Abstract: A cast boot and removable integrated cold therapy attachment is provided for promoting healing, recovery and pain relief, following lower limb fracture or surgery. The cast boot has at least one channel for drainage of condensation or liquid from the interior of the cast boot. The cast boot is configured to support a cold therapy attachment. The cold therapy attachment further has one or more perforated holes for drainage of condensation or liquid. The cast boot has adjustable straps for allowing removable and positioning of the cold therapy attachment inside the cast boot.