Patient Instructions After Posterior Instability Surgery
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Shane K Woolf, MD Associate Professor of Arthroscopy, Sports Medicine, and Shoulder Reconstruction Chief, Sports Medicine Medical University of South Carolina Administrative Assistant: M Annie Justiss Office: (843) 792-1081 Fax: (843) 792-3674 Patient Instructions After Posterior Instability Surgery Diet: - Resume your regular (high fiber) diet as tolerated Use a stool softener if needed Drink water Medications: - Take 1-2 tablets of _ every 4-6 hours, as instructed, for pain or Tylenol for mild pain - _ if prescribed, is a non-narcotic anti-inflammatory pain medication You should take _ tablets _ time(s) per day for _ _days with food DO NOT take with Aspirin or other anti-inflammatory medications (eg Advil, Motrin, Aleve, Celebrex, etc) - Resume preoperative medications unless instructed otherwise Dressing Care: - Keep dressing clean and dry DO NOT remove the sutures - You may expect some light bloody drainage through the dressing from the fluid that is placed into the shoulder during arthroscopy - Remove the dressing on the 3rd day after surgery If the incisions are still moist, place a BandAid over the site until dry If drainage continues contact your physician - Keep incisions dry for at least days After days you may shower, but not soak the incisions until discussed with your physician When you shower, not rub the incisions Simply allow the water to wash over the site, and then pat dry Activity: - - - Rest and minimize activity after surgery Apply ICE for 20-30 minutes every hours when awake (or use a cooling pack as directed) for the first 2-3 days A physical therapy prescription is provided Call your physical therapist to arrange the first visit 3-5 days after your surgery DO NOT resume use of regular exercise equipment until cleared by your physician A sling will be provided prior to discharge Remove the sling times each day to perform motion exercises Continue to use the sling for weeks, including during sleep The sling should only be removed for exercises, clothing changes, or while showering Keep a clean pad in your armpit to prevent excessive sweating when in the sling Active motion of the elbow, wrist, and hand are permitted immediately Active shoulder overhead reaching and lifting under your own power are permitted with the therapist You may use the operated arm after surgery only for activities of daily living that not require it to leave the side of the body (eg eating, drinking, bathing, writing, computer use, etc.) Five times each day you should perform Passive and Assisted Range of Motion exercises For example, forward elevation and external rotation exercises as shown below should be performed with the non-operated arm used as the “helper arm” controlling the motion of the operated arm The operated arm should remain relaxed at all times Twenty of each exercise should be performed five times per day - Overhead Reach is helping to lift your operated arm up as high as it will go Stretching is the GOAL! To perform overhead reach, lie flat on your back, RELAX, grasp the wrist of your operated shoulder with the helper hand Using the power of your helper arm, bring the operated arm up to 90 degrees (straight up from the ground) Start by holding it there for 10 seconds After the pain improves, you should try to hold it for 30 seconds Breathe slowly and deeply while the arm is moved Repeat this stretch 20 times, trying to move the arm up a little higher each time Follow up: - You should have a follow-up appointment in If you not already have one scheduled, call (843) 876-0111 to make an appointment - Notify the doctor if you have fever over 101.5ºF, excessive wound drainage, severe calf tenderness, numbness in the leg, increasing pain, or any urgent concerns - You can reach the doctor or his staff 24 hours per day, seven days a week, by calling (843) 7922123 if you have an urgent question or concern - For medical emergencies call 911 Specific Instructions: ...Patient Instructions After Posterior Instability Surgery Diet: - Resume your regular (high fiber) diet as tolerated Use... may expect some light bloody drainage through the dressing from the fluid that is placed into the shoulder during arthroscopy - Remove the dressing on the 3rd day after surgery If the incisions... when in the sling Active motion of the elbow, wrist, and hand are permitted immediately Active shoulder overhead reaching and lifting under your own power are permitted with the therapist You