Question 1

Drive

Accepted Answer

You may return to driving once you are off narcotics, you are out of your brace, and once you feel comfortable behind the wheel. You may want to consider practicing in a large parking lot to make sure your reaction speed is appropriate. If you drive an automatic transmission vehicle, Studies have suggested that post-operative patients should wait at least three weeks prior to driving. If you drive a manual transmission, and your operative leg is your left leg, it is recommended to wait at least 4-6 weeks after surgery.

Question 2

Return to Work

Accepted Answer

This varies significantly based on the demands of your sport or job. Dr. Jildeh evaluates return to work on a case-by-case basis. If you have a sedentary/desk job, you may be able to return to work soon. Once you return to work, it is recommended to get up from your work station to move around every 30 minutes to prevent stiffness.

If you work a demanding physical job, it is recommended you are off of crutches for approximately two weeks prior to returning to work.

Question 3

Shower

Accepted Answer

Postoperatively, it is recommended you wrap your dressings with a waterproof bag or perform sponge baths, being mindful to keep your bandages try. After your first post-operative appointment, all bandages will be removed and you can shower normally with soap and water.

Question 4

Hot Tub

Accepted Answer

Do not use a hot tub or take a bath until your sutures have been removed and your wounds are completely closed. We generally waiting at least 5-6 weeks.

Question 5

Add resistance on the bike

Accepted Answer

You should progress your indoor cycling to at least a level 5 on a stationary bike prior to cycling outside. Your first several rides should be on flat, level terrain. You may progress your intensity and duration gradually as you tolerate.

Question 6

Remove sutures

Accepted Answer

Your sutures will be addressed and removed at your first post-operative visit.

Question 7

Do Dry Needling

Accepted Answer

To reduce the risk of infection, please wait at least 6 weeks prior to dry-needling.

Question 8

Use Blood Flow Restriction Training

Accepted Answer

You may use BFR training starting at 4 weeks postoperative if it is available at your clinic by a certified BFR provider, and your incisions are fully healed. Please make sure to follow all guidelines and precautions.

Question 9

Wean off crutches

Accepted Answer

Once you have been promoted to change your weight bearing status by your physical therapist or a member of our team, use the following protocol to wean off your crutches and begin weight bearing:

• Days 1 & 2 - (20 % body weight) pounds of pressure, using both crutches
 • Days 3 & 4 - (30 % body weight) pounds of pressure, using both crutches
 • Days 5 & 6 - (40 % body weight) pounds of pressure, using both crutches
 • Days 7 & 8 - (50 % body weight) pounds of pressure, using both crutches
 • 
***Between 50% - 70% you may begin using only one crutch on the opposite side of involved leg***

• Days 9 & 10 - (70 % body weight) pounds of pressure, using 1 crutch
 • Days 11 & 12 - (80 % body weight) pounds of pressure, using 1 crutch
 • Days 13 & 14 - (100 % body weight) pounds of pressure; transition off of crutch

After reaching full weight bearing status, please work with your therapist to ensure adequate muscular control.

Post-Operative Instructions

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