Risk Factors for Stress Fractures in Runners
Read MoreGetting a cast off after weeks of healing can feel like a big relief. But sometimes you start experiencing pain after removing the cast. Many people are surprised when they feel sore or stiff after cast removal. You might wonder, “Is this normal? Did something go wrong?”
“Don’t worry. Pain after removing a cast is common and can happen after treating broken bones, joint injuries, or even surgeries like hip replacements.”, explains one of the best orthopaedic surgeons in Nairobi, Dr Ankit Dave. Let’s break down why it happens and what you can do about it.
Why Does It Hurt After the Cast Comes Off?
When you wear a cast, your body parts don’t move much. That’s good for healing, but not so great for muscles and joints. Here’s what happens during and after cast removal:
1. Muscles Get Weak
Muscles need movement to stay strong. While the cast is on, your muscles shrink from not being used. When the cast is removed, those weak muscles struggle to support your bones and joints like they used to, which can cause pain or fatigue.
2. Joints Become Stiff
Without regular movement, joints can lose flexibility. Once the cast is off, it can hurt to move them again. Some people say it feels tight, sore, or like the joint “won’t bend properly.”
3. Skin and Nerves Feel Sensitive
After weeks under a cast, your skin may be dry, itchy, or peeling. The nerves in the area might also be more sensitive to touch or movement. This sensitivity can cause mild burning, tingling, or discomfort.
4. Pain from Surgery or Internal Healing
If you had a surgery, such as a hip replacement or bone realignment, your body might still be healing inside. This pain isn’t from the cast itself, but from the deeper healing process. Depending on your treatment, doctors may have used screws, plates, or stitches that are still settling.
Is the Pain Normal?
“Yes, some pain after cast removal is totally normal. But there’s a line between normal healing and a possible problem.”, says Dr Ankit Dave, well-known as one of the best doctors for sports injury in Nairobi.
Normal Pain:
● Soreness or aching around the joint
● Mild swelling or stiffness
● Weakness or tired muscles
● Slight tingling or sensitivity in the area
You should see a Doctor If:
● Pain gets worse each day
● You have sharp, stabbing pain that doesn’t go away
● The area becomes hot, red, or very swollen
● You notice a bad smell, fever, or pus (signs of infection)
● You’re unable to move the joint at all
If you have had a surgery like a hip replacement, it’s even more important to speak up if the pain feels unusual or intense.
What You Can Do to Feel Better
The good news is most post-cast pain goes away with time, exercise, and care. Dr Ankit Dave shares some tips to support and speed-up your recovery:
1. Start Gentle Movement
Don’t try to go back to full activity immediately. Begin with simple range-of-motion exercises. For example, if it was your leg, try slow stretches and light walking. If it was your arm, try moving your fingers and wrist often.
Ask your doctor or physiotherapist for safe exercises. If you had a hip replacement or similar surgery, movement is key, but it needs to be done carefully to avoid injury.
2. Use Warm Compresses
A warm cloth or hot water bottle can help ease stiff muscles and joints. Avoid using anything too hot, and don’t put heat on swollen areas.
3. Massage the Area
Gentle massage with lotion or oil can help with circulation and relax tight muscles. Be careful not to press too hard, especially if the bone or surgery area is still tender.
4. Stay Hydrated and Eat Well
Good food helps your body heal. Make sure you’re eating enough protein, fruits, and vegetables. Staying hydrated also helps with joint and muscle function.
5. Follow Up with a Physiotherapist
In places where hospital visits are expensive or hard to reach, many people skip therapy but this can slow your recovery. Even one or two sessions can teach you important exercises to do at home. Ask if there are low-cost or public clinic options nearby.
6. Use a Walking Aid If Needed
After a hip or leg cast, using a cane or crutch can help you move safely without putting too much pressure on the healing area. Don’t rush to walk without support, listen to your body.
Final Thoughts
Pain after cast removal is normal but it’s also temporary. Whether you’re healing from a fracture, a hip surgery, or another injury, patience and good care will get you back to your daily routine.
If pain feels unusual or you’re unsure, talk to one of the best orthopaedic surgeons in Nairobi, says Dr Ankit Dave. Your recovery matters, and getting support even if it’s basic advice or one therapy session can make a big difference.
Healing takes time, but you’re on the right path. Take it one step at a time.
