Dr. Steve Mora MD, Post-Op Information for Knee Arthroscopy
The abnormal findings were:___________________________________and the procedure performed was:_________________________________________________________________
Bandages/Wound care: Remove bandages on Friday or _______. Wash your hands first. Leave the skin strips on. It is OK to shower Friday. After the shower, dry off the incisions with a clean dry towel and then redress with band-aids and the ACE wrap. Do not submerge (bath, jacuzzi) the surgical site for 2 weeks after the surgery. As long as the wounds are open or moist they must be covered with gauze or band-aids.
Post-op BLOCK of the whole leg after ACL surgery: It is normal for the whole leg including the toes to be numb for up to 1-2 days. Use crutches as long as the block is in effect. Your leg cannot support you the first 24 hours.
Activity: You should REST by limiting your standing and walking the first 3 days. Crutches following ACL reconstruction are used for 3 weeks. Cane after simple scopes are used on the opposite hand for 7 days even if you don’t think you need it. The PT will begin within 1-2 weeks after surgery and will be ordered on your first visit. Start your home exercises the night of surgery and do daily. Apply full weight on your leg. Driving may begin once you are able to safely steer and shift safely and without pain. This could take up to 2-4 weeks. Work: Return to a sedentary job (office) 7 days after surgery and physically hard jobs after 2 weeks for simple scopes and after 4-6 weeks for ACL surgery.
Swelling is undesirable. If you have a Cold Therapy Unit use it as much as possible. Apply ice packs for 30 minutes, remove for 30 minutes then repeat 5 times a day, continue for next 5 days.
Medication: One anti-inflammatory drug (Celebrex, Naprosyn, Voltaren) can be taken 1 wk after surgery. Tyl ES may be taken anytime. Stop these medications immediately and alert us if you experience stomach pain or your bowel movements turn black. Vicodin, Hydrocodone or other narcotics are taken for severe pain only “as needed”. Narcotics cause drowsiness and therefore should not be taken while driving a car. They also cause constipation so drink lots of water, prune juice or over the counter stool softeners.
Please call Dr. Mora if: The incision turns red and start to drain cloudy fluid (small amount of drainage the first week is normal). Unrelenting Pain. It is normal to have a low grade fever (under 100.0) the first 3 days after surgery. Call if Fever more than 101.0 F). Although it is normal to have a moderate amount of calf, ankle, and foot swelling after knee surgery a massive amount may not be. Nausea and vomiting can also be normal the first 2 days after surgery. It is OK to take over the counter nausea medicine.
You should proceed to the nearest emergency room if: You experience a rapid fast paced heart-rate, chest pain, unrelenting pain or difficulty catching your breath. Dr. Mora is usually available over the phone. Ask specifically for him when going through the office operator.