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These protocols and advices are for patients who underwent surgery and these can vary significantly based on the specific procedure performed for you, your overall health, and other individual factors. However, there are general guidelines and advice commonly given to patients at the time of discharge to ensure a smooth and effective recovery at home. It's important to note that these guidelines would have been customized to you based on your specific situation.
You are often prescribed pain medication. It's important to follow the dosage instructions carefully and
to communicate with the phone number provided in your Discharge Summary if pain is not adequately
controlled.
Ice packs and elevation can also help manage pain and swelling.
Keep the surgical area clean and dry. Follow the instructions provided you on how to care for the wound or change of dressings.Watch for signs of infection, such as increased redness, swelling, warmth, or drainage from the wound.
Follow specific instructions regarding weight-bearing on the affected limb. Some surgeries require
limited or no weight-bearing, while others may allow full weight immediately.
Gradually increase activity as recommended but avoid overexertion. Rest is crucial for healing.
Physical therapy is often a critical component of recovery, aiming to restore strength, flexibility, and
function.
Adherence to a prescribed exercise regimen provided to you at home is essential for optimal recovery.
Some of you might have been provided the contact details of a Physiotherapist who will be attending
you at your home at specific intervals. Please contact them in case of any doubts regarding
Physiotherapy.
A balanced diet rich in vitamins and minerals can aid in the healing process.
Staying hydrated is important for overall health and can help with recovery.
Avoid activities that could strain the surgical site or compromise healing, such as lifting heavy objects
or engaging in high-impact activities, until cleared by your surgeon.
Smoking and alcohol consumption can impair healing and should be avoided.
Attend all scheduled follow-up appointments with your Surgeon to monitor healing progress and
address any concerns.
It's important to communicate any unusual symptoms or concerns to the healthcare provider promptly.
Please check your Discharge Summary, as the exact date and time of your follow-up / review, as well
as any blood test report that you might have to bring on your review, will be written in your discharge
summary
Take any prescribed medications, including antibiotics and anticoagulants, exactly as directed to prevent infection and blood clots.
Recovery from surgery can be mentally challenging. Seek support from friends, family, or professional counselors if needed.
Specific surgeries may require additional precautions. Please check the links above and follow the post-operative advises under those, if you find the specific surgery performed to you in the links.
Conclusion : The recovery process from orthopedic surgery is unique to each patient and depends on various factors, including the type of surgery, the patient's health status, and adherence to post-operative instructions. It's crucial to follow the advices of the Surgeon, the Physiotherapist as well as other Supportive Healthcare personnel and communicate openly about any issues during recovery.
These protocols can vary depending on the type of fracture, the method of fixation (such as plates,
screws, or pins), and the your overall health condition. However, there are general guidelines that are
commonly recommended.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Follow specific weight-bearing instructions. Some fractures may require you to avoid putting any
weight on the affected limb for a period, while others may allow partial or full weight-bearing
immediately.
Gradually increase your activity level based on your surgeon’s advice.
Use assistive devices such as crutches, a walker, or a cane as directed.
Begin physical therapy or rehabilitation exercises as recommended to restore range of motion,
strength, and flexibility.
Attend all scheduled physical therapy sessions and perform prescribed exercises at home.
Keep all follow-up appointments with your surgeon to monitor your healing progress.
X-rays or other imaging tests may be required during these visits to check the status of the fracture
healing and the position of the fixation device.
Some of you might have been provided a request for Xray and if so, you should get the Xray done at
the hospital on the day of your appointment, before you visit the OP room.
Be alert for signs that may indicate complications, such as severe pain, numbness or tingling in the affected limb, fever, or unusual changes in the colour or temperature of the limb.
Post-operative protocols and advice for patients undergoing Shoulder Arthroscopy surgery vary
depending on the specific procedures performed (e.g., rotator cuff repair, labral repair,
decompression). However, some general guidelines typically include:
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Avoid using the operated arm to lift objects or perform strenuous activities until cleared by the surgeon. Gradual return to normal activities should be guided by the surgeon's advice and the patient's comfort level.
Physical Therapy: Initiating physical therapy early is crucial for recovery. The timing and type of exercises will depend on the surgical procedure protocol. Early exercises often focus on gentle range of motion, gradually progressing to strengthening exercises.
Range of Motion: You are encouraged to perform certain range of motion exercises within the limits of pain to prevent stiffness. Specific exercises that were prescribed to you by the physiotherapist or surgeon needs to be performed at home.
Strengthening Exercises:These are typically introduced later in the recovery process, focusing on improving the strength and function of the shoulder muscles.
Post-operative protocols and advice for patients undergoing Knee Arthroscopy surgery vary depending
on the specific procedures performed (e.g., Meniscal repair, loose body removal, ACL/PCL
reconstruction). However, some general guidelines typically include:
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Wound Care / Bandages / Braces : Bandages should be kept intact and only changed or removed as directed by your Surgeon.
Immobilization / Mobilization :
Continue the Knee Brace/Immobilizer applied on your limb and remove it as advised.
You may need to use crutches or a knee brace following surgery, as advised by your surgeon. The
duration will depend on the type of procedure and your individual recovery.
Begin physical therapy or rehabilitation exercises as recommended to restore knee function. This
usually starts soon after surgery to improve range of motion and strength.
Activity and Rest
Elevate your leg when sitting or lying down to reduce swelling.
Always remember to keep your knee straight while sleeping (except for intermittent relaxation).
Strictly avoid keeping a pillow underneath your knee while sleeping (unless you are on a Knee
Immobilizer). You can keep a pillow underneath your ankle / foot to keep the limb elevated while lying
down.
Gradually increase your activity level as recommended by your surgeon/ physiotherapist. Avoid any
strenuous activity or heavy lifting until cleared by your doctor.
Follow a gradual return to daily activities, including work and sports, based on your surgeon's
recommendations.
Specific Signs to Watch For : Be alert for symptoms that could indicate a complication, such as excessive swelling, persistent fever, severe pain not relieved by medication, or signs of a blood clot (e.g., increased pain in your calf, redness, warmth, or tenderness in your leg).
Rehabilitation Exercises Stick to the prescribed rehabilitation exercises to regain knee function. These exercises are crucial for a speedy and full recovery. It's important to follow the specific instructions given by your surgeon/ physiotherapist, as the advice can vary depending on the specifics of the surgery performed, your overall health, and how your recovery is progressing. Always consult with your healthcare provider if you have questions or concerns about your recovery protocol.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Post-operative protocols and advice for patients undergoing Wrist/ Elbow Arthroscopy surgery vary
depending on the specific procedures performed (e.g., Stiff Elbow release, loose body removal, TFCC
repair). However, some general guidelines typically include
Cold compress/ Ice Application: Ice packs can help manage pain and reduce swelling, typically applied for 20 minutes every hour.
Wrist / Elbow Support or Brace: The wrist/ elbow may be immobilized with a splint or bandage for a period of time to ensure proper healing. Patients should follow the surgeon's instructions regarding how long to wear any supports.
Elevation: To reduce swelling, it's advisable to keep the upper limb elevated above heart level as much as possible, especially in the first few days after surgery.
Activity Restrictions: Avoid using the operated wrist/ elbow for heavy lifting or strenuous activities until cleared by the surgeon. Gradual reintroduction of movements as per the rehabilitation plan is crucial.
Rehabilitation Exercises: Physical therapy may be recommended to restore wrist and elbow function, strength, and flexibility. It's important to adhere to the therapy regimen.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Physical Activity and Rehabilitation : Follow a prescribed physical therapy regimen to restore knee mobility and strength. This typically begins the day after surgery. Gradually increase your activity level based on tolerance and under the guidance of your Physiotherapist / Surgeon. Avoid high-impact activities such as running, jumping, or other activities that put excessive stress on the knee joint.
Mobility and Precautions
Use assistive devices such as walkers, crutches, or canes as recommended to help with walking until
your strength and balance improve. This can vary from a few days to few weeks.
Always remember to keep your knee straight while sleeping (except for intermittent relaxation).
Strictly avoid keeping a pillow underneath your knee while sleeping (unless you are on a Knee
Immobilizer). You can keep a pillow underneath your ankle / foot to keep the limb elevated while lying
down.
Avoid twisting or pivoting on the affected leg.
Implement home safety measures to prevent falls, such as removing loose rugs and ensuring
adequate lighting.
Swelling Management : Elevate your leg above the level of your heart when sitting or lying down to reduce swelling. Wear compression stockings if recommended by your surgeon to help with swelling and blood circulation.
Specific Signs to Watch For : Be alert for symptoms that could indicate a complication, such as excessive swelling, persistent fever, severe pain not relieved by medication, or signs of a blood clot (e.g., increased pain in your calf, redness, warmth, or tenderness in your leg).
Long-term Care : Engage in regular, low-impact exercise such as walking, swimming, or cycling to maintain joint health and mobility. Maintain a healthy weight to reduce stress on the knee joint.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Immediate Post-Operative Phase (First 6 Weeks)
Sling Use: Wear the sling as instructed by your surgeon to support and protect the shoulder.
Activity Restrictions: Avoid lifting, pushing, or pulling anything heavy. No driving until cleared by the surgeon.
Physical Therapy:Begin gentle physical therapy exercises to improve range of motion as recommended.
Intermediate Phase (6 Weeks to 3 Months)
Gradual Increase in Activities: Start increasing daily activities as pain permits but avoid overexertion.
Physical Therapy: Continue with more advanced physical therapy focusing on strengthening and increasing range of motion.
Long-Term Care (Beyond 3 Months)
Strengthening Exercises: Continue with exercises to strengthen the shoulder.
Activity Modifications:Return to more strenuous activities, including sports, only as advised by your healthcare provider.
Immediate Post-Operative Phase (First 6 Weeks)
Splint or Sling:Use any immobilization device provided to protect the elbow joint.
Activity Limitations:Avoid lifting anything heavier than a cup of coffee. No driving until approved by the surgeon.
Physical Therapy:Early exercises might include gentle range-of-motion activities.
Intermediate Phase (6 Weeks to 3 Months)
Increase Activities: Gradually increase elbow use in daily activities within comfort limits.
Physical Therapy:Intensify physical therapy with strengthening exercises.
Long-Term Care (Beyond 3 Months)
Exercise and Activity: Continue strengthening exercises. Gradually return to more demanding activities as advised.
Lifestyle Adjustments:Implement ergonomic adjustments at work and home to protect the elbow.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Mobility and Weight-Bearing: Follow Dr Vishnu’s advice regarding weight-bearing on the operated leg. Some patients might be allowed to bear weight as tolerated immediately, while others may need to limit weight-bearing initially.
Physical Therapy: Begin physical therapy as recommended to restore mobility and strengthen the muscles around your new hip.
Prevent Blood Clots: Use blood-thinning medications if prescribed. Perform ankle and foot exercises to improve circulation. Compression garments may also be recommended.
Wound Care: Keep the surgical incision clean and dry. Follow instructions on how to care for your wound.
Avoid Infection: Be alert for signs of infection near the incision site, such as redness, increased pain, or discharge.
Hip Precaution: Avoid bending your hip more than a 90-degree angle, crossing your legs, or twisting your hip for the first few weeks after surgery.
Maintain a Healthy Weight: Excess weight can put additional pressure on your new hip.
Stay Active: Engage in low-impact activities such as walking, swimming, or cycling to strengthen your hip and improve flexibility.
Fall Prevention: Remove tripping hazards at home to reduce the risk of falls. Use assistive devices like handrails in the bathroom if necessary.
Dental Procedures: Inform your dentist about your hip replacement. You may need antibiotics before dental work to prevent infection.
Regular Check-ups: Attend all scheduled follow-up appointments with your surgeon to monitor your hip's condition.
Lifestyle Modifications
Driving: Your doctor will advise when it's safe to resume driving, usually when you can safely perform an emergency stop without discomfort.
Sexual Activity: You can resume sexual activity once comfortable, but it's essential to avoid positions that strain your new hip. Discuss this with your healthcare provider for personalized advice.
Follow all advises under the link ‘General Post-Operative Protocol and Advices’
Cold compress/ Ice Application: Ice packs can help manage pain and reduce swelling, typically applied for 20 minutes every hour.
Specific Signs to Watch For: Be alert for symptoms that could indicate a complication, such as excessive swelling, persistent fever, severe pain not relieved by medication, or signs of a blood clot (e.g., increased pain in your calf, redness, warmth, or tenderness in your leg).
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