Nursing
How long do I need to wear my TED hose?
Wear them until your first post op appointment and then ask your surgeon at that visit.
How often do I need to change my dressing after surgery?
Please refer to your post op instruction packet regarding dressing changes.
When can I start driving?
We cannot give recommendations legally on driving. You will need to be completely off prescription pain medications and cannot drive with boots or casts/splints/slings on. Don’t drive if you have a weight bearing restriction. Call if you have further questions.
I am constipated after surgery what should I do?
Take OTC Miralax, stool softeners, or even magnesium citrate. Drink plenty of fluids. You could also drink prune juice. If you are able, get up and walk around.
I had a total joint replacement, how do I go about getting my antibiotics?
You can call us or your dental office.
How long do I need to pre-medicate with antibiotics prior to dental appointments/colonoscopy?
It depends on your surgeon’s preference.
If I need a pain medication refilled after surgery, when should I contact my Dr. for a refill?
Please call 5 days prior to your medication running out.
How soon can I have my vaccines in proximity to surgery (example: shingles vaccine, influenza, pneumonia, etc…)
It depends on your surgeon’s preference.
After surgery, how soon can I take a tub bath, swim, sit in the hot tub?
As soon as your incision is healed and scarred over or approximately 1-2 weeks from your first post-operative visit (3-4 weeks post op).
Do I need to apply antibiotic ointment to my incision after surgery?
No.
How often can I have a cortisone injection?
Depends on Dr.’s preference.
How soon before surgery can I have a cortisone injection?
Depends on Dr.’s preference.
How should I care for my cast/splint?
See cast care handout.
How long do joint replacements last?
20-30 yrs.
When do I stop my medications prior to surgery? What medications do I stop prior to surgery?
Defer to PCP. If on anticoagulant, ask surgeon.
If I have a total joint replacement, do I need to show airport security proof of my joint replacement?
No, you can simply inform airport security you have had a total joint replacement.
What do I need to bring with me to my appointment?
If you received paperwork in the mail, bring this completed, your insurance card or work comp/MVA insurance information, a current list of medications you take, any records that pertain to what you are being seen for, list of questions.
My total joint replacement makes noise. Is this normal?
Joint replacements are metal and plastic, it is normal for them to make sound, you will probably notice this less the further out from surgery you get.
My joints pop on occasion. Is this normal?
It is normal after a scope to have popping as long as it is not painful. Sometimes people have popping in a joint even when they haven’t had surgery. Again, as long as it doesn’t hurt, this is ok.
I had my knee replaced a while ago and it is still stiff when I first stand up, until I get walking. Is this normal?
It is normal for your knee to get stiff if you have been inactive/sitting for a while. It will loosen up as you move and this will improve with time.
When can I stop using walker/cane?
Dr. preference.
When do I need to see someone for a joint replacement that I had years ago?
We recommend following up 1 year after surgery and then every 5-10 years after that unless you are having problems with the joint.
I have an ice machine from a previous surgery. Should I bring it with me to my surgery?
Do not bring an ice machine from a previous surgery with you to the hospital. You may inform hospital staff that you have one at home however you may still receive a new one due to the hospital’s infection control protocol.
What time do I check in for surgery?
The hospital will call you 1-2 days prior to your surgery to let you know what time to be there.
I had an injection a couple days ago and my pain is worse. Is this normal?
Yes.
What happens during an EMG?
This is a test for your muscles and nerves to determine any abnormality. Small needles like the ones used for acupuncture will be placed into a few muscles and electrical stimulation will be applied both with and without the needles.
When can I have another epidural?
Medicare requires 10 days between epidurals. They also require that you see your doctor before having another epidural. If you don’t have Medicare for insurance your doctor may determine how long you need to wait between injections. Usually they allow 3-4 epidurals in a 12 month period.
Billing
Why the fracture charge is so much if they only look at it and put it in a splint/sling?
The fracture charge puts them into a global period. So any follow up OFFICE VISITS will not be charged for a period of time.
If we are in network with their insurance?
It is always best to contact your insurance company and ask if Orthopedic Institute is network and if they have any requirements for referrals or preauthorizations. You can always contact our insurance department if they need further assistance.
Telephones
How do I leave a message with a nurse?
Call 605-331-5890, and press 2 for nursing.
How do I get in touch with the OI Physical Therapy (PT) department?
Click here to see a list of PT locations and their contact information.
How do I contact the OI billing dept?
Please call the main number 605-339-6834 and press 3.
What is the fax number?
833.918.2049
How do I request my records?
Please call the main number 605-331-5890 and ask for medical records department.
What outreach locations do you go to?
Click here for a complete list of locations.
What time is your Walk-in Clinic open?
The Walk-in Clinic is open M – F 8:00 am – 7:00 pm, Saturday 9:00 am – 2:00 pm
Our Office
810 E 23rd St
Sioux Falls, SD 57105
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