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Casting Solution

CastWalker® Cast Sole FAQs

1) What is the CastWalker® Cast Sole and what does it do?

The CastWalker is a latex-free flexible and compressible device designed to protect the bottom of a walking cast, absorb impact during weight bearing, and improve a casted patient’s gait pattern. Use of the CastWalker prolongs the usefulness of the walking cast (prevents 40% breakdown rate), and increases the users comfort by absorbing impact and saving energy with an improved easier gait.

2) How is the CastWalker applied and fixed to the cast?

The device is affixed to the bottom of the cast with a cyanoacrylate adhesive similar to Crazyglue® by the physician or cast technician. There is a short learning curve to placing the device properly. The highest portion of the arch of the device should be placed one quarter inch further (distal) to the highest point on the inner (medial) arch of the casted foot.

Surgical or plastic gloves should always be used with cyanoacrylate adhesives.

3) How well does the latex-free adhesive work?

The adhesive works very well when used in the first three months of leaving our refrigerator. Prolonged shelf life afterwards can lead to less longevity. Two tubes are provided with medium and large size CastWalkers, and one with small CastWalkers.

We readily provide spare tubes of adhesive when called.

In the rare instance when the device comes loose or falls off, patients can replace them with commercial ‘Crazyglue’ applied with gloved fingers.

4) What is provided in the CastWalker kit?

The CastWalker, made of a flexible thermoplastic resin, one or two tubes of adhesive, and an instruction guide for proper application.

5) How should I size the CastWalker?

There are small (patients less than 5 ft. tall), medium (patients 5 to 6 feet tall), and large (patients over 6 feet tall) sizes. Each device can be used on either foot by turning it around so the high device arch is on the medial or inside of the foot.

Using scissors, the device can be trimmed to fit, or cut back and reversed for fixed plantar flexion deformities.

6) How does the CastWalker compare to other protective shoes/devices?

Properly placed, the CastWalker offers the patient the best gait pattern for active ambulation. It also cushions the casted leg more than most devices and protects the cast best because the patient cannot remove it. It is also the least expensive device on the market. The number of casts it saves that do not require premature replacement increases its cost value. The device has never worn out on single patient use.

Many adult patients prefer a device that can be removed at bedtime. We suggest that an old sports sock be drawn over the casted foot at night to keep bed linens clean. Unfortunately, removable devices are not reapplied when patients arise at night and walk about, causing premature destruction of the bottoms of their casts.

7) How can I clean my CastWalker?

An abrasive cleanser, soap and water work well. Water will not effect the CastWalker, the adhesive, or synthetic casting materials. Plaster of Paris casts must be allowed to dry before weight bearing.

8) Is the CastWalker covered by Medicare or Medicaid?

The Medicare/Medicaid Insurance code is L3260 as an adjunctive casting device. Most hospitals and clinics include it as part of the cast charge. Unfortunately, when charged separately and applied for, most regional insurance carriers do not actually pay.