Day of Surgery
- Keep leg above heart level as much as possible (ie. couch, pillows)
- Ice for 30 minutes at a time while elevating. Ice should be on 30 minutes/ off 1 hour. *Do not ice more than 30 minutes or sleep with ice machine plugged in.
Day After Surgery
- Call office to make post-operative appointment for 7 days.
- Ice and elevate as above 4-5 times throughout the day for at least 30 minutes.
- May Shower, no tub baths or soaking; keep incisions clean and dry. Put band aides on after shower.
- Start exercises:
- Quadricep Squeezes
- Squeeze thigh muscle with your leg straight and feel your kneecap slide toward your hip.
- Do at least 25 and hold for 3 seconds. Repeat at least 2 times a day. The more the better with these.
- Heel Slides
- Pull heel toward buttock to flex knee on smooth surface. Can also use a towel or rope to assist. Always work within your range of comfort.
- Try to perform 5-10 repetition 3X per day. As always comfort is your guide.
- Straight Leg Raises
- Have to do in your leg brace if you can’t keep your leg totally straight while lifting it. If your knee bends at all, keep your brace on.
- Lay on your back.
- Bend your opposite knee.
- Make a muscle in your thigh and get your knee as straight as possible and then lift your leg.
- Complete 2-3 sets of 10 reps. 2-3 times per day.
- Quadricep Squeezes
- Ice and elevate after exercises for 30 minutes.
Things to Avoid
- Walking long distances (ie. mall, grocery store) with leg hanging down
- Do not walk without immobilizer brace on unless you weren’t given one. Use your crutches until you are told that you do not need them.
- May shower after 24 hours and then blot dry. Then place new dry bandaids over stitches (sutures).
- Do not soak knee (ie. Bath tub, swimming, hot tubs) for two weeks (unless your doctor states otherwise).
Ask your doctor permission before:
- Dressing Changes
- May change bandages after surgery if bloody. It is normal to see blood.
- Rewrap ace wrap 3 times a day.
- Do not wrap in circles. Wrap in diagonals as if doing a figure eight around your knee.
- Wrap from toes upward
- Take medications as instructed when discharged from hospital (surgicenter).
- Warning Signs to watch for:
- Running a fever, >101F, or >38.5C
- Pain markedly increases
- *If you have any of these signs, contact your surgeon or the physician on call 302-529-5500.
- Wean off crutches over the next 2-3 days and begin weight bearing as tolerated
- If weight bearing precautions have been extended, wean crutches at date instructed.
- May remove bandage and shower next day but no soaking in tub, swimming, etc for two weeks, keep incisions clean and dry, put band aids on afterwards.
- Discontinue hip brace as instructed if you were given one.
- Start simple range of movement exercises as soon as you are comfortable
- You may use an exercise bike as soon as you are comfortable.
- Make an appointment to see Dr. Kalman within 7-10 days of your surgery
- Take anti-inflammatory as prescribed and use pain medication as needed
- You will be given a prescription for physical therapy at your first post-operative appointment.
*Some patients will encounter a flare up between 6-10 weeks. In this event, it is suggested that you begin a course of Aleve. You may take 2 tablets twice a day with food. This is provided that you are in good health with no outstanding medical conditions and have no known drug allergies to anti-inflammatory medication. If you do have any type of medical condition, including but not limited to hypertension or stomach ulcers, please check with your primary care DO/MD before beginning the medication.
*For our athletes, you may expect a return to sports between 4-6 months.
Not necessarily, we often see “partial” rotator cuff tear as the result of repetitive use/injury. These often respond to medications, possible injection (PRP) and physical therapy. Smaller atraumatic tears in the elderly will respond to this treatment as well. Athletes or people that have sustained injury and full thickness tears will likely require surgery. We treat each patient individually and will discuss treatment options with you.
Until recent years, patients suffering from hip pain had limited treatment options, which means they were often forced to live with the pain until a total hip replacement was needed. Hip arthroscopy is a minimally invasive procedure performed as an outpatient under anesthesia. It is used to diagnose and treat labral tears, impingement, remove loose bodies and treat other tendon conditions. You may not need surgery, however, often times medications, injections (PRP) and physical therapy can help. Please see us for a consultation so that we may help you.
Arthroscopy involves inserting a small instrument called an arthroscope into your joint. The arthroscope contains a miniature video camera and light source. The video camera displays picture on a monitor giving the surgeon a clear view of your joint. Your problems are diagnosed and treated at the same time. The procedure is performed through small incision on an outpatient basis under anesthesia as a same day procedure. Newer technology allows us to perform a diagnostic arthroscopy in the office. The joints commonly examined and treated are hip, knee shoulder, elbow and ankle in our practice.
The rotator cuff is a group of tendons than connect the shoulder blade to the humeral head (ball). These tendons are short, but very important to shoulder function. When the muscles contract, they pull on the rotator cuff tendons, causing the shoulder to rotate upward, inward or outward. This group of tendons in commonly injured with repetitive activity such as overhead sports and golf.
The most common complaint is a throb or ache at the front of the shoulder or upper arm (deltoid muscle area). The pain is increased with overhead motion, usually worse and night and may even interrupt your sleep. There may also be weakness of the arm but interestingly, the size of the tear may not correlate to your symptoms. Some people with large tears have surprisingly good function whereas smaller tears can be more painful and limiting activity.