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WHAT TO EXPECT AFTER A CORTISONE INJECTION

WHAT TO EXPECT AFTER A CORTISONE INJECTION

WHAT TO EXPECT AFTER A CORTISONE INJECTION CORTISONE is administered in an injectable form in various anatomic areas of the body to treat a wide variety of orthopedic conditions.

The most common of these applications are:
1. into the subacromial bursa of the shoulder to treat bursitis
2. into the lateral epicondyle of the elbow to treat tennis elbow
3. into the carpal tunnel of the wrist to treat carpal tunnel syndrome
4. into major joints (knee, ankle) to treat inflammation

It is common for the injected area to go through a brief period of anesthesia or numbness. This is because a short-acting anesthetic (xylocaine) MAY be mixed with the CORTISONE injection to create a pain-free interval. It will typically wear off 1 to 3 hours after the injection. At this point, one will begin to experience discomfort, warmth, swelling and loss of motion of the affected joint. This will typically last about 24 to 48 hours and it is best treated with elevation, rest and ice. Extra-strength Tylenol can be taken to help alleviate the discomfort. This period will slowly dissipate thereafter until the CORTISONE reaches its maximum beneficial effect at about 3 weeks after the injection.
By signing below, I state that I am aware that there are potential adverse reactions related to the use of cortisone. Specifically, injectable cortisone can cause blanching/discoloration of the skin and/or thinning of the skin from fat necrosis. These effects are usually temporary and generally normalize after 1-2 years.

PATIENT
SIGNATURE: __________________________ Date: ___________
PATIENT
NAME: _________________________________________

ANTERIOR OR POSTERIOR LABRAL REPAIR

ANTERIOR OR POSTERIOR LABRAL REPAIR

Immediately Post-OP.: Patient discharged with shoulder immobilizer to be worn at all times for 6 weeks except: bathing, changing shirts, home exercises and P.T. Keep surgical incisions dry at all times for 2 weeks. Begin home exercises right away per your home exercise instruction sheet.

2 Weeks: Begin P.T.: Therapist to begin PASSIVE ROM in ALL planes. Avoid Traction Mobilization of the joint until 12 weeks post-op. Modalities as needed.

4 Weeks: Begin Isometric Strengthening.

6 Weeks: Discontinue the shoulder immobilizer. Begin Isotonic Strengthening.

12 Weeks: Discontinue Physical Therapy. Continue shoulder exercises at home. Gradually resume full activity except contact sports and throwing.

24 Weeks: Contact sports allowed. Return to throwing.

SUBSCAPULARIS REPAIR

SUBSCAPULARIS REPAIR

IMMED. POST-OP: Patient sent home with shoulder immobilizer to be worn at all times for 6 weeks except: bathing, changing shirts,
home exercises and P.T. Keep surgical incisions dry at all times for 2 weeks. Begin home exercises right away per your home exercise instruction sheet.

POST-OP 2 WEEKS: Begin P.T.: Therapist to begin PASSIVE ROM: EXTERNAL ROTATION LIMITED TO NEUTRAL. ABDUCTION, ELEVATION AND INTERNAL ROTATIONTO 90 DEGREES. No active motion and no strengthening exercises.

POST-OP 6 WEEKS: Discontinue immobilizer. BEGIN PASSIVE EXTERNAL ROTATION. Begin isometric exercises in all planes of motion. Keep resistance light (2lbs.) in INTERNAL ROTATION.

POST-OP 9 WEEKS: Begin isotonic strengthening in all planes. Weight Max 5 lbs. in INTERNAL ROTATION.

POST-OP 12 WEEKS: Gradually increase weight limits to MAXIMUM IN ALL PLANES.

POST-OP 14 WEEKS: DISCONTINUE PHYSICAL THERAPY. Continue strength work at home. Gradual return to full activity.

ROTATOR CUFF REPAIR

ROTATOR CUFF REPAIR

IMMED. POST-OP: Patient sent home with shoulder immobilizer to be worn at all times for 6 weeks except: bathing, changing shirts, home exercises and P.T. Keep surgical incisions dry at all times for 2 weeks. Begin home exercises right away per your home exercise instruction sheet.

POST-OP 2 WEEKS: Begin P.T.: Therapist to begin PASSIVE: ABDUCTION, ELEVATION, INTERNAL AND EXTERNAL ROTATION TO 90 DEGREES. No active motion and no strengthening exercises yet. Modalities as needed.

POST-OP 6 WEEKS: Discontinue immobilizer. Therapist to push passive ROM to maximum. Begin isometric exercises in all planes of motion…keep resistance light (2lbs.) in ABDUCTION and EXTERNAL ROTATION.

POST-OP 9 WEEKS: Begin isotonic strengthening in all planes. Keep weight Maximum 5 lbs. in ABDUCTION and EXTERNAL ROTATION.

POST-OP 12 WEEKS: Gradually increase weight limits to MAXIMUM IN ALL PLANES.

POST-OP 14 WEEKS: DISCONTINUE PHYSICAL THERAPY. Continue strength work at home. Gradually resume all activities.

SHOULDER ARTHROSCOPY

SHOULDER ARTHROSCOPY

Mandatory Items:
1. Do not get dressing wet. Sponges bathe only and cover the area with plastic secured with tape at the edge.
2. Elevate your arm for 24 hours – HAND ABOVE YOUR ELBOW.
3. Apply an ice pack to shoulder 20 minutes on and 20 minutes off for 24 hours while awake.
4. Spend the day of surgery and two full days after that in the house resting. Then increase your activity at a comfortable rate.
5. Take Tylenol for pain, 1 or 2 tablets every 4 hours as needed.
6. Take prescription pain meds as directed for more sever e pain. DO NOT DRIVE OR DRINK ALCOHOL WHILE TAKING THIS MEDICINE.
7. Take your temperature twice daily (AM and PM) for 7 days post-surgery.

Follow checked Items:

[ ] Remove your dressings in 3 days
[ ] Do not remove your dressings until seen by provider in the office.
[ ] No sling is needed.
[ ] Use sling while walking around, then elevate are when at rest.
[ ] Wear the shoulder immobilizer at all times until seen by provider in office.

Please contact surgeon’s office if any of the following occur:
1. If, you develop a fever of 102 degrees Fahrenheit or higher.
2. If, you have numbness, extreme swelling, coldness, and or color changes (in calf, ankle, or foot).
3. If, your bandages are saturated with blood.
PLEASE DO NOT REMOVE YOUR OWN SUTURES OR STAPLES FOR ANY REASON!!!
***PLEASE CALL 602-277-6211 TO SCHEDULE A POST-OP APPOINTMENT FOR 7-10 DAYS POST SURGERY, If you do not already have one scheduled for you.
IF YOU HAVE ANY QUESTIONS, PLEASE DO NOT HESITATE TO CALL OUR OFFICE AT 602-277-6211.