As we mentioned earlier, it’s natural to have some swelling after the surgery, but this should not last for a prolonged period. 5. 2019. It is important that swelling, pain, strength and stiffness are addressed following the removal of the plaster. Number one cause of pain after the cast comes off. Tiffany monograms are hand engraved for a one-of-a-kind, heirloom effect. Don’t use heating pads or hot packs on your affected arm, shoulder, or torso.