What to Expect

Initial Visit

During a first appointment, we’ll complete a medical history and perform a physical exam to determine if further testing is needed, such as X-rays, other imaging studies or blood work.

After we make a diagnosis, together we develop a treatment plan and then share that plan with your child’s primary provider. If surgery is necessary, it will be scheduled for another time. 

Expert Placement or Removal of a Cast

There are different types of casts depending on the bone that has been injured and the severity of the injury. To place a cast, we wrap a few layers of soft material around the injured area. Then we put on a hard outer layer, usually made of fiberglass, that serves as a protective covering.

When the bone has healed, we use an electric tool called a cast saw to remove that hard outer layer. The noise and vibration of the cast saw can be unnerving for some children. It is a painless process, but sometimes the vibrations of the saw can feel like a tickle. To help prepare your child for this experience, you might hold a vibrating device like an electric razor to their cast. We recommend watching these videos about cast placement and removal with your child prior to your appointment to help them feel more comfortable. 

You can also learn more about casts here.


When you arrive at the clinic, someone at the reception desk will guide you through the admissions process. Then a member of our staff will escort your child to the pre-operative area, perform a quick physical exam, update the medical chart and provide a hospital gown.

Then you and your child will meet with the anesthesiologist to discuss the type of anesthesia to be used and how it will be administered. You’ll also meet with your child’s surgeon to discuss any last-minute concerns.

Parents can and should accompany their children right up until they enter the operating room. Kids can take a comfort item with them into surgery, such as a clean stuffed animal or blanket.

After surgery, your child will be taken to the Post-Anesthesia Care Unit (PACU) to recover. Once you have spoken with the surgeon to discuss the outcome of the procedure, you will join you child in the PACU. Depending on the type of surgery, some children are released the same day while others are required to stay overnight.