Patient Information:
What You Need To Know About Your Total Contact Cast

How serious is my foot ulcer?

Unfortunately, if left untreated, diabetic foot wounds can become serious, placing you at risk for amputation and other life-threatening conditions. Early and effective management of the wound is the safest route to preventing complications. With Total Contact Casting (TCC), your doctor has selected a proven method which has been shown in clinical trials to heal 9 out of 10 foot wounds in about 6 weeks1, 2.

What You Need To Know About Your Total Contact Cast

Managing a wound with a TCC can help it to heal faster and more comfortably when used along with a plan of care that is individualized for you by your health care provider.  Many studies have shown that 89% of wounds heal in about 6 weeks with TCC1,2.

What is Total Contact Cast?
A Total Contact Cast is a cast used to help promote healing by minimizing pressure and friction at the wound site, typically for diabetic foot wounds.

How does it help?
A TCC is in “total contact” with the foot and lower leg to redistribute weight away from the wound. It allows for healing even while walking.

Who is it for?
Typically it is used for patients being treated for diabetic foot ulcers, Charcot neuroarthropathy, and post-operative surgical site protection.

Discuss with your doctor if Total Contact Casting is right for you!

Find out more information at

The TCC-EZ® Total Contact Cast System should be recommended and supervised by a physician or licensed healthcare provider. If the vascular status is not adequate for healing or the wound is infected or involves deeper structures (tendon, joint capsule, or exposed bone) do not apply the TCC-EZ®.  Infection must be ruled out before treating patients with the TCC-EZ®. Inappropriate use of the total contact cast could result in serious injury to the patient and/or potential loss of limb. Improper removal of the total contact cast may also result in injury to the patient.
The TCC-EZ® should be removed and the patient reassessed prior to reapplication in all of the following circumstances:
  • If the cast is “loose” or “rubbing” or “pistoning”
  • If the cast is causing pain
  • If the patient develops fever, chills, nausea, or vomiting
  • If the cast gets wet
  • If the patient or healthcare provider has other cause for concern, such as claustrophobia

References: 1. Armstrong DG, et al. Off-loading the diabetic foot wound. Diabetes Care 24:1019-1022, 2001 2. Bloomgarden ZT: American Diabetes Association 60th Scientific Sessions, 2000. Diabetes Care 24:946-951, 2001.

Download TCC-EZ® Information Sheet

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Download TCC-EZ® Patient Information & Emergency Removal Sheet