Closely check your child's skin frequently to make sure there is no redness. Inspect the skin at the edges of the cast at least four times a day. If there are any reddened areas, change your child's position so that the pressure is removed. If an area continues to look reddened despite a change in position, a pressure sore may be developing. Keep your child positioned so that there is no pressure at all on this area.
Some children complain of itching under the cast.
Don't put anything inside the cast to scratch the skin. If your child complains of itching, rub the skin around the cast edges with your fingers or rub the opposite leg for a few minutes. You may also rub the skin at the edges of the cast with rubbing alcohol to relieve itching and provide a cooling effect. While your child is in a spica cast, it's important to change her position every two to four hours during the day, and at least once at night. He may lie on his back, side or stomach as long as the cast is supported.