You will be receiving a post-operative phone call from the surgical staff within a few days after surgery to check on you and assist you with any concerns.

Please call our office at 219-395-2109 if you develop a fever greater than 101°F, increasing pain that is not responding to pain medication, redness, increased swelling, persistent bleeding or drainage, or drainage other than clear fluid or blood. If it is after hours please call (219) 921-1444 and the answering service will contact the physician on call.

Your prescription for pain medication will be given to you before you leave the surgery center. After the first day or two, as the pain lessens, you may decrease the frequency with which you take the medication. Remember, the medications are not necessarily meant to completely eliminate your pain, only to make it more bearable. Narcotic pain medications can cause constipation; you may wish to use an over-the-counter stool softener to help prevent this.

It is important to take the medication as soon as you begin to feel pain. For medication refills, please call your pharmacy.  We do not refill pain medications after office hours or on holidays. Please take all medications that you have been given exactly as Dr. Levenda prescribed.

If you are having mild pain and would like to switch to a milder medication, please take Tylenol/acetaminophen (extra strength or regular). Do not take Tylenol and Norco (hydrocodone/acetaminophen) together (this would be too much acetaminophen). Do not exceed more than 4000mg of Tylenol/acetaminophen in a 24 hour period. If you are taking an aspirin per day, you should be cautious combining aspirin with anti-inflammatories (NSAID) such as Advil, Aleve, or Ibuprofen. These medications together can increase risk of GI bleeding. Please contact your medical doctor with questions about taking aspirin together with NSAIDs.

It is helpful to use ice to decrease pain and swelling. For the first few days after surgery, please try to ice at least 5 times daily, for 20 min each time. You may also elevate your leg on a few pillows while laying down to decrease pain and swelling

You will have a soft dressing and ace wrap applied over your incisions. It is meant to absorb any leaking blood or fluid from the joint, and to protect from infection. Leakage immediately after surgery is normal and actually helps to drain some of the fluid that accumulates in the joint during surgery. The dressings may become slightly moist or blood-stained; this is normal and usually not a cause for alarm.

Your dressing will be changed 2- 3 days after surgery.   Your dressing will be removed during your first therapy visit. If you plan on going to an outside therapy office that does not offer nursing care, you must call our LBJI’s physical therapy department to get the dressing changed.  If there is a clear dressing over the incisions, this should be left along until you follow-up with Dr. Levenda.

We ask that you keep all incision areas free of perfumes, lotions, deodorants, etc. You may develop blisters around your incision due to your skin stretching and swelling.  Please refrain from popping the blisters.  You may cover them with a Band-Aid free of ointments.

You may put full weight on your operative leg immediately after surgery. Some patients will be given crutches to use for comfort, but they are not required. Wean off the crutches whenever you are comfortable walking without them. By 2- 4 weeks you should be able to put full weight on your leg and walk normally.

Your dressing will be changed upon your initial evaluation.  You may have steri-strips over your incisions (small white strips of tape). If so, leave them in place until they fall off on their own or until they are removed at your first post-op appointment. You may let soap and water gently wash over your incisions, but do not scrub them. Pat them dry with a towel, then you may leave the steri strips uncovered if you’d like. Or, you may recover each of the steri strips with band-aids if there is still any drainage. You may not soak in a bathtub, hot tub or go swimming until your incisions are healed (usually 2-4 weeks).

Please do not attempt driving until you are off the pain medications. You should wait to drive until you can comfortably and safely operate the vehicle (get from gas to brake).

This will vary, based on the nature of your job. If you have a desk job, you may return to work as soon as you are off the pain medication, comfortable driving, and feel that you may perform your job. For example, if your surgery is on a Friday, you could likely return to a desk job by Monday. If you have a more labor-intense job that may require more walking, squatting or heavy lifting, you may need at least 2-4 weeks off work. We can discuss this in more detail during your 1st post-operative visit and we can give you work status notes (including light duty if this is an option for your job).

You will start physical therapy 2-3 days after surgery. Most patients will go 2-3 times/week for about 3 weeks. It is common to start physical therapy prior to your first post-operative visit.

You may golf 1-2 weeks post op. Please avoid excessive pivoting/twisting of the knee for a few weeks

Please follow the instructions of your physical therapist. During physical therapy, your therapist can create a safe “return-to-lifting” program. You may do upper body weight lifting and core exercises 3 days after surgery.

You may get in a pool at 2 weeks post-op, as long as your incisions are well healed. You should wait to swim until you have no swelling to the knee and full motion before you start swimming. Start with a gentle flutter kick then progress as tolerated.

Once you have full and comfortable motion and your physical therapist feels that your strength has progressed well, you may resume sports without restrictions. Individual progress varies but it is usually 2 to 6 weeks after surgery before a complete return to team sports such as baseball, football and soccer. Please ask us about returning sooner if you’d like.

You may begin walking or using the elliptical machine within 2-3 weeks after surgery.  You may progress to jogging and/or running 6 weeks after surgery.