The Cast {tips on life with a hip spica cast}

About seven weeks ago we were told the news that our daughter would be soon sporting a hip spica cast. Since I was in the hospital with her for a while I began looking around online regarding how to care for the cast and the child in the cast. There are lots of technical & medical information out there, but not a lot of ‘real life’ tips. In comes my blog. Who knew writing a blog would mean numerous readers would email me tips from their experiences! Our transition into life with The Cast was so much smoother because kind moms who had been down this road before offered me help. Thank you.

Since so many of you kindly read this blog (side note…if we meet, please do not be embarrassed to tell me you read my blog..)…anyway, since there are a good number of you visiting here I knew if I wrote a post about hip spica casts that it would probably pop up on search engines for future moms given the news their child would be going home in one. So, I am going to write this to those moms….my very small way of passing on all the great tips I was given. Hopefully it will help another mom who sees some crazy stuff online when doing a hip spica search!

Thank you to those of you that have passed on tips from diaper changing to matted hair repair. THANK YOU!


Transportation: There are a few options available here. Some children can fit in their car seats – my daughter could not. There are special hip spica car seats available for purchase online. Larger cities often have resources to rent one. Another alternative is a harness that looks like a skydiving vest. Not every hospital has these available. Thankfully we were able to get one from our Children’s Hospital to use for the duration of the cast. In the car she lays on her back in the back seat. One seat belt wraps through the back of her harness. Another seat belt uses an attachment to wrap around the leg with the cast. Her legs are propped up on pillows. Climbing to the back of a mini-van carrying her is a pain, but worth the ability to get out of our house.

This is the day we left the hospital, I was thrilled…she was drugged.

Hospital Hair: After 18 days in traction on her back her hair had to be cut the day we got home. I used de-tangling spray 3x a day in the hospital. After ripping out knots for that long the ends of her hair were in bad shape. If you have to do traction – do your best to work out tangles a few times a day. You could also use a hat and a silk pillowcase. She didn’t want to use either.

Sleeping: A bean bag has worked best for her. We play lullabies to help her fall asleep. The first few nights were really rough, but she quickly settled into her new routine. The combination of the cast and the bean bag made her pretty warm….and sweaty. I recommend covering the bean bag with a blanket or sheet that can be washed.

Diaper Changing: This advice from readers was the most helpful. The hospital told us just to do two diapers….she got urine in her cast within the first hour. This method did not work early on. She was on IV fluid – which created more fluids coming out. This is for a girl – I imagine there are unique challenges with a boy as there are a girl. (Thanks Nancy for the great tips on this!)

What worked the first weeks:

1. Cut a newborn diaper in half, tape the cut ends closed.

2. Line the edges of the diaper between legs with the cut newborn diapers (absorbent side touching skin). Tape to cast.

3. Use Poise pad (yep those are for adults), tuck it up the back & front of the cast. (we started with the regular size, then switched to the long ones)

4. Use your child’s sized diaper – tuck up front & back of the cast.

5. Use a large diaper to wrap around entire cast – keeping poise pad & other diapers in place.

What worked the second week on :

The cast got looser and we did not need the newborn diapers.

1. Use the long Poise pad and tuck up front & back of cast.

2. Use current size diaper to tuck up front & back of cast. Fold the front over the edge of the cast (hold it down with the big outer diaper)

3. Wrap with big diaper

If you change the Poise pad at least every two hours you probably don’t need to change out all the diapers. If you are able to completely line the inside top half of the cast with the diaper this helps a ton. The cast will get urine in it. No matter how hard you try and how OCD you are about keeping it dry….it will happen. Don’t break down and cry over it (like I did). Just prepare yourself. My daughter’s got urine in it from laying on her tummy…then we started wrapping the inside diaper up and over the cast to completely line it.

We didn’t use one, but I’ve heard great things about Cast Coolers.

Poise pad & regular sized diaper….larger diaper would then wrap outside of cast.

Sitting: Our daughter’s cast had her in a “frog” position. She couldn’t sit in a normal chair because of the angle. An infant seat with the tray removed worked by inclining it a bit. This has been a life saver as she is able to eat and play in this chair.

My grandpa built her a custom table to fit over her cast since the tray would no longer fit.

Dirt & Stench: If you have an active child, most likely the cast will get dirty. I tried putting a sock over her foot, but it just made her mad. You can clean the cast with a damp towel, but it didn’t work so good for us. The dirt was not a big deal to me, but the smell of the cast is horrible.

Bathtime: Sponge baths. Every day. It gets old. No great tips here.


Clothes: Dresses a size big work for me. She, on the other hand, has her own ideas of what she wants to wear. She picked out this entire outfit.

Moving around: My dad built her a custom skateboard. It is skinny on the front and wide on the back. The front wheels are enclosed so she doesn’t roll over her fingers. It is also padded.

Walking: We were 2 weeks into having the cast before I showed her she could stand next to the table in it. After that all she wants to do is push her stoller (with me close by to catch her when the cast goes one way and she goes another). I think if she was just a bit bigger and stronger she could probably figure out how to walk by herself in it. I have a radiologist friend that said walking like this is great to promote bone growth around the break.


Bean Bag & Car riding hair: Again with the hair….this is how it looks 90% of the time. I keep detangler, a water bottle & comb in the car now.

Carrying: Hip spicas are awkward & heavy. Her’s has a bar between her legs that has given me a bruised and calloused hip bone. When I carry her I feel like I am carrying a cast not my daughter. This too shall pass. I miss feeling her legs wrap around me when we run through the yard and spin.

Adjusted: Eventually she just adjusted into life with The Cast. She still gets mad when I tell her she can’t jump on the trampoline, but she moves on to other things like rolling and wrestling with her big brothers. I’m pretty sure if she could figure out how to jump she would.

When I was in elementary school I broke my foot (my second time) and had a cast from the knee down. I was at the gym (gymnastics) and my coach stepped in the office. I had be dying to know it if was possible to do a round-off backhandspring in a cast. The moment he stepped out (no other adults in the gym at that time) I knew I had my chance. I went for it. As I landed the backhandspring I heard a CRACK. I cracked the bottom of my cast in two places BUT I ACCOMPLISHED A ROUND-OFF BACKHANDSPRING IN A CAST! I didn’t tell my coach, but had to tell my parents that night. Our doctor lived nearby. My parents made me walk to his house, knock on the door and tell him what I did. That was not fun, but yes I am still proud of my achievement. I am also thankful my daughter doesn’t know how to do flips yet – she’s too much like her mom.

I think one day she will enjoy looking back at all these pictures of her time in a cast.  She is being such a trooper in this.

Those of you that have dealt with hip spicas and have additional tips or resources, please leave a comment sharing them.

If you are visiting this post looking for hip spica help…I hope you found some!

back to top share on facebook tweet this post pin site image email a friend
  • lesley graham - that sweet girl. smiling through it all. can’t even imagine how challenging all of this has been for her or YOU. bless you for trying to help others who may be going through something similar.

  • Cassie - Wow, what a learning and growing experience for both of you. You are BOTH troopers. When our son had to wear a helmet for plagiocephaly for a few months, it was so gross and so frustrating. But it does make you so grateful for the powers of both medicine and God’s grace. Hope the last few weeks with the cast go by fast!

  • Shauna - I guess she inherited the daredevil gene from you! Its so nice that you have a Dad and sweet Grandpa that can custom-build her what she needs. And you are so creative…if you have to be a little girl in a cast, your house is the place to be! If I ever break my leg will you take me in?? 🙂

  • sonal - You guys are so cute… AND making the most of a challenging situation. You’re so inspiring!!!!!

  • Rachel - Awesome post and insight! Continuing to pray for you all each day!
    p.s.-love creative Dads/Grandpas!

  • Sarah - wow. i don’t know if i’d be able to handle your situation as well as you seem to be. i’m sure it’s tough and challenging but you are making the best of it. hopefully she will be getting the cast off soon and life can get back to normal for you and your family! best of luck. sarah

  • Becky - How long does she need to be in the cast?
    I hope she doesn’t have to endure the hot summer with it!!

  • Miles - I have found the best treatment for tangles in the hair is Bain De Terre, Recovery Complex. It used to be at salons but you can buy it at beauty supply stores now. I have used it for 18 years and used it on my daughters hair. With this I have never had a use for detanglers. Makes it very silky so no tangles. Hope you can try this and it helps her hair.

  • Beth - Saw her at church on Sunday. She is absolutely adorable … hip spica and all! Great post!

  • karen - sending you patience and healing!! Your dad is awesome!

  • BLP - Amazing, invaluable tips! Thank you, and God bless your awesome girly!

  • Vicki - Look at you taking time out of your own busy recovery period to document tips for others who might have to go through the same thing! You never fail to inspire me, Ashely. Your goodness shines through every day.

  • Sarah @ Handbags*N*Pigtails - I pray I will never need this advice but I do appreciate you posting it.
    And I was laughing at the back handspring story. You rebel!

  • Rebecca Schultz - Just a couple truths. Grandpa is a genius, you are incredible and she is so sweet. I hope the time is near for the cast to come off.

  • Emily - Thank you! I’ve bookmarked this in case we need it in the future. Or anyone I know needs it in the future. You are fantastic.

  • Aja - Wow! Great tips! I can’t even imagine what this would be like, but it looks like you all are doing great! I love that her grandpas made her those special items to make things easier for her! So sweet.

  • andy - she is one amazing and determined little girl
    i know she will love seeing these pics one day. you will be glad you have them too

  • Phyllis - She is a little trooper and oh so cute!

  • Stacy - The handmade and well thought out tools from the grandpas are just so precious. Oh, how we love to have handy folks with tools and great ideas in our lives! Firecracker is just gorgeous…you can see her spunk oozing out of her smile!

  • Alice H - Wow what a great post. I hope I never have to deal with “the Cast”. But at least I would have some information thanks to you. I can’t imagine ever being in a cast or let alone having a child in a cast. You handle it with such grace. I love the homeade skateboard and her chair/table. How amazing that you have family who is just as creative and unique as you are to make Firecracker those items. Hoping she gets that cast off soon so you can feel her little legs around your waist.

  • Aubrey - I have to say it again…your family/dad is amazing!!! To have the talent to make practical custom things for her is such a blessing to have.

  • andiejaye - it does look like she’s so happy. i’m so thankful that you have such a happy, well-adjusted little girl so that she can take this all in stride. her hair looks darling too! those curls are the best!!

  • meg duerksen - ok…..that is rough.
    you have been through a lot ashley!!
    my crummy day seems not so bad.
    my kids home for the summer seems bearable if there is no hip spica cast.
    what memories you will have of all of this!

  • Amy - My middle son did not have a hip spica cast, but he did have a full leg cast when he was her age. (By the way, he’s now 4 & loves looking at pictures of his cast(s). Yes, he’s had 2…broken arm a few months ago. *sigh* Anyway, this is nothing spectacular, but for bath time I would fill the kitchen sink full of bubbles. Then I put a heavy towel on the counter, laid him on his tummy, & let him play in the bubbles while I sponge bathed him. He got to have a blast playing & I got to scrub the unmentionable areas without a fuss. Win, win. Wish I had tips for the stench b/c it is horrendous! (If you get a chance in all your free time (haha), check out my baby girl on my blog. She & Fireracker look alike! They even have the same aprons. 😉

  • Missy - This looks like great advice. Hope I never need it! I wondered if you could also suggest items for a “mommy care package”. I have a friend who was recently in the hospital for several days with her daughter and because of her daughter’s condition, they didn’t have visitors. I’m wondering what I could have sent her or dropped off for her (besides lots of coffee) that would have made her time easier. Thoughts?

  • Stacey Ball - I dare say that your daughter is (aside from my own) the most beautiful child I have ever seen. She is such a little trooper in her cast. Is it too young to start match making?

  • reyanna - You are doing such a fabulous job, Ashley! I know it’s SUPER hard work to have a child in a cast (not that I have had one, but you know… I *was* that child in the [bilateral] hip spica cast… LOL).

    Yay! You ended up getting your skateboard. Awesome that he could make it for you. I’m so glad that idea worked for you guys!! (I do remember loving mine… LOL. It was so helpful… and cool to be able to follow around my big brother and little sister. 😉 )

    And you did a round-off backhandspring in a CAST?!?!? OHMIGOSH! I coached gymnastics for eleven years, and never once did one of my Team girls try that. LOL. That is too funny! I know I did handstands and pullups and other things with a cast, but never a RO-BHS! That is SO crazy! LOL. Then again… I always had WAY more upper body strength than lower body strength, and I don’t even think I could do a RO-BHS with sneakers! LOL. :-p

    And not sure if I told you in my email, but my parents ended up chopping off ALL my hair after I got out of traction. 🙁 I was devastated, but I got over it. And now, I love it short. 😉 I’m glad you’re able to keep FireCracker’s sweet curls! 😀

  • Jenny S - Hi there! I just started following your blog recently. Really love it. Anyway, I had one of those casts when I was three because I had hip dysplasia (I’m totally fine now and I’m 30). But just wanted to say that my parents put duct tape around the edges of the cast so it wouldn’t scratch as much. Worked like a charm!

    Keep up the good work. You’re a great family. Keep those spirits up. Lots of people are thinking of you.

  • Summer - She’s such a resilient cutie! Glad that life for her has settled into somewhat of a “normal” routine.

    Your story about your broken foot cracked me up. I broke my arm in second grade and taught myself how to do one-armed round off backhand springs. My mom (and my coach) nearly died when they found out. Fortunately I did not break my cast. 🙂

  • Pamelotta - A really good friend of mine has had to deal with a spica cast when her son was little. She has a good tip (and a funny story) for dealing with the smell…

  • Dana Laymon Photography - I love the one of you cutting her hair- so precious! She has such a sweet smile and seems to be handling it all very well!

  • cynthia - Love this post. She’s too darn cute and I love the fact she’s not letting the cast keep her down. 🙂

  • Amy J. - Don’t know if someone has left a comment yet about this family’s blog or not but you should check it out. . . their infant daughter was in spica for several months and they’re fellow believers. She had a similar post not too long ago about tips for the “spica season” they were in. Amazing story they are telling for the Lord with their faith and testimony. Blessings! www(dot)baseballsbutterfliesblessings(dot)blogspot(dot)com.

  • christa - She is so beautiful and you are an amazing mom. I hope to one day have as much patience and “momawesomness” as you. 🙂 (yes, I made that word up)

  • amber - Glad to hear that other people cry over silly things.
    Thanks for sharing this…it’s so refreshing to read your words, see your pictures, & yet hear how you’re all living this out with grace & contentedness. God is awesome & I’m so glad He’s with you & your sweet girl. She’ll get that thing off just in time for the pool! Yes! Hang in there…

  • Carol - Oh my goodness. I have been following your blog for quite a while, even through all the cast stuff, and did not realize the full extent of all that it involved. I know that God has been giving you extra patience and strength to do what you just described every day. That cast is no joke – I am glad that Firecracker has such a great mom who wants to make the best of the experience!

  • Kara D. - hang in there! 🙂 hope The Cast is a thing of the past SOON! my son is going to be wearing a helmet for the next 6 months so this post encourages me…. we can and will adjust! and it gives me some perspective because a helmet is much easier than a capital C Cast! 🙂

  • Angie - I wish this post had been around when my daughter was in her hip spica cast. You did a great job on this post and I know many people will have a more enjoyable experience(if possible) with the cast, because of it. The smell of cast was hardest on us and the comment people would say. There was not much we could do especially towards the end, only wait for it to come off. I wish there was some kind of hint to give about the smell :0(. But I am glad that you are almost done with the cast. Her leg will be skinny when it comes off, and she might even be a little timded to use it at first. But will bounce right back to her normal self. I sure do love reading your blog and seeing all your beautiful pictures.

  • Tsuki aka LittleGrayFox - wow she’s such a trooper! It doesn’t look like she’s letting it get her down! I can’t imagine how tough that’d be at that age when you can’t really understand why you’re not being allowed to move.

    I love the photos though. I’m sure she’ll get a kick out of them later on.

    PS Your dad and grandpa are pretty awesome, too, for making her cool things to make it easier! a skateboard?!

  • emmybrown - you could try sprinkling some essential oils (such as lavender, but could be any of your choice) on the cast to help with the smell. Your Dad/Grandpa is amazing at making her life easier! (and probably yours too!)

  • Sou - The best thing for the tangled hair is baby oil. It is bit greasy but really helps with the tangles. Use a little everyday on her hair and you wont have a problem with tangles.

  • Andrea - This information is SO HELPFUL. I work at Texas Scottish Rite hospital for Children in Dallas and we send kids home in Spica Casts alllll the time! I am a Child Life Specialist and work closely with parents. I am also there to prepare the kids and help them cope with having the cast removed. I am with a spice cast daily! I am going to take these tips back to work tomorrow and share with our nurses. I am sure these will help moms and dad prepare and cope with having a child in a spica. No doubt about it… spica casts smell the worse. This can not be helped. I mean look where it is! Your diapering technique is so awesome! We tell parents all the time about the poise, but you seem to have perfected it! Each mom figures things out. so cool.

    Way to go super mommy!

  • Carissa Miller - She will definitely love reading about this someday. And I’m guessing that after she reads it, she walks up to her momma and gives her a great big hug and says, “Thank you.” She is blessed to call you mom.

  • Jenny B. - I had a friend send this to me. We are currently on week 4 of my 21 month old son in his spica!! On top of that, I’m also 7 months pregnant with our second which makes this whole adventure even more FUN! 😉 Since the cast weighs a ton and I’m big and pregnant I can’t lift or carry him anywhere! My mom has been such a blessing and comes over every morning when he wakes up and stays all day until my husband comes home work just to lift and carry him for me. We rotate from thing to thing! Wagon or stroller rides in the house (b/c it’s been too hot to take him outside), playing with his toys in his room on his bean bag, sitting in his high chair (which thankfully he fits in!) and playing indoor basketball. You get very creative on what to do for 5 weeks! This has been a crazy emotional roller coaster for all of us!
    My sons cast looks just like your daughters (but blue!). He even sleeps just like that picture of your daughter too! 🙂 Nights have been rough! He’s never been a back sleeper and we both haven’t gotten much sleep in the past 4 weeks, but I say it’s just getting me ready for another new born! We basically moved his entire room into our living room! We borrowed a queen size mattress and that’s smack in the middle of our living room as well! I’ve been sleeping with him the entire time b/c nights are so rough for us and it’s too hard getting up & down with a big tummy! 🙂 We’ve got 1 more week and 3 days to go and yes, I’ve booked the earliest appointment possible for his cast removal day!! We’re also having a “cast off” party to celebrate….that is if he’s up to it! Praying the “removal” process is not as traumatic as it seems! And praying he can walk & run again like normal. Can’t WAIT to get my boy back!! He went through a little depression time at the beginning which was very hard to see. Didn’t want to play and just sat all day not saying even saying anything. After he was able to get off the meds all that went away! Praise Jesus!
    The only other issue we had, that you didn’t mention but you may have had as well was constipation! The nurses and Dr. warned us about it b/c of all the meds, the anesthesia and the immobility, but I never dreamed it would be so difficult! Let’s just say this Mother’s Day was about the worst day ever for us, but also the best day ever! 🙂 He hadn’t had a BM in over a week so that evening & rest of the week was very painful for him. VERY hard to see your baby in so much pain and not be able to do anything about it! Our Pediatrician told us to start putting a 1/2 tsp of Miralax in his juice everyday until he got regular again. We did that for about a week and sure enough he got regular again and we were able to leave off the Miralax.
    I’m glad to see that we’re doing things like other people do with these spica casts! We tried the Poise pads too, but for boys it doesn’t work as well. 🙂 We just use a size 1 diaper and then a big size 5 diaper to wrap around and it works great! Just not so fun stuffing that little diaper up in that little opening! We also wrapped a cloth diaper through the bottom of the cast in the back by his bottom and up & out the top of the cast. We fastened it on the outside with safety pins. We found that when he sweat or if urine got on his skin up by his back, he was getting stuck onto the plastic lining of the cast and it was very painful for us to try to separate his skin & the plastic. The cloth was perfect to protect his back from that happening again. If it gets wet from urine we just change out the cloth diaper instead of having to completely do a “clean the inside of the cast” huge process! We also just bought a bunch of the $3 shirts at WalMart and cut a slit up the back so it goes over his easily and fits over his cast. Works great for boys!
    Anyway, that’s our story and I PRAY this never happens again! All he was doing was running outside and fell in just the wrong way and broke his femur. Wish it was something more crazy so that I could prevent from happening again, but I guess that’s what prayer is for! 🙂 Being in the children’s hospital really puts into prospective how blessed you are that’s it’s only a broken femur!
    Just 10 more days to go for us…but who’s counting?! Thanks again for this post! Pray your little girl recovers quickly!

  • StaceyE - @Jenny B. My son broke his femur (just slipped off a step he climbed every day) this past August when he was 22 months old, and needed the spica cast for 5 weeks. I was also 6 months pregnant with our second, so I can definitely relate to how difficult it is! Glad to hear you only have 10 more days to go!

  • Life with Kaishon - She is simply the most adorable thing : )

  • Ivana - As I was looking through babygadget website I came across this great hair detangler device (

    It’s about $10 and looks like it could really help with the messy hair.

    Can’t get over how amazing she is.

  • Joy - I wrote you before…but I am still a big fan of the CastCooler!! I promise it helps with the smell! 🙂 And itchy skin!

  • Dorothy - What an amazing story! Your daughter really is a little trooper, such happy smiles all round. I hope this is over soon….

  • Cindy - thanks for the site…we go home tomorrow and right now this can seem overwhelming…it could be the sleep deprivation too!! Our little girl is a bit bigger than your ashley, I really love your ideas…the skateboard looks great. To give her as much independence as possible. Not looking forward to the smell! Cindy

  • Jenny - My 20 month old daughter just broke her femur trying to climb onto a bed. She got stuck, twisted and fell off. She’s been in the spica cast 1 week and it’s getting easier. Thanks for the tips on the 2 diapers. I’m going to try to fill the sink with bubbles this afternoon. All she wants is a bubble bath and her bike! We have 5 more weeks to go.

  • Shannon - Thank you so much for your tips. I’m gonna have to try the bean bag for sleeping, my daughter is so uncomfortable in my bed. And thank you for the link to the cast cooler – mine is on it’s way as of 5 minutes ago. The last 4 days have been a blur, my daugther got her spica cast on Monday due to a broken femur from a 100 lb. TV falling on her thigh. Since she’s 2, and has hair longer than you’d believe, i noticed that putting her hair in pig tails helps the most. It’s out of her face and split down the middle so she can lay easier. I also found that a wagon lined with pillows is the best form of transportation. Also, we bought a little activity tray from walmart that she can lay on her lap (like your wood table) where she can eat and color on. Thanks again for the tips and for the link to the Cast Cooler…only 5 weeks and 2 days to go!

  • Shannon - Also…the Children’s Hospital we went to lined her entire cast in moleskin so it wouldn’t scratch or irritate her skin. She has little strips all around the oustide openings – for her legs, diapering area, and top. they’re replaceable when they get soaked or dirty and it helps with the comfort.

  • Chantel Crispin - What a lovely blog, the photo’s of your daughter are so gorgeous. I have had both my daughters in spica’s for Hip dysplacia and possibly will be having my son go into one. Your tips are great, I don’t think I can even add anything. But if anyone knows an easy way to do the grocery shopping I’m keen to know. My girls could fit in their pushchair, but I couldn’t get many groceries that way.

  • Ellen - I read these posts last spring, thinking how awful this would be. Then my daughter leaped from a table in early November (she seems to be a very similar personality to your daughter… and yes, she jumped on purpose)and we’ve had a hip spica since.

    The first thing I thought when they told me about the cast was, “I saw this on Ashley’s blog!” Funny how these things come back to you.

    We have learned a lot of these same methods. Trial and error! She STINKS right now. Hopefully it will come in just over a week, in time for Christmas! I’m counting my blessings… there was no traction and no bar. The thing I can’t believe is just how very tired I am from hauling around this heap of fiberglass! My daughter is 24 months and has figured out how to stand on her own and cruise along furniture, etc. It’s been helpful as she’s learned all that, but she’s getting very frustrated.

    Good luck to all who have this challenge!

  • Life Is Precious - […] daughter was in one last summer for a really long time and she was kind enough to share some tips HERE. Thank you Ashley! Our family was blessed yesterday with the continued life of our son Conrad. I […]

  • Barbara - We just started down the long journey of a full hip spica cast with our 10 month old daughter. Reading websites like yours has helped. Our daughter has more limitations since her cast goes all the way up to her armpits and covers both feet. She’s terribly heavy in it (I was not prepared for the weight of the cast) and although I love your modified skateboard to help her get around, I’m not sure that would be feasible for our little one. One helpful hint for diapering….. tearing off the tabs prior to inserting the diapers in the cast ensures a better fit and no worries about skin scratching. Also, my daughter loves that part of her bedtime routine is about 10-15 minutes of a hairdryer on cool/low warm to air her out and dry any perspiration.

  • Natalia - Hello! We are T-minus 13 days to hip surgery for my daughter and my friend has offered to make the “skateboard” for us. Do you have any tips/plans/suggestions for building the one you used? I like the way the wheels are covered.


  • cintia - Hi Barbara,
    We also have a 10month old baby girl in a spica cast =(
    how is your daughter doing? did she need surgery? how long did the surgeon give her to be out of the cast?

  • jenny corban - This is soo wonderful! I am an orthopaedic nurse from New Zealand and my main job is applying plasters and so do many hip spicas. I am thrilled to have found this and would like to print it in colour to use as a resource for all my mums.I also plan to give your web adress for reference! I hope this is ok with you. You are helping many people with this post and will continue to for as long as it remains online.
    Thanks so much on behalf of all my future mums and hip spica babies!!

  • Linda Ellis - My granddaughter, Olivia, is having a spica cast fitted at the end of April when she will be six months old. We are hungry for information and tips and your blog is superb. Many, many thanks.

  • Kim - Ah how I love this post. My 5 year old daughter was diagnosed with DDH last week and we’re scheduled for surgery in July. I’m just now starting to navigate the waters of what to expect, etc. I’ll be digging in to your blog big time! Thank you so much for this post!

  • Holly - My little girl is 3 months old, and will be going in a spica cast. The information you have provided will help me greatly! Thanks!

  • Cindy - Hi. Thank-you for the info regarding the spica cast. Do you also have pictures of what the skateboard looks like to build? Any help would be appreciated.

  • Marcie - My daugter has already been in a spica cast for 3 months from 6-9 months. I have recently found out she will have to be placed in one again the end of june. She will be 20 months old. Now that she is walking i wanted to have some way for her to get around the house. do you have any directions as to how to build the scateboard you used for your daughter? You did a great job with your little sweetie. your pictures are beautiful!!!

  • samantha - Wow! Watching your daughter in her cast is heart warming. My daughter just had a hip spica cast put on and I am so terrified of moving her and rolling her… gives me hope that eventually we will be mobile and comofortable.

  • Fabiana - Thank you so much for this info! My son just got has cast this past Saturday and I was feeling completely lost! Thank you, Thank you, Thank you!

  • Pandora - Wow…I hope your daughter gets well soon!

  • Diana - Thank you for posting this. I didn’t look through all the comments closely, so I may have missed this, but can you describe how the wheels of the skateboard were covered?

  • AshleyAnn - Diana – My dad built it kind of like a wood box…with a bottom and four sides. Then turn the ‘box’ upside down so the child lays on the ‘bottom’ of the ‘box’ and the wheels are inside the box, covered by the sides…I hope that makes sense!

  • Diana - AshleyAnn – thank you. Got it.

  • Misty - Thank you so much for this article. As I sit here in years because my baby will be place in one on Tuesday, this post calms my fears a bit. I’m an RN so it’s not like I don’t know what to do, but it’s just not the same when it’s your own kiddo.

  • best video Baby monitor - The aboriginal appearance can be Preparation Day and lasts
    1 day. Your main objective is to travel certain distances and reach goals without crashing.
    Start performing exercises at least 90 days before you decide to try to have a baby, that is if you don’t already.

  • Louanne - My friend just sent me your site. Thanks for all the tips. Our 2 year old is having surgery in 3 days and will be in a spica cast armpits to ankles for 8-12 weeks.

  • Sarah - Some great tips here, my son has just had a hip operation and fitted in a hip spica down to his ankles with a bar. So I’m trying to solve a few little problems like chairs, tables and moving about the house and your pictures are great! Would love any ideas for boys shorts /trousers that other readers can suggest!

  • marlene - I’m so glad to see her smile. My son fracture his left femur. Yesterday made 4 wks since the accident and with the dpuca cast. For bath time I wrap a big trash bag around his lower part with a towel on top and lay him on my legs and pour water on his head and upper body. Then he plays a little with the water and brush his teeth. It’s been a bit hard but he has been a champ 🙂

  • Cassie Stewart - Hi! Just wanted to thank you for your post of the ordeal you went tthrough with your daughters cast. I will be watching my niece three days a week while her leg heals, and your tips on what to do are better than the info that my sis got from the hospital. Thanks again and hope all is well wwith your family.


  • Danielle Stuth - Hey there,
    Just wanted to say thanks for this post, we are in week 5 of my 3 year old sons spica cast for a broken femur. He has just recently started walking on his own in it, I was so nervous because I was worried it may be delaying the healing, was glad to see your comments on walking.
    Something we have found really helpful is a spare car seat strapped to a dining table chair so he can sit up at the table and do his activities.. Painting, colouring, cut & paste etc.
    A tip I was given from the lady reinforcing his plaster was to put panty liners around the nappy area, it helps the cast from absorbing the leaks from the nappy.
    To parents reading these comments whose child is recently in a spica cast I’m sure you are feeling very overwhelmed and daunted at the next 6 weeks but it definitely gets easier.. Kids are so resilient and they just get on with it! I never thought I would be saying that!! Good luck.. Spica casts certainly suck but you’ll get there!!

  • Alison - Hi!!! Thank you for your brilliant blog. My 2.5 yr old has just broken his femur and is in traction for the next 8 days and then hip spica for 5 weeks. Loved the tips, thanks for writing it. X

  • Eli - Just found out that my daughter will be having hip surgery/ living in a spica cast. I’ve spent hurts researching online and all the blogs make me feel a little depressed. Until I came across your post! I can’t tell you what a gift you just gave me. Seeing your smiling, happy baby reminded me it’s going to be okay. My daughter is so full of joy and the post reminded me she’ll still be herself even if there will be a lot of tears in between. Plus I am reminded seeing you how important our energy as parents are (and yes we all have those crying breakdowns too). Anyway I have a feeling I am going to come back to these photos post-op when I needed a little nudge. And yes “this too shall pass” — the difficult moments but also the age and innocence of these little people and it’s a good reminder to stay present to how awesome it is too. Thank you!!

  • Erin low - Thank you so much with how to try to keep the cast dry!!!! My 2yr old just got a hip spica put on last night and so far it’s been so hard and he keeps drenching through the diapers so hopefully trying this will help!!!

  • Tracy Andras - Hi
    I was told last week at my daughter’s follow up visit to get her vaccination’s as her doctor was examining Abby he noticed her hip popped and would not go back into the socket then he sent us across the hall to the pedo orthopedic doctors a x-ray was done that’s when it showed Abby’s Left hip is completely out of socket, I was devastated She will need surgery and wear the spica cast the broachers with the picture almost made me pass out. Good thing doctors said it was caught early before Abby starts walking as well its a High percent of her recovering because it was caught so early Abby is 4 months and 2 weeks I was looking on line and was so overwhelmed Though when I looked at your story with your precious daughter I felt somewhat better.

    I know I can get through this I have to be strong for Abby she is my only daughter My miracle daughter I’ve had her in my 40’s.

    Tracy Andras

  • Andrea - I have a 9month old that was just diagnosed with hip dislocation (left hip). Would love to chat more. Surgery is July 12th. She’s a belly sleeper? Can she still sleep like that?

    Thanks Andrea

  • AshleyAnn - Andrea – My daughter was not able to sleep on her belly, which was hard. She could only sleep on a bean bag chair

  • Tracy Andras - Hi Andria,
    My Abby girl surgery is not scheduled until July 29 due to her age she has to be 6 months due to going under anesthesia she is also a belly sleeper it will be a challenge I’m sure I will keep u posted I hope your baby’s surgery goes well for July 12 It’s a common surgery I realize now and children are very rezelient . We have to be strong for our babies at least our babies will not remember this .
    Tracy Andras

  • Andreas - Great to read your article today, 5 years since you published it. I’m encouraged by your pictures of your daughter being as mobile as she is. We are on day 3 of with our sons cast. Last night was our first back at home from the hospital. Thank you also for the advise on diapers. My wife and I have struggled immediately with this one. Have a great day!!

  • Milan Bewick - Hi! That works great! Does it work with FTR too?

  • Maureen Corless - Thank you so much, my three year old daughter will be having surgery Monday to correct a dislocated femur from her hip. She will be in a hip spica cast for 12 weeks. With 5 children this will be exciting. I was crying and went looking for help. Thanks so much for your tips, we will be using them!