Dr. Albersheim typically performs most procedures on an outpatient (same-day) basis at one of two surgical facilities. Depending on the type of procedure and your individual medical history, an overnight stay may occasionally be recommended for observation, pain management, or if your procedure is scheduled later in the day.

Insurance Coverage:
Our team will coordinate with your insurance provider to obtain any required pre-authorizations prior to your procedure. Please note that this process may take some time. For specific questions regarding your coverage, benefits, or out-of-pocket costs, we recommend contacting your insurance provider directly.

Depending on your planned procedure and medical history, you may be asked to complete pre-operative testing, obtain medical clearance, or consult with a specialist prior to surgery. In many cases, healthy patients under the age of 50 undergoing outpatient procedures may not require additional clearance.

If laboratory tests or imaging are needed, please complete them at least one week prior to your scheduled surgery date to avoid any delays.

If your primary care provider is outside of our network, please have all relevant records and clearance notes sent directly to our office.

Cardiology Clearance:
You may need clearance from a cardiologist if you have a history of heart-related conditions, including stents, a pacemaker, arrhythmias, prior heart surgery, or a previous heart attack.

Hematology Consultation:
This may be recommended if you have a personal history of blood clots (such as DVT or pulmonary embolism) or a strong family history of clotting disorders.

Smoking:
Smoking can significantly increase the risk of surgical complications, including delayed healing and infection. We strongly encourage patients to stop smoking prior to surgery to support a safer procedure and smoother recovery. If you need assistance quitting, support resources are available.

Anti-Inflammatory Medications:
Please avoid taking anti-inflammatory medications (such as aspirin, ibuprofen, naproxen, and similar drugs) for at least 10 days prior to your surgery, as they can increase the risk of bleeding. Acetaminophen (Tylenol) is generally considered safe, unless otherwise directed.

Blood Thinners:
If you are currently taking a blood-thinning medication, it is important to receive specific instructions from your prescribing physician regarding when to stop and resume these medications. In many cases, they may need to be discontinued 7–10 days before surgery. Always follow the guidance provided by your physician.

Blood Pressure Medications:
Continue taking your blood pressure medications as prescribed, unless you are specifically instructed otherwise by your doctor.

Birth Control:
Certain hormonal contraceptives may increase the risk of blood clots, particularly with lower extremity procedures. You may be advised to temporarily discontinue use prior to surgery and resume once you are fully mobile and no longer requiring assistance such as crutches.

Narcotic Medications:
If you are currently taking narcotic pain medications, reducing your usage prior to surgery is recommended. Long-term use can decrease their effectiveness, making post-operative pain management more challenging.

Please review the following steps to help ensure you are fully prepared for your upcoming procedure:

Medications and Supplements:
Stop taking aspirin, anti-inflammatory medications (such as ibuprofen, naproxen, and similar products), fish oil, and vitamin E supplements at least one week prior to surgery, unless otherwise directed. If you are taking a blood thinner, consult your prescribing physician for specific instructions on when to safely discontinue use.

Transportation:
Arrange for a responsible adult to drive you home after your procedure, as you will not be able to drive yourself.

Work or School:
Plan to take at least one week off from work or school following your surgery. A medical note can be provided if needed.

Bracing and Support Devices:
If required, you will be fitted with a brace or sling to protect the surgical area during recovery. For certain procedures, such as reconstructive knee surgery, additional support devices may be provided to assist with muscle activation and rehabilitation. These items are often covered by insurance.

Ice Machine:
Icing is very important and helps reduce inflammation and pain after surgery. You may wish to purchase or rent one of the commercially available ice machines (e.g., Ossur, GameReady). These are rarely covered by insurance, and the out-of-pocket cost typically ranges from $180-250.

Surgery Time Confirmation:
You will receive a call from the surgical admissions team with your confirmed surgery time, typically between 2:00 PM and 7:00 PM the day prior to your procedure. Please note that schedules may change due to unforeseen circumstances, and we appreciate your understanding.

Pre-Operative Shower:
Shower using the antiseptic soap (such as Hibiclens or chlorhexidine gluconate) provided in your pre-operative packet. This helps reduce bacteria on the skin. Apply the solution directly to your skin using a sponge, then rinse thoroughly. After your shower, do not apply lotions, creams, deodorant, makeup, powder, or perfume. Do not use this product if you have a known allergy to chlorhexidine.

Fasting Guidelines:
Do not eat or drink anything after midnight the night before your surgery. This includes gum, candy, mints, and beverages of any kind. Clear liquids (such as water, tea, or black coffee without milk or cream, and pulp-free juices) may be allowed up to 4 hours before your procedure, unless instructed otherwise. An empty stomach is required for the safe administration of anesthesia.

Morning Medications:
If you typically take medications in the morning, please confirm with your physician or anesthesiologist whether you should take them on the day of surgery.

Recovery Room (PACU):
After your procedure, you will be monitored by the anesthesia team and nursing staff as you recover and regain full awareness. Regardless of the type of anesthesia used, you will remain under observation until your condition is stable and you are cleared for discharge.

Post-Operative Instructions:
You will receive detailed instructions following your surgery. These will include guidance on recovery, wound care, activity levels, and answers to common questions.

Prescriptions:
Prescriptions for pain management and any additional necessary medications will be provided prior to discharge.

Mobility Assistance:
If needed, crutches or other assistive devices will be provided to support your recovery and mobility.

Discharge Criteria:
Before being discharged, you must be able to stand and walk without significant dizziness, tolerate food and fluids, and urinate without difficulty.

Follow-Up Appointment:
Your first post-operative visit typically takes place 10–14 days after surgery. If you do not already have an appointment scheduled, please contact our office to arrange one.

Additional Information:
For more detailed guidance, please refer to the “What to Expect After Surgery” section below.

Begin with clear liquids such as water, juice, or electrolyte drinks, along with light foods like soup, gelatin, or crackers. If you are not experiencing nausea, you may gradually return to your normal diet as tolerated.

To help prevent stomach discomfort, avoid greasy or spicy foods for the first 24 hours after surgery.

Staying well-hydrated is important—be sure to drink plenty of fluids to support recovery and help reduce the risk of constipation.

If you received a nerve block before or after surgery to help manage post-operative pain, you may experience temporary numbness or limited movement in the affected limb. This is normal and can last anywhere from 8 to 36 hours, depending on the type and amount of medication used.

If numbness persists beyond 36 hours, please contact our office.

As the nerve block begins to wear off, you may notice a tingling or “pins and needles” sensation. This is a sign that sensation is returning. At that time, it is important to begin taking your prescribed pain medication as directed to help stay ahead of any discomfort.

Narcotic Pain Medication (e.g., Percocet, Norco):
The goal of post-operative pain management is to control discomfort—not eliminate it entirely. Some level of pain after surgery is expected. Common side effects of narcotic medications include constipation, nausea, itching, and drowsiness.
To help prevent constipation, it is recommended to take an over-the-counter stool softener such as docusate (Colace) or senna while using these medications. If you experience itching, an antihistamine like diphenhydramine (Benadryl) may help.
These medications can cause drowsiness—do not drive or operate machinery while taking them. Avoid taking additional acetaminophen (Tylenol), as many narcotic medications already contain it.

Refill Policy:
Due to the risks associated with opioid medications, refills are provided on a case-by-case basis. Please use these medications only as directed.

Anti-Inflammatory Medications (NSAIDs):
Medications such as naproxen, meloxicam (Mobic), or indomethacin may be prescribed to help reduce inflammation and manage pain. Take these with food or an antacid to minimize stomach irritation. If you have a history of stomach ulcers, consult your primary care physician before use.
In certain cases, such as after hip procedures, a longer course may be recommended to help prevent abnormal bone formation during healing.

Anti-Nausea Medication (e.g., Zofran):
Nausea can occur following anesthesia or when taking pain medications. This medication may be prescribed to help manage those symptoms.

Blood Clot Prevention (DVT Prophylaxis):
Most patients can reduce the risk of blood clots through early movement and activity. However, depending on your procedure and personal risk factors, a blood thinner (such as aspirin or other prescribed medications) may be recommended.

Stool Softeners:
Over-the-counter stool softeners, such as docusate or senna, are recommended while taking narcotic pain medications to prevent constipation. If diarrhea occurs, discontinue use. Additional laxatives may be used if needed for more severe constipation.

Icing is an important part of your recovery and can help reduce swelling, inflammation, and discomfort. You should apply ice several times per day for about 30 minutes at a time. Always place a thin barrier (such as a towel or cloth) between the ice and your skin to prevent irritation.

If you are using a cold therapy or ice machine with a compression feature, use low or no compression during the first 5 days following surgery. After that, you may gradually increase compression as tolerated. If compression causes discomfort, it is best to avoid using it.

Frequent icing—such as alternating 30 minutes on and 30 minutes off—can be especially beneficial during the first two weeks after surgery, helping to minimize pain and swelling.

If you have a history of conditions such as complex regional pain syndrome (CRPS), please consult with Dr. Albersheim before using ice therapy.

You may remove the outer dressing approximately 2 days after surgery. If Steri-Strips (small adhesive strips) are present over your incisions, do not remove them. These will typically fall off on their own.

Once the outer dressing has been removed, your incisions may be left open to air. If you prefer to keep them covered, you may use simple bandages such as adhesive strips, light gauze, or a clean wrap.

Do not apply any ointments, creams, or topical products to the incision sites unless specifically instructed.

You may shower after removing the initial dressing (after 2 days); however, it is important to keep the incision area dry until your first post-operative visit (typically 10–14 days). Covering the area with plastic wrap or using waterproof bandages can help protect the site while showering.

If you are using a brace or sling, it may be removed for showering unless otherwise directed. Because your balance may be affected after surgery, consider using a shower chair or bench to reduce the risk of slipping or falling.

Avoid submerging the surgical area in water. Do not take baths, use hot tubs, or go swimming until cleared by Dr. Albersheim.

In some cases, you may be provided with a set of home exercises to begin shortly after surgery. If instructed, you can start these exercises as directed.

Physical therapy is often an important part of your recovery. If needed, you will receive a prescription along with recommended physical therapy providers on the day of your procedure. Unless otherwise advised, formal physical therapy typically begins after your first post-operative visit.

For certain procedures, such as reconstructive knee surgery, additional rehabilitation tools may be recommended to support muscle activation and recovery. These may be introduced a few days after surgery, with specific usage instructions provided based on your treatment plan.

You may resume driving once you are no longer taking narcotic pain medications and are able to safely operate a vehicle without restrictions, such as wearing a sling or brace that limits movement.

Ultimately, it is your responsibility to determine when you feel safe to drive. If you have any uncertainty, it is best to wait until you are fully confident in your ability to do so safely.

Travel:
It is generally recommended to avoid air travel and long-distance trips for at least 4 weeks following surgery. If travel is necessary, please discuss your plans with Dr. Albersheim in advance, as additional precautions or medications may be recommended to reduce the risk of complications such as blood clots.

Most patients are able to return to sedentary work or school within 3–7 days after surgery, depending on their comfort level and once they are no longer taking narcotic pain medication during the day.

The timing for returning to more physically demanding activities will be determined by Dr. Albersheim based on your recovery progress and the nature of your procedure.

If you need documentation for work or school, please contact our office and we will be happy to assist.

It is normal to experience the following during your recovery:

Pain:
Some level of discomfort is expected after surgery. Our goal is to keep your pain manageable and well-controlled.

Warmth:
Mild warmth around the surgical area may persist for up to 2–3 weeks.

Redness:
A small amount of redness near the incision sites is normal. If redness worsens, spreads, or becomes more pronounced, please contact our office.

Drainage:
A small amount of drainage is common within the first 48–72 hours. If drainage continues beyond this period or requires frequent dressing changes, please notify our office.

Numbness:
Temporary numbness around the incision area is common and may improve over time.

Bruising:
Bruising is normal and may extend down the arm or leg due to gravity. While it may appear concerning, it typically resolves on its own.

Fever:
Low-grade fevers (below 101.5°F) can occur during the first week after surgery. Staying well-hydrated and taking deep breaths regularly can help during this time.

Your follow-up appointment should take place approximately 10–14 days after surgery. If an appointment has not already been scheduled, please contact our office to arrange one.

While most surgical procedures and recoveries are uneventful, complications can occur. Please contact our office right away if you experience any of the following:

Fever:
A temperature above 101.5°F, or fever accompanied by chills or excessive sweating.

Wound Concerns:
Drainage lasting more than 4 days after surgery, drainage that becomes yellow or foul-smelling, frequent need to change dressings, or loosening of sutures.

Cardiovascular Symptoms:
Chest pain, shortness of breath, heart palpitations, or fainting should be taken seriously. Please seek immediate medical attention by going to the nearest emergency room or calling 911.

Signs of Blood Clots:
Pain, swelling, warmth, or redness in the calf or leg, or sudden shortness of breath, may indicate a blood clot and require urgent evaluation.

Urinary Retention:
If you are unable to urinate the night after surgery, please go to the nearest emergency room.

If you are unsure whether your symptoms are concerning, it is always best to contact our office for guidance.