit.

How can I help my child’s pain?

  • Non-Pharmacological Approaches: Provide comfort measures such as applying ice packs or heating pads (depending on the type of injury), gentle massage, or distraction techniques like reading books or watching movies. Encourage your child to find a comfortable position that alleviates pain. Proper positioning can often help reduce discomfort.
  • Over the Counter Medications:
    • Ibuprofen (e.g., Advil): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to relieve pain and reduce inflammation. It’s suitable for children over six months of age. The recommended dosage for children depends on their weight and age.
    • Acetaminophen (e.g., Tylenol): Acetaminophen is another over-the- counter pain reliever suitable for children. Like ibuprofen, the dosage depends on the child’s weight and age.
  •  Important Considerations:
    • Always use a measuring device (such as a syringe or dosing cup) to ensure accurate dosing.
    • Do not give ibuprofen to children with certain medical conditions or allergies without consulting a healthcare professional.
    • If your child’s pain persists or worsens despite medication, seek medical attention promptly.
    • If you have any questions or concerns about managing your child’s pain or administering medication, don’t hesitate to consult with your child’s pediatrician or a healthcare professional for personalized guidance and recommendations.