Dylan Crake RMT & R.KIN

Fractures: Cast-on

Draping and Pillowing

• Secure, stable and neutral position
• Be sure there is no stress on fractured area

Hydrotherapy

• Check nail beds for blood flow
• Place cold hydrotherapy on fingers
• Be sure to check in visually, vocally and through touch

Specific Treatment

• Perform lymph drainage
• Perform fluid techniques
• Tell client to perform diaphragmatic breathing
• Perform vibration through cast
• Effleurage proximal to cast
• Be sure to not have are in traction!

Fractures: Cast-Off

Hydrotherapy

• mild hydro (not too cold, not too hot) to decrease autonomic response

Specific Treatment

• Lymph drainage if fluid present
• Decrease trigger points in proximal limb
• Perform light, stimulating techniques of the area that was casted

Communication

• Check in with client with heat and trigger points
• Make sure the area is stable throughout

Lymph Drainage Review

• Begin with 30 pumps at termini
• Next, 30 pumps at axilla or popliteal fossa
• Pump down towards cast, 5 -7 pumps at an area
• Clear axillary or popliteal fossa with 30 pumps
• Clear termini with 30 pumps