Jonathan Cluett, MD, is board-certified in orthopedic surgery. The website and its contents Osteoarthritis and Cartilage. During stressful conversations with a physician, it's easy to forget even the most basic question. Being honest and open about your symptoms pushes your doctors diagnosis in the right direction. An appointment with an orthopedic surgeon requires the exchange of a lot of information in a short period of time, but when you know what to expect, you can make the most of your time. You may have to provide additional details regarding your medical history and any problems youre currently having. Are there possible after effects or risks? Find out what to expect in the 12 weeks after TKR and what you can do at each, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Osteoarthritis (OA) of the knee can cause cartilage to break down, causing the bones of the knee to rub together. An X-ray provides information about the health of the bone in your knee. What percentage of patients improve following the procedure? Long-term follow-up is generally much more focused on implant survival. What should I expect and how long will it take? During the physical exam, your doctor will measure your knees range of motion using an instrument that resembles a protractor. To guarantee the best possible treatment, it helps to bring a list of any medications youre taking. Hand and wrist specialists only see hand and wrist cases. Will I have pain following the procedure? https://www.voyagehealthcare.com/how-to-make-the-most-of-your-first-prenatal-visit-guide [Accessed September 2021], Gifford Health Care (2021). This information will help you determine if knee replacement surgery is the right treatment for you. Here are five things many medical centers are doing to help. Expect to meet providers and staff that are fully supportive of your orthopedic journey. Rest. Ourorthopedic surgeons,podiatrist,physical medicine and rehabilitation doctor, andphysical therapistsspecialize inarthroscopic surgery, minimally invasive procedures,joint replacement,sports medicine, and onsite diagnostic imagery, outpatient surgery, andphysical therapyrehabilitation providing pain relief fromsciatica,carpal tunnel syndrome,foot pain,knee pain,hip replacement,shoulder impingement,cubital tunnel syndromeand more. Regaining strength following joint replacement surgery is critical to the restoration of normal functional activities. As part of an assessment, they will evaluate your gait and look for any specific abnormalities or limps. Prenatal care and tests. A Basic HTML5 Template. Berry DJ, Bozic KJ. Will I need an implant or prosthesis? Empirical support for radiographic review: a follow-up study of total hip arthroplasty, Self-Reported Knee Instability Before and After Total Knee Replacement Surgery, An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos, Skin Closure Tape and Surgical Staples in Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis, The effect of core stabilization training on functional performance, balance and quality of life in patients with total knee arthroplasty, Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics, Joint Replacement Infection - OrthoInfo - AAOS, Current Practice Patterns in Primary Hip and Knee Arthroplasty Among Members of the American Association of Hip and Knee Surgeons, How Often Is the Office Visit Needed? While most people are interested in the actual surgical procedure, the vast majority of your appointments with your surgeon will be during this postoperative recovery process. What are the pros and cons of each alternative? Your provider can talk to you about the risks at your first visit and throughout your journey. Predicting Total Knee Arthroplasty Revision Risk Using Pain/Function Scores. Please consult with your physician or other healthcare If you're taking any medications or think you may have been exposed to a hazardous substance, speak with your provider as soon as possible. For example, people taking certain blood-thinning medications may need routine follow-up blood tests. What percentage of patients improve following the procedure? Access to your medical records gives your doctor information to make an accurate diagnosis. 2020;2020:1-6. doi:10.1155/2020/4827617, Karaman A, Yuksel I, Kinikli G, Atilla B. Ice packs are reasonable; however, using a bag of frozen peas wrapped in a towel is an even better option as it allows for the whole knee to be covered. What kind of implant or prosthesis will be used? Orthopedist. We look forward to caring for your orthopedic and sports medicine needs. Sexually transmitted infection (STI) tests: The Pap . Nicholas Andre, a University of Paris professor, first coined the term orthopedic in 1741. Are there any other tests before surgery? High-risk groups include those who: While many potential troubles are treatable or temporary, some can be dangerous to both parent and baby. The types of nonsurgical and surgical treatments your surgeon may recommend for you. While researchers have identified more than 100 genes of interest, the direct link isn't well understood. Answer all questions honestly. It will be helpful if you arrive prepared with vital dates and information. Orthopaedic surgeons treat many musculoskeletal conditions without surgery, by using one or more of the following: Often, nonsurgical treatments can either effectively address your condition or improve your symptoms enough to delay the need for surgery. Why is this type of surgery my best option? There are various reasons why you might need a knee replacement, but the most common is osteoarthritis (OA) of the knee. What to expect, generally speaking, during your initial visit, though each patients experience will be unique to their situation. What can i expect for my first podiatry appointment? treatment is right for you and the risks associated therewith, 2023 Puget Sound Orthopaedics | All rights reserved. Self-Reported Knee Instability Before and After Total Knee Replacement Surgery. Mayo Clinic Staff. Understanding this timeline for the rehabilitation process can help ensure a smooth transition through your recovery. https://americanpregnancy.org/healthy-pregnancy/planning/first-prenatal-visit/ [Accessed September 2021], Kids Health. Not all patients are candidates for the products/ procedures mentioned After undergoing joint replacement surgery, such as hip replacement surgery or knee replacement surgery, there will be a number of follow-up appointments with your orthopedic surgeon to ensure that your recovery is proceeding as anticipated. All material on this website is protected by copyright. Be sure to answer inquiries honestly, so your doctor can form an accurate diagnosis. Because our approach to care is highly individualized, your doctor will review all of your options with you during your care process at Puget Sound Orthopaedics. As the Covid-19 virus has brought the world to a halt, some elective surgeries such as joint replacements have been postponed. Most Relevant is selected, so some comments may have been filtered out. Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics. What time should you arrive? Keep your doctor informed of any changes in your condition. BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. Provider Spotlight: Dr. Gavin Smith, Podiatrist, How to Sleep After Knee Replacement Surgery. Hightower CD, et al. Your doctor can also compare your past medical problems with the issues you are currently experiencing. If you have had previous X-rays, bringing these with you will enable the doctor to measure any changes. Providing a full spectrum inpatient and outpatient services, we work collaboratively to meet the needs and improve the health of our community. You can also expect your provider to cover several important pregnancy topics, including what to eat, symptoms to watch for, and the new do's and don'ts of your daily life. Its also vital to tell them about any discomfort, pain, or symptoms you are experiencing. Arriving early helps complete the necessary paperwork and perform simple evaluations. Arrive early: It is best to arrive 15-30 minutes before your scheduled appointment to fill out necessary paper work, especially if you are a new patient. Nutrition During Pregnancy. failure of implanted materials, any of which can necessitate Sex During Pregnancy. Learn about the different types of infections after knee replacement surgery, whether you're at risk for one, and how to treat and prevent them. These tests may be one or more of the following: The imaging test usually happens after discussing your medical history and takes just a few minutes. Prenatal Visits: First Trimester. (2018). There is especially great variability about how frequently surgeons will reassess their patients in long-term follow-up (more than a year after surgery). What is the success rate for this procedure? The team at Greater Rochester Orthopaedics is here to help answer your questions about your orthopaedic care. Why are you choosing the prosthetic device youre recommending? Your test results will then be handed off to your orthopedic doctor and provide them with some crucial information about your symptoms. It may be as simple as reassuring the patient that these findings are not unusual, but it may save a major intervention. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. According to the American Academy of Orthopaedic Surgeons, 90 percent of people who have knee replacement surgery say they have much less pain after surgery. . Orthopedic Surgeon Paid Consultant of Zimmer Biomet Scheduling an orthopedic appointment First times at anything can be nerve-racking, especially when visiting a new orthopedic doctor. Compile medical documents and records to take to the doctor's office. This will involve removing damaged tissue and implanting an artificial joint that will work in a similar way to your original knee. (2020). 5 doctor answers 14 doctors weighed in Share Dr. Joseph Newman answered Podiatry 33 years experience A few things: Of course you will be greeted with paperwork :) bring your insurance cards and a complete medicine list with you, and arrive early enough to complete the forms. That means that if the time has come for you to consider joint replacement, shoulder reconstruction, back and spinal care, or hand, foot or ankle treatment, we are here to work with you to find the best solutions to improve your quality of life. Your emotional health is very important. This is a multi-stage process that will include examinations and tests. (2021). Preparing for Your Appointment. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. Patient Assessment. Sex during pregnancy: What's OK, what's not. That includes any past surgeries or major illnesses youve had and if any diseases or medical conditions run in your family. For that reason, it is important that patients let their healthcare provider know of any concerns, and that we address those as quickly as possible. Orthopedics accepts initial appointments on Tuesdays at 9:15 a.m., 10:30 a.m., and 11:30 a.m., and Thursdays at 9:15 a.m., 10:30 a.m., and 11:30 a.m. Plan to be here for a good portion of the day. professional for medical advice and see the 'Legal Notice' link. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Your first visit is a great fact-finding opportunity to learn more about your condition and to evaluate your options. (2017). In situations where there is concern about ongoing drainage, your surgeon may recommend interventions including additional surgery, antibiotic treatment, or other options. If youre considering a knee replacement surgery, the first thing you will need is a medical evaluation. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/screening-for-perinatal-depression [Accessed September 2021], Voyage Healthcare. A physical examination usually consists of simple exercises such as walking around, standing up, bending, and other simple tasks. https://www.nichd.nih.gov/health/topics/high-risk/conditioninfo/factors [Accessed September 2021], March of Dimes. how well your wound is healing. Simply put, DMEs are medical tools that you can use at home to help you go about your daily life. Are you available after surgery to answer questions and address concerns? Travel During Pregnancy. What kind of anesthesia will be used? Finally, if you're high-risk, there is the option of invasive genetic diagnostic tests that can tell you for sure whether your baby has Down syndrome or certain other problems. other intellectual property rights, as applicable, owned by or Follow-up appointments are a critical time of evaluation that can help ensure the recovery is proceeding as expected and can help detect any potential problems or complications that may require intervention. Whenever possible, bring a disk with your imaging studies (X-rays, MRI, CT scan) with you to the appointment. Be sure to ask your doctor lots of questions during the evaluation, as this will help determine if this surgery is the right treatment for you. Here's an idea of what you can expect during a typical first appointment with an orthopedic surgeon. What kind of anesthesia will be used? schedule an appointment. What steps do you and your staff take to ensure the best possible outcome? Have you or a family member ever had any allergies or reactions to anesthesia? Before meeting your orthopedic doctor, a medical assistant will discuss your current condition with you. What risks are associated with this procedure? Early in the postoperative recovery, your surgeon will be focused more specifically on concerns such as infection and blood clot, whereas later in recovery they may be focused on mobility and strengthening. Filed Under: Orthopedics Tagged With: Orthopedic Appointment, Orthopedic Doctor near me, orthopedic surgeons Baltimore, Orthopedist. Finally, your doctor will discuss your options with you. You'll also hear about the common discomforts of early pregnancy and be warned about symptoms that require immediate attention. Exercise: This physical regimen strengthens muscles and prevent patients from re-injuring themselves. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. All rights reserved. If your evaluation shows severe damage and other treatments are unlikely to help, the doctor may recommend knee replacement surgery. Together, these distances make up your knees range of motion and flexibility. Thats usually because even at 6 weeks, a scan isnt always clear. March of Dimes. However, even a minor injury can become more severe and set your recovery back several months. Before agreeing to a treatment plan, youre sure to have a lot of questions about the goals of treatment, how procedures will be done, possible complications, and your recovery plan. How long should I expect to be in the hospital? Here at the Orthopaedic Associates of Central Maryland, our board-certified orthopedic doctors will guarantee comfortable, quality care. You dont need to study for any of these tests, but it wont hurt to prepare for the appointment, nonetheless. It can also help a patient's injury heal properly. Read on to know what to expect in your first visit with a hand specialist. These follow up appointments may continue for years, or even decades, depending on your surgeon's preference. For that reason, most surgeons have milestones that they want to see their patients achieve. But if you don't have any medical problems or concerns, it may not be part of the routine. (2021). You can learn more about how we ensure our content is accurate and current by reading our. AAOS researchers found these illnesses are comparable to the total percentage of Americans living with chronic heart and lung conditions. CVS and amniocentesis are invasive and may carry a small risk of miscarriage, so women who choose to have these procedures are usually those with a higher risk for genetic and chromosomal problems. (2020). Is knee replacement a common surgery at this hospital? However, surgery can be costly and time-consuming, and recovery can take up to 6 months or a year. While the majority of doctors do perform surgeries, they are also proponents of alternative solutions like physical therapy, wearable treatments like casts and braces, and injectable medications. Request an Appointment. However, this remarkable transformation is literally building a safe haven for your baby. We are currently accepting new patients and referrals. Medical History Questionnaire and Examination. Aside from DMEs, there are other treatment options that your doctor may recommend. Although this type of doctor is a surgeon, they often help people get relief with nonsurgical therapies. To help ensure your visit goes as smoothly as possible, try taking the following steps. Are there any other non-surgical options? BioMed Research International. If treated in time, orthopedic specialists can often remedy an orthopedic injury or condition without invasive treatment methods. Musculoskeletal disorders are diseases that affect the bones, joints, muscles, ligaments, and nerves. typical, indicative, or representative of all recipient patients. The dangers of smoking, drinking alcohol, using drugs, and taking certain medications will be a topic of discussion, as well. They learn operative and non-operative techniques to manage musculoskeletal disorders. In previous centuries, orthopedists only worked with children who had spinal deformities. We avoid using tertiary references. BMC Health Serv Res. In addition to inspecting the incision, your healthcare provider may need to remove sutures or staples. Improving your musculoskeletal health through comprehensive care and expert, individualized attention is the core of our mission at Puget Sound Orthopaedics. Will you perform traditional surgery or use a newer method? Zimmer Biomet. Will I need assistance at home afterwards? Ice. Whatever your available treatment options will be, your orthopedic doctor will guide you throughout the treatment and recovery process. Will I need assistance at home afterward? Preparing for Your First Prenatal Visit. Your doctor will then discuss your diagnosis and either help you select the best treatment plan so you can live an active and functional life, or refer you to another specialist such as another orthopaedic specialist, a rheumatologist, or an oncologist if appropriate. Typically these X-rays are obtained to ensure that implant alignment looks good. It is typical to have an abnormal (antalgic) gait following lower extremity surgery, but over time this should resolve, especially with appropriate physical therapy. Here are our top recommendations for walking and, Recovery and rehab play a crucial role after total knee replacement. Here are a few to help get you started: Remember, if theres ever anything you dont understand please let us know. What is noninvasive prenatal testing (NIPT) and what disorders can it screen for? https://giffordhealthcare.org/patients/preparing-for-your-appointment/ [Accessed September 2021], Associates in Women's Healthcare (2021). In addition, understanding the signs to watch for to identify potential problems with a joint replacement can help address problems before they become more serious. It can lead to pain, inflammation. Falls, accidents, blows, and diseases can cause these injuries. How long will the recovery take? You can use our online request form to request a consultation with our healthcare providers. Prenatal Care Overview. symptoms that require immediate attention, the most helpful and trustworthy pregnancy and parenting information, Whether your menstrual cycles are regular and how long they tend to last, Symptoms or problems you've noticed since your last period, whether theyre related to pregnancy or not, Current or past gynecological conditions, including, Medications, supplements, vitamins, and herbal drugs you take, A pelvic exam, including a Pap smear (unless you've had one recently) to check for infections such as chlamydia and gonorrhea or abnormal cells that could indicate cervical cancer, A urine sample to test for urinary tract infections and other conditions, Check for HIV, syphilis, hepatitis B and, in certain cases, hepatitis C, Determine immunity to rubella (German measles) and chickenpox, Become pregnant for the first time at age 35 or older, Become pregnant for the first time before age 18, Have certain medical issues that develop during pregnancy, such as preeclampsia and, Have certain pre-existing health problems, such as high blood pressure, thyroid disease, or type 1 or type 2 diabetes, Current and past diseases, conditions and other health issues, Current medications, including prescriptions, supplements, vitamins and herbal supplements and teas. Some surgeons will obtain X-rays every year, some every other year, or at some interval that approximates that, but there is little evidence that the surveillance x-rays do much to change the management of people who have undergone joint replacement. Depending on your condition, they may suggest using durable medical equipment (DME). This will probably be the longest of your prenatal appointments unless you encounter problems with your pregnancy along the way. Please click here for more information on Bone and Joint Specialists Physical Therapy Centers state-of-the-art facility. According to the U.S. National Library of Medicine, orthopedic surgeons receive five more years of training to master this field. Make sure to wear comfortable, non-restrictive clothing . Get there on time or a little early. Orthopedists treat a wide range of musculoskeletal disorders. Here are 10 common things to expect during your first trimester of pregnancy. If youre preparing to reschedule your elective surgery, you may wonder what precautions hospitals and surgery centers are taking in light of the COVID-19 virus. For non-severe cases, non-surgical treatments like medication or injection may be sufficient. Lovelock TM, Broughton NS. Some practitioners will be able to fit you in right away, but others may have waits of several weeks (or longer). Prenatal education and outreach. Pap tests used to look only for abnormal cells in the cervix. But in general, the incision should be completely dry within 3-4 days. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests [Accessed September 2021], MedlinePlus. Some surgeons obtain these X-rays while patients are still in the hospital, others may check an X-ray at the first postoperative visit. (2020). How will my pain be managed? (2021). Will I have full mobility and be pain free after my recovery? If you cant remember something, or if you dont understand your notes, call the office and speak to a member of your healthcare team. She lives in San Francisco with her family. What is the typical recovery process like? Healthline Media does not provide medical advice, diagnosis, or treatment. How will the physician know my needs/allergies? People ask if they should visit their primary doctor first before consulting with an orthopedic surgeon. https://medlineplus.gov/ency/patientinstructions/000544.htm [Accessed September 2021], Mayo Clinic. (2019). In addition to imaging tests, your orthopedic doctor may order lab tests. Orthopedic DMEs may include splints, casts, braces, canes, or wheelchairs. (2020). What limitations will I have? Prenatal care in your first trimester. Say Interviewee's Part. 2017;23(1):42-46. doi:10.4103/1117-6806.205750, Luo X, Zhang W, Yan P, et al. is intended for general public interest. By Jonathan Cluett, MD Typically sutures or staples that require removal will be taken out approximately two weeks following the surgical procedures. If I want a second opinion, whom can I consult? If you have already had testing done, and your surgeon has access to the results either through your electronic medical record or because you have brought hard copies of the results with you to your appointment they may not need to order new tests. Explain your options for prenatal genetic testing. Patients are the focus of everything we do at White Rock Medical Center. To schedule an appointment, you may call our office today at (410) 644-1880. For your convenience, a lot of practices are starting to make their forms available online so that patients can be extra ready for their appointment. Zimmer Biomet does not practice medicine and the content of this site They will refer patients who dont recover within three months to an orthopedic specialist for treatment. Whatever the reason is, you might want to know what to expect during your appointment. Some of the signs you should see your practitioner include: These are just some of the signs that you can look out for. An orthopedic appointment is not a one-time thing. What will happen if I dont have the surgery now? Bringing. (2020). This can be helpful for filling out forms and reviewing your insurance status. 1. After a physical examination, your doctor will have a good talk with you about possible diagnoses and treatment options. in whole or in part, without the express written consent of Zimmer Biomet. Here are a few things to know when scheduling your procedure. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. That means that if the time has come for you to consider joint replacement, shoulder reconstruction, back and spinal care, or hand, foot or ankle treatment, we are here to work with you to find the best solutions to improve your quality of life. She's passionate about translating complicated medical information into helpful pregnancy and parenting advice that's easy to understand. No same day surg: Very unusual to have surgery on your knee at a first appointment unless you have an infection or a traumatic open joint.. We look forward to working with you! The first prenatal appointment usually takes place in the second month, between week 6 and week 8 of pregnancy. I like to refer to it as "all-day any time it wants sickness.". This article explains: Getting the Most Out of Your Doctor's Visit. He developed the term using two Greek root words: orthos (straight) and paedia (children). What to wear: How large will the incision be and where will it be located? https://medlineplus.gov/genetics/understanding/testing/nipt/ [Accessed September 2021], American College of Obstetricians and Gynecologists. The first orthopedic appointment typically involves an evaluation of your medical history. Orthopaedic Oncology MRI Scan. If you have any other questions regarding your first visit to Bone and Joint Specialists, please call us at (248) 673-0500 ext 14. Orthopedic specialties treat musculoskeletal diseases, and orthopedists are physicians who diagnose these issues. Check you out and run some tests. This information will enable your doctor to: Next, they will carry out a physical evaluation. What happens at your first orthopedic appointment? This is a multi-stage process that will include examinations and tests.. Performed at 9 weeks of pregnancy or later, it's used to examine the little bits of your baby's DNA present in your blood. Niger J Surg. What are the benefits and risks of this procedure/surgery? OrthoInfo. Here is what you can expect when during your first visit with an orthopedic specialist. Joint Replacement Infection - OrthoInfo - AAOS. What are some factors that make a pregnancy high risk? (2015). They may consult with other professionals including neurologists, pain specialists, psychiatrists, chiropractors, and your primary care doctor. https://www.marchofdimes.org/pregnancy/chorionic-villus-sampling.aspx [Accessed September 2021], Office on Women's Health. The specialist will conduct a lifestyle assessment. Find out here. Carrier Screening. Your surgeon and PT will check your progress in a number of areas, including: your pain levels. With that in mind, please have the following information ready for your doctor: Your medical history and that of your family. Jon: I am happy that you asked that question. Thank you! How can I learn more about the implant you are selecting? December 17, 2021 First times at anything can be nerve-racking, especially when visiting a new orthopedic doctor.