Serial Casting

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BDI Playhouse Children’s Therapy is excited to offer a variety of dynamic and serial casting options to address toe walking (equinus gait pattern), club foot, club foot relapse, and a range of motion limitations and poor alignment of the foot and ankle.

The casting process is a noninvasive treatment technique using a cast or series of consecutive casts with a goal of improving range of motion and mobility and improving foot alignment.

Most casts are applied using a flexible cast material or plaster that can be removed in the home after 4-7 days and most children walk on the cast and can participate in reasonably typical activities during the casting process.

Goals of Casting:

  • Improve range of motion
  • Prevent complications from changes in bony alignment
  • Improve alignment for future orthotic use
  • Increase the level of function
  • Prevent chronic skeletal issues

Therapists providing serial casting:

  • Have extensive training in lower extremity casting, specialty casts for foot alignment and corrective casting to promote optimal foot positioning and mobility
  • Adapt treatment based on each child’s needs
  • Offer experience in functional movement, gait analysis, range of motion, and collaboration with all members of the healthcare team

Conditions that can be addressed with serial casting:

  • Cerebral Palsy
  • Idiopathic or sensory equinus gait or “Toe Walking”
  • Duchenne Muscular Dystrophy
  • Spasticity
  • Decreased range of motion
  • Traumatic Brain Injury
  • Club foot or Club foot Relapse
  • Charcot-Marie Tooth
  • Metatarsus adductus
  • Excessive pronation and Navicular drop

Great Feedback from Great Families

One of the best things that they have done for him is serial casting. BDI stepped out to develop a serial casting program at the clinic. This was a huge undertaking of training, planning and cost. So much so, that you normally only seen this done at hospitals. However, their commitment to do this, even at cost to them, shows how much they value the success of each patient. Due to serial casting and the therapy that surrounded it, my son regained his ability to stand flat footed and stay stable, something that he had not been able to do since the age of two. He can now run and casting has also prevented or at least delayed the need for surgery to address his needs."

Getting Started With Serial Casting

Still not sure? Learn more about whether your child needs therapy here

See what others have to say...

    review rating 5  My son has attended BDI for the past 7 years and we have had the most wonderful therapists. They genuinely care about the kiddos they work with and the families. Each therapist takes time to understand the needs of the child and provide a good road map for the family to follow to ensure future success. The entire staff is friendly and helpful and I wouldn't be happier with the services my son receives.

    thumb Krysti Barksdale-Noble

    review rating 5  We have being going to BDI for many years with two of our children. Without hesitation, I rank this place as top notch. The therapists are fun and caring, and their services are forward-thinking and cutting edge. Very grateful for this incredible team (PT, OT, and speech, along with aquatic therapy and serial casting.)

    thumb katienadkevin keagle

    review rating 5  My son has been going to BDI since he was one year old. He took his very first steps there and has so many "firsts" thanks to the wonderful therapists who work tirelessly to help him meet milestones. I truly attribute so much of his recovery to the team here! We all are so grateful for BDI!

    thumb Renee Scafidi