A system and method for sensing environmental conditions within a conventional orthopedic device, such as a cast or splint, which may lead to serious medical complications from that form of treatment and to provide a notification of adverse conditions. An implantable node includes sensors for pressure, moisture and temperature, which, when combined with a power source, monitoring circuitry, communication hardware, and companion software can provide sensor data to a remote application and thus alert health care professionals to potentially dangerous environmental conditions developing within the cast.