Patient Postoperative Instructions and Information


 

Patient Postoperative Instructions and Information

Thank you for choosing to have your surgery with us. The following outline is written for patients who just had surgery and were discharged home. If you have suggestions as to how we can improve this handout please let us know!

WHAT SHOULD I EXPECT AND PLAN FOR THE EVENING AFTER SURGERY?

  • Plan on having a friend or family member drive you home from the surgery center. Make sure you have the afternoon and evening free of social and work obligations.
  • Most patients will require pain medication beginning the evening after the surgery. If you had a regional anesthesia (i.e. a nerve block) plan on taking the first dose of medication about 8 hours after the procedure whether you think you need it or not. When regional anesthesia wears off it does so quickly and without much warning.
  • Elevate the extremity as much as possible for 3 to 5 days. An extremity is adequately elevated if the foot is at the level of your heart. Generally only a single pillow under the extremity is required while lying in bed. 
  • For patients having ankle, hindfoot or midfoot surgery, ice the site of surgery to help decrease swelling and discomfort. Apply ice for 20 to 25 minutes every 4 to 6 hours while awake. Never apply ice directly to skin. We recommend placing the ice in a plastic bag partially filled with cold water. For patient having toe surgery, it is difficult to apply ice to that region. Elevation is your best option

POST-OPERATIVE MEDICATIONS

  • Patients instructed to take a 325mg aspirin twice a day with food for 14 days following surgery (see preoperative instructions) may start to do so in the early evening after their surgery. Patients who are on oral or injectable forms of anticoagulation therapy may start their medication the day after surgery.
  • Take pain medication as instructed on the bottle and only as needed for pain. 
  • Patients taking both aspirin and a nonsteroidal anti-inflammatory (NSAID) such as ibuprofen, naproxen, Aleve, Advil or Motrin, should take the aspirin approximately 30 minutes prior to taking the NSAID.
  • Remember, pain medications do not help with healing or significantly reduce swelling. The only reason to take them is for pain. Begin to wean yourself off of the pain medication as soon as possible.
  • Do NOT drive or operate any machinery while taking narcotic pain medications.
  • When taking Vicodin, Lortab, Norco, Tylenol with Codeine, Roxicet or Percocet, do not take any additional Tylenol or other Acetaminophen containing products.
  • Patients may experience side effects from narcotic pain medication including nausea, drowsiness, and constipation. Patients may be prescribed Colace to help with constipation and Zofran to help with nausea. Stating well-hydrated post operatively can help with constipation. 

WOUND CARE AND SWELLING

  • Do not remove your post-operative bandages and splint until your follow-up visit unless otherwise instructed.
  • Some bleeding and swelling during this time is normal. Apply additional dressings to the incision site if needed after 24 hours. If bandages become too tight due to swelling, simply loosen the ACE wrap bandage to decrease discomfort. If these simple measures fail to relieve symptoms, please call the office: (239) 624-0310.
  • In order to decrease the risk of infection, keep the incision site clean and dry. We strongly recommend the use of a shower bag to protect the bandages (see preoperative instructions for more information).
  • Incision sites should not be immersed in water (i.e. pool, lake, or bath) until instructed to do so by Dr. de Asla.
  • For any additional questions please contact the office at (239) 624-0310.

POST-OPERATIVE ACTIVITY

  • Dr. de Asla will have discussed your weight-bearing status in the office prior to surgery. You will be assigned to one of the following weight bearing categories:
    • NON-WEIGHT BEARING: Place no weight on your affected leg. Do not touch the floor with your affected leg. While you stand or walk, you must hold your affected leg off the floor
    • TOUCH DOWN WEIGHT BEARING: When you stand or walk, you may touch the floor only for balance. Do not place actual weight on your affected leg. The foot may rest on the floor when sitting.
    • PARTIAL WEIGHT BEARING: When you stand or walk, you may place a predetermined amount of your body weight on the affected leg. This requires the use of at least one crutch.
    • WEIGHT BEARING AS TOLERATED: When you stand or walk, place only as much weight as feels comfortable on your affected leg. Let pain be your guide. If you feel pain, place less weight on the affected leg. A single crutch may be used on the affected side if needed.
    • FULL WEIGHT BEARING: You may place your full body weight on your affected leg when you stand or walk.
  • Do not participate in activities or movements that increase pain or discomfort until you review with Dr. de Asla at your first post-op visit.
  • We strongly advise against any travel (long car trips, planes) until your sutures are out and the wound(s) have healed. Please inform Dr. de Asla if you have travel plans.
  • If you had surgery on your left foot only, then you can drive as long as you are no longer on narcotic pain medication and you do not need to operate a clutch (i.e. manual transmission).

If there are any additional questions, please contact the office at (239) 624-0310. After hours all calls will automatically be directed to the call service.

Patient Post Op Form

 

Location
Richard de Asla, MD
1285 Creekside Blvd E, Suite 102
Naples, FL 34109
Phone: 239-256-8794
Fax: 239-624-0307
Office Hours

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239-256-8794