Serial Casting

Serial casting is a process of applying a series of lightweight casting material primarily to the lower leg(s) generally by a Physical Therapist or Orthopedic Specialist as prescribed by a physician, with the goal of changing the angle of the cast approximately every 1-2 weeks in order to move the joint closer to the correct position. Over time, serial casting can help lengthen the muscles and improve the movement of a joint. The stretch provided with each casting is done very slowly and gradually, therefore the casting series should not be painful.

Casting can be done in one of two ways:
  • Removing the entire cast and replacing with a new cast
  • “Wedging” (cutting out a section of the cast to change the angle and then re-wrapping it).

Serial casting can be beneficial for the following diagnoses:
  • Cerebral Palsy
  • Clubfoot
  • Toe walking
  • Muscular Dystrophy
  • Spina Bifida
  • Foot/ankle orthopedic abnormalities
  • Stroke
  • Traumatic Brain Injury (TBI)

Please note that all serial casting considerations must have a physician written recommendation (prescription) prior to a licensed Physical Therapist/Orthopedic Specialist providing a detailed assessment prior to beginning the serial casting series. Outcomes of serial casting vary, and length of casting series will be determined by person providing application as appropriate based off of progress seen/patient tolerance with casting.