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Waterproof leg cast covers: the right length, and washing without a fall
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- Half leg cast cover. Best for: Foot, ankle and short below-knee casts. See options on Amazon
- Full leg cast cover. Best for: Long below-knee and above-knee casts. See options on Amazon
- Small shower stool. Best for: Washing seated with a leg cast. See options on Amazon
- Cast cover with a textured sole. Best for: Covers that will touch the shower floor. See options on Amazon
Pick the length from the top of your cast
| Cast or boot | Cover length | Where the seal sits |
|---|---|---|
| Foot or ankle cast ending mid calf | Half leg | Upper calf, below the knee |
| Below-knee cast | Half leg (long) or full leg | Just above the knee, on the lower thigh |
| Above-knee cast | Full leg | High on the thigh |
Measure around the widest part of the cast, usually at the heel or ankle, and around the leg where the seal will grip, and compare both with the maker's chart. A cuff that has to be stretched hard over a heel can tear.
The slip risk
NHS Lothian's occupational therapy advice for people in a cast says leg cast covers can be slippery. A plastic sole on a wet tray is an easy way to fall while you are already off balance on one leg.
If you have been told not to put weight on the leg, the Royal Orthopaedic Hospital's occupational therapists go further: they do not recommend using the shower or bath at all. They suggest a strip wash at the sink, sitting on a stool placed opposite it, to reduce the risk of losing your balance. Ask your team when a shower becomes safe for you.
A safer way to wash with a leg cast
- Check the cover for holes. NHS Lothian suggests testing a new cover on someone without a cast first.
- Sit on a stable seat to put the cover on, with the seal smoothed onto bare skin.
- Wash sitting down, with the covered leg resting outside the water or out of the stream.
- Dry the outside of the cover before you remove it, so drips do not run inside.
- Rest the leg raised afterwards. Michigan Medicine suggests a pillow or blanket roll under the calf, so the heel of the cast does not press on the bed.
Plastic bags are not a good substitute. NHS Lothian says they are not suitable because water can get in, and Michigan Medicine notes that any bag or cover can leak and only protects against splashes.
Why the cast has to stay dry
The NHS advice for a broken ankle is not to get a plaster cast wet. Frimley Health adds that plaster takes about 48 hours to dry fully, while a synthetic cast takes about half an hour, and that wet padding takes a long time to dry and can make the skin soggy. A soaked cast may need replacing, so call the plaster room rather than trying to dry it yourself.
Other things that help at home
- Loose trousers without zips or buttons, as NHS Lothian suggests, go on over a leg cast more easily.
- Clothes with pockets let you carry a phone while on crutches.
- A long-handled shoe horn and sock aid can help with the other foot. See our pages on the long shoe horn and knee scooter for getting around.
What to look for when you buy
Half leg cast cover
Best for: Foot, ankle and short below-knee casts
The seal grips the upper calf or just above the knee, depending on length, and the shorter sleeve is easier to fit while seated.
Watch out: Check the top of your cast sits well below the cuff.
See options on AmazonFull leg cast cover
Best for: Long below-knee and above-knee casts
A full-length sleeve lets the seal sit on the thigh, above the top edge of a long cast.
Watch out: Long covers are fiddly; have someone help settle the seal at first.
See options on AmazonSmall shower stool
Best for: Washing seated with a leg cast
The Royal Orthopaedic Hospital suggests sitting on a stool to wash when you cannot bear weight, to reduce the risk of losing balance.
Watch out: Check its weight capacity and rubber feet, and only use the shower once your team says it is safe.
See options on AmazonCast cover with a textured sole
Best for: Covers that will touch the shower floor
Some leg covers add a textured base. NHS Lothian warns standard leg covers can be slippery, so extra grip is worth having.
Watch out: Still do not stand or walk on a covered cast in a wet shower.
See options on AmazonQuestions people ask
- Can I stand in the shower with a leg cast cover?
- It is safer not to. NHS Lothian warns leg cast covers can be slippery, and the Royal Orthopaedic Hospital suggests washing seated when you cannot bear weight.
- Can I put my leg in the bath with a cast cover?
- Keep the covered leg out of the water. Covers can leak and are meant for splashes, according to Michigan Medicine.
- Do leg cast covers work on a walking boot?
- Some do, if the cover is wide enough at the foot. Ask your clinic whether you may take the boot off to wash instead.
- How should I rest my leg after washing?
- Raise it with a pillow under the calf so the heel of the cast is off the surface, as Michigan Medicine and Frimley Health suggest. Keep moving your toes, and your knee if the cast allows.
- What length leg cast cover do I need?
- One whose seal sits on skin above the top of your cast: half leg for most foot and ankle casts, full leg for long casts.
Sources
- Occupational therapy advice for people in a cast (policyonline.nhslothian.scot), NHS Lothian
- Managing activities non-weight bearing (roh.nhs.uk), The Royal Orthopaedic Hospital NHS Foundation Trust
- Cast care instructions: do's and don'ts (med.umich.edu), Michigan Medicine
- Instructions and advice about your plaster cast: lower limb (fhft.nhs.uk), Frimley Health NHS Foundation Trust
- Broken ankle (nhs.uk), NHS