Surviving Life with a Toddler in a Spica Cast

There’s an old saying, “You are only as happy as your least happy child”. I’m sorry to say I learned that the hard way these past few weeks.

Four weeks ago, my family’s life got flipped upside down by a freak accident. My almost-three-year-old son, Jackson, was playing with my husband on our bed, jumping around and being silly. Pretty much exactly the same stuff he does much every day. But on this day, a normal Sunday afternoon, something went wrong. My son landed wrong and twisted his left leg, breaking his femur. I was in another room, listening as they wrestled around and Jackson shrieked with laughter. But then…. I heard my husband yell, “Betsy! Oh no…” and a split second later, the screaming, agonizing cry of my little boy. That is a moment I hope I never relive the rest of my life.

Without knowing any details yet, I knew it was bad by the way my husband yelled for me. When I ran into the room, Jackson was hysterical, crying and shaking and unable to talk. We woke up our three-month-old daughter, put everyone in the car, and raced off to Urgent Care. On the way, my husband told me, “I heard something pop”, and I knew something really bad had happened. The next 24 hours were literally the worst moments I’ve had as a parent – from the x-rays to the operation to repair his leg to seeing my son in pain – I wouldn’t wish those things on anyone. After my son came out of the operating room around midnight, I saw him for the first time in what we called his “magic pants” – a hip spica cast that extended from his chest down to his ankle on one leg, and down to his knee on the other. This type of cast is used to prevent the hips and legs from moving – meaning, for the next 5+ weeks, my son would be unable to walk or even sit in a chair. He was basically in a vertical, claustrophobic looking fiberglass suit. Even when the doctor had explained what a “spica cast” was, there was no way I could be prepared to see my son in what looked like a full body cast. And there was certainly no way to prepare for the emotional toll it would take on all of us.

It was devastating. My son, normally one of the most active, athletic kids I know, was basically immobile for at least 5 weeks. And at 2 years old, he didn’t really understand what had happened or why he couldn’t move freely anymore. That first night was a nightmare. He woke up regularly screaming for me to help, to take his “pants” off, that his leg was “stuck”. He was still in pain, and due to the very strong pain medicine he was given, he was extremely sleepy, grumpy and miserable. And so was I.

I’m not proud to admit it, but I basically had a meltdown. Seeing my son in pain, feeling so helpless to make him feel better, and feeling overwhelmed by the prospect of caring for him in his cast, while also tending to a newborn at home, literally broke me. I cried more in that first week than I probably have in the first 2 and a half years of his life. Every time we’d go for a walk outside and he’d ask to go to the park, or play basketball, I cried. When we would hit a bump on the sidewalk and he’d yell out in pain, I cried. When I woke in the morning to his screaming, I cried. Those first few days I found it damn near impossible to look at the bright side. But I am my mother’s daughter, and now, 4 weeks into this experience, I feel like I can look back and realize there were some blessings along the way. Here are a few of the “bright sides” I’ve found…

The kindness of friends, neighbors and strangers…

From the moment word got around that my son had broken his leg, people began to reach out to us. This meant so much to our family, and greatly lifted our spirits. Friends brought by some of Jackson’s favorite things (Candles! Balloons!) and meals for our family. Others sent care packages of toys that would be easy for him to play with while lying on the couch. And a wonderful woman at Ivy Rose Spica Chairs made him an airplane chair. (See my review Here). We received cards with stickers inside, text messages of encouragement, video messages to make Jackson smile and visits from friends and family. I hate the reason behind all this kindness, but I love that people were so caring and thoughtful. This was one of those times that we truly needed a village to help us…and they did!

Slowing down…

I’m not one to sit around the house normally. I plan our lives pretty full and this fall was no exception. We had swim classes, playgroups and preschool lined up for Jackson. I had plans to take Chemistry, exclusively pump for my newborn daughter and complete observation hours for my degree. Let’s just say….everything changed that day. I literally quit breastfeeding and pumping the day Jackson broke his leg. It’s something I feel tremendously guilty about, but I just could not do it. Preschool got pushed back until at least November, and swim lessons and playgroups were cancelled. We have spent so much time at home these last few weeks that I can hardly remember what it’s like to leave the house, or what my normal life is like. It’s been a change, but it hasn’t been the terrible nightmare I was expecting. We have gotten creative – playing balloon baseball with a pool noodle, and knocking over paper cups with plastic balls. We’ve had (very gentle!) tickle fights. We’ve made up silly jokes and read tons of library books. And yes, we watch a LOT of movies and Daniel Tiger.

Here are some good activities to stay busy:

Skoolzy Rainbow Counting Bears with Matching Sorting Cups

ALEX Discover Button Art

Melissa & Doug: Lace & Trace Activity Set

Melissa & Doug: Scissors Skills Activity Pad

Do A Dot Art! 6 Pack

Quality Time…

We are normally very busy, so when I’m home with the kids, a lot of the time is spent getting stuff done around the house. Cooking, cleaning, laundry, grocery shopping. I have felt for awhile, long before Jackson broke his leg, that I needed to try to make more quality time for us. Time where I actually sit down on the floor and build Lego towers, or let Jackson make me pretend lunches with his play food. I do these things when I can, but it never feels like I do it enough. This experience has forced me to slow down and connect with Jackson. He needs a lot of attention – basically every second he is awake – and I am giving it to him. There are a lot of days I don’t shower or put makeup on. There is usually a stack of dirty dishes in the sink. We are eating more junk food than normal – takeout or fast food. But I’m finding that sometimes it’s ok to cut corners on those things when it means I am able to give my kids a little extra time or attention. Despite the limitations of Jackson’s cast, we have found lots of ways to have fun together, and plenty of time to enjoy new things.

Empowerment…

Four weeks ago I sobbed to my mom saying, “I can’t do this. I can’t.” At that point, Jackson was hysterical pretty much every waking moment, and it was mentally and emotionally draining. On top of that, we were learning to care for his cast – making sure it didn’t get wet or dirty – and trying to manage his pain with 3 different medications. All of this on top of still adjusting to having a newborn, and I just felt like it was going to be an impossible task. Somehow, with the help of my friends and family, we have made it this far. We have become accustomed to using three diapers tucked into his cast to prevent his cast from getting wet. We have adjusted to carrying him around the house. We have found ways to take walks (he fits in our double Bob!) and even a way to enjoy the playground (handicapped swings!). Despite feeling like I wasn’t “mom enough” to handle this crisis, I did. Most days feel like years, and many still have tears. But I’m doing it and that’s pretty empowering.

As I near the end of this season in my life, I am so grateful that it wasn’t anything worse. Jackson’s leg will heal, and so will our hearts. It was scary, and traumatic, and I wish it hadn’t happened. But since it did, I am choosing to believe it happened for a reason and that maybe there were lessons to be learned along the way. We have all had to adapt to this “temporary normal” and there are things we will carry with us even after the cast comes off.

If you have any questions about Spica Casts or survival tips for kids with Spica Casts, please let me know.

Here’s wishing everyone a SAFE and wonderful fall!

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Madison Mom
Betsy is a mom to two sassy, spunky and spirited kiddos and wife to an adventurous, soccer-loving Chemist named Noah. She is originally from the Chicago suburbs but has bounced around the world with her husband before landing (hopefully permanently!) in Madison. Her first child, Jackson, was born in Germany during their two years living abroad. Betsy loves exploring new cities, donuts (any kind, anywhere) and being a stay at home mom. She is currently in school with plans to become an Occupational Therapist.

90 COMMENTS

  1. Hey there,
    I’ve got a three month old boy, Beau and our son Jack who is two and a half just broke his femur. I am awaiting his release from the hospital. I can’t tell you how much this blog post means to me – it is preparing me. I honestly don’t know how we are going to do it but thanks for posting this, we really appreciate it.

  2. My 2 year old daughter just got out of her spica cast after 5 weeks. Some tips if anyone is reading.. use a size 1 diaper tucked in the cast with a regular size diaper on the outside. Use the colored/print duck tape around the edges in the diaper area with little “leaflets” of tape change the tape every 3 days or so. Use a hairdryer or a product called “castcooler” to dry it. I used the castcooler every morning. At nighttime, change the diaper atleast every 4 hours or it will get wet. It will get wet with urine anyway but that will help prevent a lot of it. Change their position every 2 hours to prevent any skin irritations. I used essential oil to mask the smells. It still smelled! We want on lots of walks in the stroller, I put her in the babyseat with my bike, and lots of different play areas around the house. The first week is the hardest. My back never hurt that bad in my life and I’ve never been so depressed. But you will get through this. Take it day by day. Make a countdown on the calender!

  3. Thank you so much for posting this!! I really needed to read this and it has helped me prepare. What did you do for eating? I’m assuming my daughter won’t be able to sit in her high chair. Thank you!

  4. I cried the entire time I read this. My 2 year old is now going through the same thing. Playing with Dad like normal, and then there’s this piercing cry that all mother can feel in their gut that something is wrong. My husband also said he heard a pop. We are on day three of spica cast and I feel like it’s month 3. He begs to walk with tears in his eyes, wants to get up and play with his sister and my heart breaks.
    I feel like I don’t know how I will survive these 6 weeks. But I know I have to. For my son. I want to get him an activity chair and I’m making plans to keep him busy so he is distracted and not a sad little zombie stuck in the living room, watching tv all day long.
    I am praying that he recovers quickly and fully, and that our family can make it through this. Thank you for this article. It was just Was just what I needed right now.

  5. Hi, I feel all of you guys pain and what each one of you guys going thru. 3 weeks ago my 16 year old disturber was playing with her 2 year old brother and I just heard loud scream and I went he pasted out in my arms. My 16 year daughter drove us the ER. When we arrived dr said he looks good I said he broke something was not sure what bone but he was in pain. Took X-ray and yes femur broke I was devastated I wanted to scream how could this happen and why. First few weeks was horrible, nightmare. Now cast will be on for another 5 weeks. As a parent we watch our kids grow and make sure they don’t get hurt either at t home or park or someone place but when it happens we just have to be patient and be thankful is nothing worse

  6. My 2 years old son had a femeur fracture about 2 weeks ago. So scary. He’s pretty active.
    He had traction for 4 days and then spica cast after 3 days after that we did x ray and the fracture was displaced. Dr decided to do surgery and put 2 plastic titanium nails and leg cast only.Now we are day 10 after surgery. Am too much worried. He will have a x ray chek up in 4 day Does any one had a same surgey for his baby. Thanks you

  7. Do the nights get better? My son wakes up screaming at night. During the day he is okay. Also should I still give Motrin or Tylenol even when he seems to not be in pain. We are almost 2 weeks post break.
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  8. I know this post is a few years old, but I’m wanting to know how your son is now? My 2.5 year old son fell at daycare & broke his femur almost 2 weeks ago. We’re getting through & it’s getting easier (except for sleeping). I’m so worried about how he’ll get along after the cast. When did your son start walking after the cast? Are their bones more fragile after the break? I’m such a worrier anyway, and this just has me worried sick that it’s going to happen again. He didn’t have surgery, and hoping he won’t need it. Just spica cast for 6-8 weeks.

    • Michelle – I don’t know if this will help. But, my son is just finishing up his spica cast journey after 5 weeks in his cast. My husband is an ortho surgeon and says his bone will be even stronger after this experience. So, don’t fear about the it being fragile after the break. I know numerous people who have gone through similar experiences and many of their kids have gone onto sports and other physical activities with no issues. Stay strong, you’re boy will be okay!

  9. Thank you so much for writing this. I sit here at children’s hospital watching my 4 year old sleep after what seemed like the longest 24 hours of my life. Tears running down my face as I wonder how we are going to make the next 8 weeks work. Your words let me know that rhis roller coaster I am feeling is ok and we will get through this!

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