Total contact cast (TCC)

Information for patients from the Plaster Room Team

This leaflet gives you advice about your total contact cast (TCC), which has been applied because you have diabetic foot ulcer / Charcot Foot. TCC is the recognised gold standard treatment for diabetic foot ulceration and Charcot Foot.

How does the cast work?

The cast is designed to take pressure away from your foot, and distribute it up your leg. The cast is made from layers of plaster of Paris and synthetic (artificial) material.

How soon after I have had the cast fitted can I walk on it?

Once you have had the cast applied, you will not be able to put any weight on your affected foot for 30 minutes. After this you can walk about on the cast; however the less walking you do in the cast the better. If you need crutches to help you get about, staff will arrange this for you.

What are the benefits of TCC?

What are the disadvantages of TCC?

If you have any questions or concerns about the issues listed above, please speak to your practitioner; they are happy to answer your questions.

What will happen if I choose not to have a TCC?

If you decide not to use a TCC you will continue with your current treatment.

Instructions for patients


 Do not

What if I have any concerns?

Ring the Plaster Room immediately for advice if:

The clinic is open from 8.30am to 4.30pm Monday to Friday.

If the cast is troubling you at the weekend, please go to the Emergency Department, and contact the Plaster Room on the next working day.

What are the possible complications?

A possible serious complication when wearing a cast is a developing a deep vein thrombosis (DVT) or pulmonary embolism (PE). These are blood clots in the leg (DVT) or lung (PE).

For more information, please ask a member of staff for a copy of the Trust’s DVT or PE leaflet, or download a copy from the Trust web site.

Symptoms of a DVT or PE include:

If you have any of the above symptoms, you must get urgent medical help. Either return to the Plaster Room, go to your nearest Emergency Department, or dial 999.

Plaster Room contact details

The Plaster Rooms are open from 8.30am to 4.30pm Monday to Friday.

Produced with grateful acknowledgement to the Diabetic Podiatry Team at the Norfolk and Norwich University Hospital.