We will carefully follow your treatment progress and adjust your care accordingly in order to insure a successful recovery.

TKA:

Hospital Stay: 1-3 days are spent in the hospital on average.
Rehabilitaion Facility: 0-3 weeks are spent at an extra care or rehabilitation facility after the hospital stay.
Activity: Patients will be up and walking the day of or day after the surgery with the help of a physical therapist. Physical therapy will begin at this time. There will be physical therapy at the hospital, rehab facility, and this will progress to home health physical therapy or outpatient physical therapy.

Physical therapy will continue for 3-4 months.

It is vital to work on achieving full extension of the affected extremity.

Place a pillow under your heel, and let gravity extend your leg fully.
DO NOT place a pillow directly under your knee.

A CPM machine is used after surgery to help achieve full extension and progress the amount of flexion.

No driving for 2 weeks or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After 2 weeks, we will begin weaning off of the Norco.

You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule your post-operative appointment.

Wound Care: Please observe wound daily for drainage, redness, or other signs of infection. Please contact your doctor if you have a temperature of 101.4F or higher.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.
You may shower 2 days after surgery.

Please report to the ER if you have a sudden increase in pain, shortness of breath, urinary retention, or other medical concern.

THA:

Hospital Stay: 1-3 days are spent in the hospital on average.

Rehabilitaion Facility: 0-3 weeks are spent at an extra care or rehabilitation facility after the hospital stay.

Activity: Patients will be up and walking the day of or day after the surgery with the help of a physical therapist. Physical therapy will begin at this time. There will be physical therapy at the hospital, rehab facility, and this will progress to home health physical therapy or outpatient physical therapy.

Physical therapy will continue for 3-4 months

Hip precautions will begin immediately after surgery and will be in effect for 6 weeks:
-Sit in chairs with arms, with your knees slightly lower than your hips.
-Do not sit for longer than 30-45 minutes at a time. Stand every hour and take a brief walk.
-Do not sit on low/sagging chairs
-Do not lean forward while sitting, and do not cross your legs.
-Keep your feet flat on the floor while sitting, do not turn your foot inward as this can put stress on the hip joint.
-Use an elevated toilet seat for 6 weeks after the surgery.
-Use pillows between your legs when sleeping on you back or side.
-Try not to bend your hip too much when getting in and out of a car.
-Perform exercises recommended by your physical therapist three times a day and slowly increase the number of reps over time.

No driving for 2 weeks or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After 2 weeks, we will begin weaning off of the Norco.

You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule your post-operative appointment.

Please observe wound daily for drainage, redness, or other signs of infection. Please contact your doctor if you have a temperature of 101.4F or higher.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.
Please report to the ER if you have a sudden increase in pain, shortness of breath, urinary retention (difficulty urinating) or other medical concern.

TSA or reverse TSA

Hospital Stay: 1-3 days are spent in the hospital on average.

Rehabilitation Facility: 0-3 weeks are spent at an extra care or rehabilitation facility after the hospital stay.

Activity: You will be placed in a sling immediately after surgery, and you will begin physical therapy the day after surgery. Physical therapy will continue for 3-4 months.

OK to move your elbow, wrist and hand a few times a day to maintain range of motion.

Ok to type and write.

NO overhead reaching or lifting anything that weighs more than a coffee cup, until progressed by your physical therapist.

No driving for 2 weeks or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After 2 weeks, we will begin weaning off of the Norco.

You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule this appointment.

Please observe wound daily for drainage, redness, or other signs of infection. Please contact your doctor if you have a temperature of 101.4F or higher.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.
Please report to the ER if you have a sudden increase in pain, shortness of breath, urinary retention,k or other medical concern.

Shoulder arthroscopy (with or without rotator cuff repair)

Hospital Stay: This is an outpatient procedure, you will go home the same day as the surgery.

Activity: You will be placed in a sling immediately after surgery. If there is no rotator cuff repair, you will be in a sling for 2 days. If you there is a rotator cuff repair you will need to be in the sling for 2 weeks.

OK to move your elbow, wrist and hand a few times a day to maintain range of motion while wearing the sling.

Ok to type and write. OK to bring your hands up to your face by bending at the elbow.

With your arm straight at your side, you may lean forward and let gravity move your arm in small circular motions to help prevent your shoulder from becoming stiff.

NO overhead reaching or lifting anything that weighs more than a coffee cup, until progressed by your doctor or physical therapist. If you have had a rotator cuff repair, you will likely be in physical therapy for 4-6 months. If you have not had a rotator cuff repair, you will be in physical therapy for 2-3 months.

No driving for 2 weeks or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After 2 weeks, we will begin weaning off of the Norco.

Wound Care: The day after the surgery you may take off the wrap down to the black sutures. You can cover the incisions with band aids. 2 days after the surgery, you may shower. You may continue to cover the incisions with band aids, however this is not necessary.
Please observe wound daily for drainage, redness, or other signs of infection. Please contact your doctor if you have a temperature of 101.4F or higher.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.
You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule this appointment.

Please report to the ER if you have a sudden increase in pain, shortness of breath, urinary retention, or other medical concern.

Manipulation under anesthesia (knee and shoulder)

Hospital Stay: This is an outpatient procedure, you will go home the same day as the surgery.

Activity: We will begin physical therapy the day of the manipulation or the day after. At physical therapy they will also provide you with home exercises as well.

Knee: Do NOT put a pillow directly under the knee. It is a good idea to put a pillow underneath your heel and to let gravity pull your knee into full extension.

No driving for 1 week or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After a few days, we will begin weaning off of the Norco.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.
You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule this appointment.

Please report to the ER if you have a sudden increase in pain, shortness of breath, difficulty urinating, or other medical concern.

Knee arthroscopy

Hospital Stay: This is an outpatient procedure, you will go home the same day as the surgery. You will be up and walking the same day as the surgery.

Activity: You will be up and walking the same day as the surgery.

Do NOT put a pillow directly under the knee. It is a good idea to put a pillow underneath your heel and to let gravity pull your knee into full extension.

OK to walk and allow knee to go through range of motion as tolerated for the first two weeks after surgery.

(If you have had an ACL reconstruction, you will be in a brace immobilizer for 2 weeks. This will keep your knee in full extension for two weeks. It is OK to weight bear as tolerated with the knee in this immobilizer for the first two weeks after an ACL reconstruction.)

You will follow up in 2 weeks from the date of surgery, and will begin physical therapy at that time. Physical therapist will progress activity.

You may be in physical therapy for approximately 6-12 weeks. If you have had an ACL reconstruction you will likely be in physical therapy for approximately 4-6 months.

No driving for 2 weeks or while taking pain medication.

Ice: Apply multiple times daily for 15 minutes at a time, multiple times a day. Apply ice after exercises.

Pain Control: You will be give Norco 10-325 mg once you leave the hospital. Take 1-2 tablets every 6 hours as needed for pain control. You may also have ibuprofen after surgery to help with inflammation and pain.

Please be cautious the day of surgery and while taking the pain medication not to fall. Anesthesia and pain medication can cause drowsiness or dizziness.

After 2 weeks, we will begin weaning off of the Norco.

Wound Care: You may take off the dressing the day after surgery, down to the black sutures. 2 days after surgery you may shower. Keep incision clean and dry, and you may cover the incisions with band aids once the dressing is removed, however, this is optional.

Please observe wound daily for drainage, redness, or other signs of infection. Please contact your doctor if you have a temperature of 101.4F or higher.

Constipation is a common side effect of the pain medication after surgery. If this occurs, you may get over the counter stool softeners at your local pharmacy, and you may ask your local pharmacist for options.

You will follow up with Dr. Sclamberg 2 weeks after surgery. Please call his office to schedule this appointment.

Please report to the ER if you have a sudden increase in pain, shortness of breath, urinary retention, or other medical concern.

Cast Care

Keep cast clean and dry.

Cover with a plastic bag when showering.

It is important not to scratch underneath the cast. This can cause injury to the skin, and possible infection.

Move fingers and hand to prevent stiffness and swelling.

Elevate extremity as tolerated to help reduce inflammation.