Even with the best treatment after surgery, the complications with scar build up is quite common and, as a result arthroscopic knee surgery scar tissue removal … What happens during the procedure is, your surgeon will make a tiny incision and insert a small camera, called an arthroscopy, into your knee… Will the ice penetrate through the dressing? This can usually … You can ward off constipation by increasing both dietary fiber and water intake. Unless otherwise instructed, the 5th day after surgery, the wound may be exposed in the shower, taking care not to scrub the area. If unexpected problems, emergencies or other issues occur and you need to talk to the doctor, contact us. Can I take Tylenol® or ibuprofen (Advil®/Motrin®)? Constipation is common with the use of pain medication. receive a PCL-retaining total knee component ma y benefit from arthroscopic release of the PCL. Your dressing may be removed for showering. We recommend removing the dressing, placing large band-aids over the incisions, and then reapplying the ace wrap. We have no specific diet restrictions after surgery but extensive use of narcotics can lead to constipation. If you have a history of drug or alcohol use, you will probably find that you will require more medications. If nausea and vomiting become severe or the patient shows sign of dehydration (lack of urination) please call the doctor or the surgery center. Your first appointment might not be for a week or so. To get in touch with our team and learn more about how we can help improve your quality of life, please contact our practice now. If you do mainly desk work or sedentary work, you may return when you feel up to it. Your browser is not supported. DO NOT remove these until your provider says it is OK. Keep the dressing and bandage clean and dry. No. Dressings: Keep dressings clean and dry for 3 days after surgery. After that, you may shower like normal but do not soak the incisions (no bath, pool, lake or ocean) until after your first post-op appointment. If bright red blood persists despite elevation and application of ice, please call the doctor. Orthopaedics & Sports Medicine - Bowling Green, Combating Heat Illness in the Fall Athlete, Find Relief from These 5 Common Golf Injuries, Orthopaedic Surgery & Sports Medicine Fact Sheet, Shoulder & Rotator Cuff Post-Op Exercises, Ultrasound-Guided Injections for Pain Management, UK Athletic Trainer Talks Childhood Concussions. The bulky dressing on your knee will be removed the morning after surgery and should not be replaced. If you have questions or concerns, please call our office at (415) 492-1600 or contact us via the Patient Portal in the electronic medical record. If you have a history of serious medical problems and start having difficulty breathing, chest pain, etc., please call our office and/or your primary care doctor, present to a local emergency room, or call 9-1-1. After that, you may follow the above instructions. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. The wound should not be submerged in a bathtub or pool until three weeks after the surgery. High fiber diet, lots of fluids, and muscle activity can prevent this occurrence. Should severe calf pain or significant swelling of calf and ankle occur, please call the doctor. Brian Davis, a Physician Assistnat for Dr. Peter Millett at The Steadman Clinic in Vail, Colorado, how to apply dressing after knee surgery. Pain is generally a good guide as to whether you can return or not. Please call the number at the top of the page to schedule a follow-up appointment. Apply an ice pack to the knee to minimize pain and swelling. You will have a dressing and an ace bandage around your knee when you go home. Medications: (Prescription given to patient), ______________________________________________________________________________. If steri-strips were applied to the incisions, do not remove them. Office Appointment: If you do not already have a post-op appointment, please call our office at (415) 492-1600 or use the patient portal in the electronic medical record to make one. Some people never take a pain pill after surgery and other patients take them for a week or so. Driving while under the influence of narcotic pain medication is dangerous, illegal and greatly discouraged in all patients. A sore throat may occur. Reapply the ace wrap for 5-7 days to control swelling. You may feel dizzy, lightheaded, or sleepy for 24 hours or longer. KNEE ARTHROSCOPY, LYSIS of ADHESIONS ... • Remove the dressing and gauze wrap 48-72 hours after surgery. Check with your doctor to make sure these instructions apply to your case. If you have a dressing over your cuts (incisions), keep it clean and dry. You will need to cover the dressing (and brace if you have one) to keep it dry while in the shower. Some patients need crutches for a few days after surgery to help support them while walking, while others never use them at all. Pre-Operative Instructions: Epidural Steroid Injection, Pre-Operative Instructions: Medial Branch Block, Post-Operative Instructions: Epidural Steroid Injection, Post-Operative Instructions: Medial Branch Block, Post-Operative Instructions: Shoulder Arthroscopy, Post-Operative Instructions: Shoulder Arthroscopic Rotator Cuff, Post-Operative Instructions: Knee Arthroscopy, Post-Operative Instructions: Hip Arthroscopy, Post-Operative Instructions: Hand Surgery, Post-Operative Instructions: Foot and Ankle Surgery, Post-Operative Instructions: Ankle Arthroscopy, Post–Operative Instructions: ACL Reconstruction. Should Your Young Athlete Specialize in One Sport? You may want to try to pull it back into place. After the 3 days do not put a dressing back on. Using the pain medication as directed will help control pain with little risk of complication. Place an ice pack on your knee … Don’t be a clock-watcher. After showering, replace the waterproof bandages with dry … After knee arthroscopy, there is a variable amount of pain and swelling, often depending on how much surgery was done. Once the dressing is removed on the first or second day, ice is applied for 20-minute periods, 3-4 times per day. If you have already seen a therapist before surgery, or know where we plan to start therapy after surgery, we suggest setting up appointments in advance. If you have an Aquacel dressing: Aquacel post op dressing protocol: You may remove the Aquacel dressing 7 days after your surgery. This is usually sport-dependent and depends on your level of activity (e.g., high school, recreational, college, professional). If you feel unstable, or pain with walking, use the crutches. 2) Keep a bandage on the wound and change it every 2 days until there is no longer drainage. Please call the surgery center should this occur and ibuprofen or your pain medication does not relieve the pain. You may then remove the dressing, apply waterproof bandages, and shower. We have an open-door policy; that is, if you have any concerns or problems before your first appointment, just call the office, and someone will see you. It is important not to drink alcoholic beverages or drive while taking narcotic medication. Your wounds should start to heal within a few days. After arthroscopy the wound is covered with gauze or ace wraps. above and below the dressing. Yes, it will. Rest on the day of surgery. Removal of the wound dressing at the surgical incision sites occurs 1-3 days after the operation. After a general anesthetic, it is normal to feel generalized aching and sore muscles for 24 hours. It might not feel like it, but it does. Sunway Knee Clinic has among the best arthroscopic surgeons in Chennai. There is no right or wrong answer to this question. Arthroscopic Knee Surgery Post-Operative Information Weight Bearing and Recovery Time for: Meniscectomy, Chondroplasty, Loose Body Removal, Diagnostic Arthroscopy, Synovectomy, Debridement, Articular Cartilage Biopsy, and Arthroscopic Lateral Release: You will be “weight bearing as tolerated” immediately after … If you were prescribed narcotic medication (i.e. For the first 3 days, keep the dressings clean and dry. Do not remove the paper strips or cut any of the visible sutures. Pain medicine is mixed with Tylenol® so do not take any additional Tylenol®. https://drmillett.com/what-to-expect-after-arthroscopic-knee-surgery Wounds should be kept dry for 48 hours. Ice helps with the swelling and can help to decrease pain after surgery. Icing is very important for the first 5-7 days after surgery. Prior to this, please wash your hands, and don’t mess with the incisions. You may then remove the dressing, apply waterproof bandages, and shower. You may remove it 48 to 72 hours after the surgery. Taking care of your incision is important to prevent infection and scarring, and to help your knee heal properly after surgery. DISCLAIMER: CALIFORNIA ORTHOPEDICS & SPINE IS NOT AFFILIATED WITH CALIFORNIA PACIFIC ORTHOPAEDICS. Dressings: Keep dressings clean and dry for 3 days after surgery. You may take the soft bandage that’s placed on your knee immediately after surgery off two days after surgery.  Wash your hands with soap & water before you take care of your wound  Remove tensor bandage  Throw out the white gauze bandages—the dressings will be stained with blood - and remove the white mepore dressings. You should resume your normal medications for other conditions the day after surgery. o You may remove the Operative Dressing on Post-Op Day #1. o KEEP THE INCISIONS CLEAN AND DRY. You may take a baby aspirin (81 mg) or alternatively a regular aspirin tablet (325 mg) until you are back to your normal level of activities, as this may lower the risk of a blood clot developing after surgery. Clean the surrounding skin with water or rubbing alcohol and cover the sutures loosely with band-aids or a clean dressing… Williams et. The dressing should be removed and wounds covered with adhesive bandages on the first or second day after surgery. You may start the following week. Remaining steri-strips may be removed … See Aquacel instruction sheet. Don’t worry; due to the shape of our legs, this does happen. Remember that you may have aches and pains in different parts of your body after surgery. One tablespoon of milk of magnesia is effective and can be taken one or twice daily. Will the moisture from the ice get my incision wet? You may also use a plastic bag with tape or a rubber band. While you are taking pain medication, do not drive. Activity: Rest with the knee elevated above the heart. Use the crutches as needed. The doctor will need to reexamine you 7-10 days after routine knee arthroscopy and within 48 hours for patients undergoing ACL surgery. When do I need to see my doctor in the office? There are a variety of ways to do this. Most people return within 3–5 days. Care must be taken with ice to avoid frostbite. If not, call the office at (415) 492-1600 or contact us via the Patient Portal in the electronic medical record to confirm your appointment time. What Is an Athletic Trainer? A low-grade fever (100.5) is not uncommon in the first 24 hours but is unusual beyond. Care for the area after the stitches are removed: Do not pull medical tape off. Leg elevation for the first 72 hours is also encouraged to minimize swelling. It is difficult to predict who may or may not need them. Following knee arthroscopy, you will have the following incisions. If a spinal anesthetic was used, patients may suffer a spinal headache. If non-dissolvable stitches were used, they'll need to be removed after 1 to 2 weeks. You may want to unwrap the ace wrap bandage and reapply it. Common sense is the rule. Returning to school or work also depends on the degree of postoperative pain and the demands of your job or classes. 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