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Ibuprofen 400mg
Every 8 hrs · Take with food · Anti-inflammatory
Amoxicillin 500mg
Every 12 hrs · Antibiotic to prevent infection
Ibuprofen 400mg
Due at 6:00 PM · Take with dinner
Amoxicillin 500mg
Due at 8:00 PM · Evening dose
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Normal: 97–99°F · Call us if above 101°F
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🌡️ Fever alert: Your temperature reading is above 101°F. Please call the clinic at CLINIC.phone or go to the ER if you also have increased pain, redness, or wound discharge.
🩸 Glucose alert: Your blood glucose reading is above 180 mg/dL. Monitor closely and contact your physician if readings stay elevated.
⚠️ Pain alert: Your pain level is 8 or above. If your pain medications are not controlling this, please call the clinic at CLINIC.phone.
Wound scan
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⚠ Important: This AI tool is for informational purposes only and is NOT a medical diagnosis. Always contact ' + CLINIC.provider + ' or the clinic if you have any concerns about your wound. Call CLINIC.phone for urgent questions.
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Nurse John: Hi Sarah! I've reviewed your recovery summary. Everything looks on track. How are you feeling today?
Is it normal to still have swelling on day 4?
Nurse: Yes, swelling in the early days after surgery is very common. Continue elevating and icing 20 minutes on, 20 off. It should gradually improve over the coming days.
Can I shower now?
Nurse John: Yes! After 48 hours you can shower with a waterproof bandage covering the incision. Pat dry gently. Avoid soaking in a bath or pool for 3 weeks.
For emergencies, call 911 or the clinic at CLINIC.phone
Your care team
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' + CLINIC.provider + '
Surgeon · Next: Day 7 video call
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Pre-op preparation
Everything you need to do and know before your surgery at Orthopedic and Spine Institute.
Important reminder
Complete all items on this checklist before your surgery date. If you have any questions call the Orthopedic and Spine Institute at CLINIC.phone. ' + CLINIC.provider + ''s team is here to help you prepare.
2 weeks before surgery
Start now
Stop taking blood thinners (aspirin, ibuprofen, Advil) — ask your provider first
Your surgeon removes the damaged cartilage and bone from your knee and replaces it with a metal and plastic implant. Think of it like replacing a worn-out hinge with a brand new one.
Why you need it: Severe arthritis has worn down the cartilage in your knee causing pain, stiffness, and difficulty walking.
Surgery time: 1-2 hours. Most patients go home the same day or next day.
The implant: Designed to last 15-20+ years with proper care.
Recovery timeline
Days 1-3: Most painful phase
Swelling, pain 6-8/10, hard to bend knee. This is normal.
Days 4-14: Getting easier
Pain reduces to 4-6/10, swelling improves, short walks possible.
Weeks 3-6: Real progress
Walking without walker, bending increases, pain 2-4/10.
Months 3-6: Near normal
Most daily activities resume, minimal pain, strength returning.
1 Year: Full recovery
Full strength, pain-free walking, return to low-impact activities.
Prehab exercises
Before surgery
Start 4-6 weeks before surgery. Stronger muscles = faster recovery.
1
Quad sets
Lie flat, tighten thigh muscle, hold 5 sec. 3 sets of 10 daily.
2
Straight leg raises
Lie flat, lift straight leg to 45 degrees, hold 2 sec, lower slowly. 3x10.
3
Heel slides
Lying down, slowly slide heel toward buttocks, hold 5 sec. 3x10.
4
Mini squats
Stand holding chair, bend knees 20-30 degrees, hold 5 sec. 3x10.
5
Daily walks
10-20 minute walks daily to build endurance before surgery.
Post-op rehab exercises
After surgery
Begin Day 1 post-op with guidance from your physical therapist.
1
Ankle pumps
Pump feet up and down. Start immediately. Prevents blood clots.
2
Quad sets
Tighten thigh, hold 5 sec. Begin Day 1, 3x10 every 2 hours.
3
Heel slides
Goal is 90 degree bend by week 2. Go slow, never force it.
4
Seated knee bends
Sit in chair, bend knee as far as comfortable, hold 10 sec.
5
Walking program
Day 1: walker and 10 steps. Add distance each day as tolerated.
Pain and stiffness - what is normal?
Important to know
Normal pain
Aching and throbbing around the knee. Worse in the morning and after activity. Improves with ice and elevation. Gets better each week.
Normal stiffness
Difficulty bending past 90 degrees in first 2 weeks. Morning stiffness lasting 30-60 minutes. Clicking or popping sounds are normal.
Call us if you have...
Fever above 101F. Calf pain or swelling. Sudden sharp increase in pain. Wound opening or unusual discharge.
Your surgeon removes the damaged ball-and-socket joint and replaces it with a metal ball and smooth plastic socket. The result is a pain-free, smooth-moving shoulder.
Why you need it: Severe arthritis has destroyed the cartilage in your shoulder causing constant pain, grinding, and very limited motion.
Surgery time: 2-3 hours. Most patients go home the next day.
The implant: Designed to last 15-20 years. You will regain significant pain-free motion.
Recovery timeline
Days 1-7: Sling phase
Arm in sling at all times. Pain 5-7/10. Significant swelling.
Week 2: Active and passive ROM begins
Begin gentle active and passive range of motion as directed. Sling gradually weaned. Pain reducing.
Weeks 6-12: Active motion
Sling removed, active exercises begin, strength slowly returns.
Month 3+: Functional use
Strengthening progresses. Most daily tasks resume. Driving when cleared by ' + CLINIC.provider + '.
12+ Months: Full recovery
Full strength and range of motion achieved.
Prehab exercises
Before surgery
Strengthen surrounding muscles before surgery for faster healing.
1
Pendulum swings
Lean forward, let arm hang, make small circles. 2 minutes daily.
2
Shoulder blade squeezes
Squeeze shoulder blades together, hold 5 sec. 3x10 daily.
3
Wall slides
Slide arms up wall as far as comfortable without pain. 3x10.
4
Grip strengthening
Squeeze a soft ball 30 times each hand. Helps circulation.
Post-op rehab exercises
After surgery
Do these gently at home as directed by ' + CLINIC.provider + '. Never force movement.
1
Pendulum swings
Begin Day 1. Lean forward, let gravity move arm in small circles.
2
Elbow and wrist motion
Bend and straighten elbow, rotate wrist. Keeps circulation going.
3
Passive forward flexion
Week 2+. PT or other arm lifts operative arm forward gently.
4
Active-assisted motion
Week 6+. Begin lifting arm with your own muscle, use other arm to assist.
Pain and stiffness - what is normal?
Important to know
Normal pain
Deep aching in shoulder and upper arm. Worse at night for first 4-6 weeks. Improves steadily with each passing week.
Normal stiffness
Very limited motion for first 6 weeks while in sling. Stiffness is expected and normal. Motion returns gradually through PT.
Call us if you have...
Fever above 101F. Numbness or tingling in hand. Sudden loss of motion. Wound redness or discharge.
The ACL is one of the main stabilizing ligaments in your knee. ' + CLINIC.provider + ' replaces the torn ACL with a graft — a piece of tendon from your own body — which becomes your new ACL over time.
Why you need it: Your ACL is completely torn, causing your knee to feel unstable or give way during activity.
Surgery time: 1-1.5 hours. Most patients go home the same day.
The graft: Takes 9-12 months to fully mature into a strong ligament.
The rotator cuff is 4 muscles and tendons that hold your shoulder together. ' + CLINIC.provider + ' reattaches the torn tendon back to the bone using small anchors — usually done through tiny incisions with a camera.
Why you need it: One or more rotator cuff tendons are torn, causing pain, weakness, and difficulty lifting your arm overhead.
Surgery time: 1-2 hours. Most patients go home the same day.
Healing: The tendon takes 4-6 months to heal to the bone. The sling protects this healing.
Recovery timeline
Weeks 1-6: Sling protection
Sling at all times. No active shoulder movement. Pain 4-7/10.
Weeks 6-12: Passive motion
Gentle passive motion exercises. Sling is slowly removed. Pain reducing.
Week 6: Active motion begins
Begin lifting arm yourself. Sling fully removed. Follow ' + CLINIC.provider + ''s exercise plan.
Month 3: Strengthening begins
Progressive resistance training starts, most daily activities return.
6-12 Months: Full recovery
Full strength and overhead function restored.
Prehab exercises
Before surgery
Focus on what you can do without pain. Never aggravate the tear.
1
Pendulum swings
Lean forward, let arm hang loose, make gentle circles. 2 min daily.
2
Elbow flexion
Bend and straighten elbow with arm at side. 3x15 daily.
3
Shoulder blade squeezes
Squeeze blades together, hold 5 sec. Strengthens postural muscles.
4
Grip strengthening
Squeeze soft ball 30 times each hand. Keeps arm muscles active.
Post-op rehab exercises
After surgery
Rotator cuff has the longest recovery. Protect the repair above all else.
1
Pendulum swings
Begin Day 1. Gravity only, no muscle activation whatsoever. 3x daily.
2
Elbow, wrist and hand motion
Full motion of everything below the shoulder. Prevents stiffness.
3
Gentle passive ROM
Week 2+. Physical therapist gently moves the arm through passive range of motion. No active muscle use.
4
Passive forward flexion
Week 2+. Physical therapist lifts arm forward gently. Zero active muscle use.
5
Active-assisted raises
Month 3+. Use pulley or other arm to help lift. Very slow.
6
Resistance band rotations
Month 4+. Light band for external and internal rotation.
Pain and stiffness - what is normal?
Important to know
Normal pain
Deep shoulder aching especially at night. Night pain is very common for 6-8 weeks. A recliner is often more comfortable than a bed.
Normal stiffness
Very stiff for first 3 months. This is intentional. The tendon needs to heal before being stretched. Trust the process.
Call us if you have...
Fever above 101F. Numbness in fingers. Sudden pop or snap in shoulder. Wound drainage or increasing redness.
An epidural steroid injection delivers anti-inflammatory medication directly into the epidural space in your spine — the area surrounding the spinal cord and nerve roots. ' + CLINIC.provider + ' uses live X-ray guidance (fluoroscopy) to place a small needle precisely in the right location.
Why you need it: To reduce inflammation around irritated or compressed nerve roots, relieving pain from conditions like herniated disc, spinal stenosis, or sciatica.
Procedure time: 15–30 minutes. You go home the same day.
What to expect: You will lie on your stomach. You may feel pressure during the injection but it should not be painful. You will rest for 15–30 minutes after before going home.
Follow your surgery center's specific instructions on whether to eat or drink before the procedure.
Days 1–2: Possible soreness
Some increase in pain is normal before relief begins. Use ice 20 min on/off.
Days 3–14: Relief begins
Pain relief typically starts within a few days but can take up to 2 weeks.
Relief window: Hopefully a few months or more
Duration varies by patient. Some experience relief for several months or longer. Results differ for everyone.
Common side effects
Usually temporary
1
Increased soreness at injection site
Lasts 1–2 days. Normal. Use ice packs for relief.
2
Flushing or feeling warm
Caused by the steroid. Passes within a day or two.
3
Headache
Usually mild. If severe or worsens sitting up, call us immediately.
4
Blood sugar spike (diabetic patients)
Steroids temporarily raise blood sugar. Monitor closely for 48 hours.
5
Difficulty sleeping 1–2 nights
Steroid effect. Passes quickly. Avoid caffeine in the evening.
Warning signs
Call us or go to ER
Call CLINIC.phone immediately or go to the ER if you experience any of the following.
!
Severe headache that worsens sitting or standing
May indicate a spinal fluid leak. Call immediately.
!
Fever above 101°F or chills
Possible infection. Do not wait — call or go to ER.
!
New weakness or numbness in legs
Go to the ER immediately if sudden or severe.
!
Loss of bowel or bladder control
Go to the ER immediately. This is a medical emergency.
!
Redness, swelling, or drainage at injection site
Signs of possible infection. Call us right away.
What to know about your results
Important
This injection provides temporary relief — it is not a cure. The purpose is to reduce pain and inflammation while your body heals naturally. Most patients experience modest improvement lasting several weeks. Stay active during the relief period — movement helps your recovery.
' + CLINIC.provider + ' will assess how well the injection worked at your follow-up before considering any additional treatments. If your pain returns, a repeat injection or different treatment may be appropriate.
A medial branch block is a diagnostic test — not a treatment. ' + CLINIC.provider + ' injects a small amount of numbing medicine near the medial branch nerves, which carry pain signals from the facet joints in your spine. If your pain goes away after the injection, it confirms that those facet joints are the source of your pain.
Why it matters: A positive result means you are likely a good candidate for radiofrequency ablation — a longer-lasting treatment that can provide relief for 6–12+ months.
Procedure time: 15–30 minutes. You go home the same day.
You may need two blocks: Some patients need a second diagnostic block to confirm the results before proceeding to ablation.
What to do after your block
Before: Continue all medications
Unless told otherwise. Bring a driver — you cannot drive yourself home.
First 15–30 minutes: Numbing begins
The numbing medicine works quickly. Note any pain relief you feel.
Hours 1–6: Most important window
Go do your normal activities. Try movements that usually cause pain. Track your relief carefully.
After 6 hours: Numbness wears off
Pain will return as the numbing medicine fades. This is expected.
At follow-up: Report your results
Tell ' + CLINIC.provider + ' exactly how much relief you had and for how long.
Common side effects
Mild and temporary
1
Soreness at injection site
Lasts 1–2 days. Normal. Use ice 20 min on/off for comfort.
2
Temporary numbness or mild weakness
In back or legs. Lasts only a few hours. Do not drive until this resolves.
3
Brief increase in pain
Some patients feel a flare before relief kicks in. This is temporary.
4
Light-headedness
Sit or lie down if this occurs. Usually passes within minutes.
5
Bruising at injection site
Normal. Resolves within a few days on its own.
Warning signs
Call us or go to ER
Call CLINIC.phone immediately or go to the ER if you experience any of the following.
!
Fever above 101°F
Possible infection. Call immediately — do not wait.
!
New weakness or numbness lasting more than 24 hours
Call the clinic right away to be evaluated.
!
Sudden severe weakness in legs
Go to the ER immediately.
!
Loss of bowel or bladder control
Go to the ER immediately. This is a medical emergency.
!
Redness, warmth or drainage at injection site
Signs of possible infection. Call us right away.
This is a diagnostic test — here is what your results mean
Important
Positive result
A positive result requires two medial branch blocks with significant decreased pain — this is required for insurance purposes. If both blocks are positive you may be a candidate for radiofrequency ablation.
Negative result
Little or no improvement. The facet joints may not be the source of your pain. ' + CLINIC.provider + ' will discuss other possible causes and treatments.
Radiofrequency ablation (RFA) uses heat to create a small lesion on the medial branch nerves that carry pain signals from your facet joints. By interrupting these signals, RFA provides longer-lasting pain relief than an injection alone. ' + CLINIC.provider + ' uses live X-ray guidance throughout the procedure.
You must have had a positive medial branch block first — that result confirms your facet joints are the source of pain and that RFA is right for you.
Procedure time: 30–60 minutes. You go home the same day.
Relief timeline: Relief typically begins 2–4 weeks after the procedure and can last 6–12 months or longer.
Recovery timeline
Days 1–2: Rest
Rest at home. Use ice packs 20 min on/off. Take approved pain relievers.
Days 3–10: Expected soreness phase
Most patients have increased pain and deep aching for 3–10 days. This is normal healing.
Days 3–7: Return to work
Most patients return to work within 2–7 days depending on job type.
Weeks 2–4: Relief begins
Pain starts to improve. Do not judge results until at least 4 weeks have passed.
Weeks 4–8: Maximum benefit
Most patients feel the full benefit at 4–8 weeks. Relief can last 6–12+ months.
Side effects
What to expect
The soreness phase after RFA is normal and expected in most patients.
!
Blood thinners — you may need to stop before the procedure
' + CLINIC.provider + ' will advise you on whether to stop blood thinners before your RFA. Follow instructions carefully.
1
Increased pain and soreness days 3–10
Occurs in most patients. Deep ache or muscle soreness feeling. Normal healing.
2
Numbness or altered sensation
In the treated area. Usually resolves within 2–3 weeks.
3
Bruising at needle sites
Normal. Resolves on its own within a few days.
4
Burning or tingling sensation
Occurs in about 3–9% of patients. Usually improves over several weeks.
5
Muscle tenderness and stiffness
Normal. Gentle movement helps. Avoid strenuous activity for the first week.
Warning signs
Call us or go to ER
Call CLINIC.phone immediately or go to the ER if you experience any of the following.
!
Fever above 101°F or chills
Possible infection. Call immediately — do not wait.
!
Pain that keeps worsening after 2 weeks
Should be improving by week 2. Call if it keeps getting worse instead.
!
New weakness in legs that persists
Call the clinic to be evaluated right away.
!
Loss of bowel or bladder control
Go to the ER immediately. This is a medical emergency.
!
Signs of severe allergic reaction
Difficulty breathing, severe rash, face or throat swelling. Call 911.
What to expect from your results
Realistic expectations
Be patient
Do not judge results until at least 4 weeks have passed. The nerves need time to stop sending pain signals.
Expected relief
RFA typically reduces pain by 50–80% when successful. Complete elimination of pain is uncommon. The goal is improved function and quality of life.
Nerves may regrow
Nerves can slowly regrow over time. If pain returns after 6–12+ months, the procedure can be safely repeated.
Carpal tunnel syndrome occurs when the median nerve — which runs through a narrow passage in your wrist called the carpal tunnel — becomes compressed. This causes numbness, tingling, pain, and weakness in the hand. ' + CLINIC.provider + ' relieves the pressure by cutting the ligament that forms the roof of the tunnel, giving the nerve more space.
Two approaches — ' + CLINIC.provider + ' will determine which is right for you:
Open release: A small incision (about 2 inches) is made in the palm. Provides direct visualization of the nerve and ligament. Slightly longer recovery but very reliable.
Endoscopic release: One or two very small incisions with a tiny camera. Return to activity is patient dependent but potentially a week earlier than open release.
Procedure time: 15–30 minutes. You go home the same day. Local or regional anesthesia is used — you are awake but feel no pain.
Recovery timeline
Days 1–3: Rest and elevation
Keep hand elevated above heart level. Soreness and swelling are normal. Use ice 20 min on/off.
Days 3–14: Light use begins
Light finger and hand use for daily tasks. No gripping, pinching, or lifting yet.
Week 2: Suture removal
Stitches removed at your follow-up with your provider. Scar will be tender — this is normal.
Weeks 2–6: Strength returning
Grip strength gradually improves. Light work duties may resume. Continue gentle wrist range of motion.
Month 1: Most patients return to full activity
Most patients return to full activity around 1 month. Numbness and tingling continue improving for up to 12 months.
Up to 12 months: Nerve healing
Nerve recovery continues long after wound healing. Tingling improves gradually — be patient.
Prehab — before surgery
Prepare your hand
These gentle exercises help maintain circulation and flexibility before surgery.
1
Tendon gliding exercises
Move fingers through a full range — straight, hook fist, full fist, tabletop. 10 reps, 3x daily.
2
Wrist stretches
Gently bend wrist up and down, hold 15 sec each direction. 3x daily. Stop if painful.
3
Nerve gliding
Extend arm, bend wrist back gently, tilt head away. Hold 5 sec. 10 reps each side daily.
4
Avoid aggravating activities
Reduce repetitive gripping, vibrating tools, and prolonged wrist bending before surgery.
5
Sleep with wrist neutral
Use a wrist splint at night before surgery to reduce nighttime symptoms.
Post-op exercises
After surgery
You will have bandages on after surgery — exercises can still begin right away. Never push through sharp pain.
1
Finger flexion and extension
Begin Day 1. Gently open and close fingers fully. 10 reps every 2 hours.
2
Gentle wrist flexion and extension
Begin Day 1 even with bandages on. Slowly bend wrist up and down gently. 10 reps, 3x daily.
3
Wrist side to side
Begin Day 1. Move wrist gently left and right. 10 reps each direction, 3x daily.
4
Wrist circles
Week 3+. Slowly rotate wrist in full circles. 5 clockwise, 5 counter-clockwise. 3x daily.
5
Scar massage
Week 3+ once wound is fully closed. Rub scar firmly in small circles for 5 minutes daily to soften it.
Pain and symptoms — what is normal?
Important to know
Normal pain
Soreness in the palm and wrist for 2–4 weeks. Pillar pain — aching on the sides of the wrist — is very common and normal for up to 3 months. Scar tenderness is expected.
Normal nerve symptoms
Tingling and numbness may temporarily worsen right after surgery before improving — this is normal. Full nerve recovery can take up to 12 months depending on how long the nerve was compressed.
Call us if you have...
Fever above 101°F. Increasing redness, warmth, or drainage from wound. Sudden severe pain. Complete loss of hand movement. Signs of wound opening.
Open vs. endoscopic — what is the difference?
Open release
Small 2-inch incision in the palm. Direct view of the nerve and ligament. Return to light activity in 2–4 weeks. Excellent long-term outcomes. Good choice for complex or revision cases.
Endoscopic release
One or two very small incisions with a tiny camera. Return to work is patient dependent but potentially a week earlier than open release. Same long-term outcomes as open release. ' + CLINIC.provider + ' will determine if this is appropriate for you.
Both approaches achieve the same result
Research shows equal long-term success rates for both methods. ' + CLINIC.provider + ' will choose the best approach based on your anatomy, severity, and individual circumstances.
Activity restrictions
Follow carefully
Days 1–3: No use of hand
Keep elevated. Light finger movement only. No gripping or lifting anything.
Week 1–2: Light activity only
No lifting over 1 pound. No driving until cleared. Keep wound dry.
Week 2–4: Gradual return
Light desk work may resume. No heavy gripping, tools, or vibrating equipment.
Week 4–6: Increasing strength
Begin gentle grip strengthening at home. Progress as tolerated. Avoid heavy manual labor still.
Month 2–3: Full return
Most patients return to full work and activity including manual labor by month 2–3.