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POSTOPERATIVE INSTRUCTIONS – PROXIMAL HAMSTRING REPAIR

Post op
-PWB as tolerated immediately, wean off crutches at 6 weeks
– No brace
– At 4 weeks begin PT with light strength
 
MOVEMENT AND PHYSICAL THERAPY
For the first 6 weeks you will be partial weight bearing with the use of crutches. Always use crutches while walking.  We want you to avoid stretching the hamstring during this period (Always bend your knees when bending at the waist in order to protect the repair).  We will provide you with a PT prescription at your first post op visit (PT will begin at 2 week post op mark). You will progress to full weight bearing at the 6 week mark.
 
ICE
An ice machine will be provided to you prior to your surgery.  This will help decrease swelling and pain after your surgery.  Use the ice machine as much as possible when you get home at intervals of 20 minutes on and off.  You should keep the ice machine for approximately two weeks.  Do not use the ice machine while you are sleeping.
 
If you were not provided an ice machine, regular ice will suffice.
 
MEDICATIONS
Begin taking the pain medication (e.g. Vicodin, Percocet, etc) immediately when you get home.  This will prevent you from having severe pain.  Take the pain medication every 4 hours until you go to bed.
 
The day after surgery you can take 600 mg of Ibuprofen (Advil/Motrin) every 6 hours to help with inflammation and pain.  This medication will help cut down the use of narcotic-based pain medication.  However, if you still have pain after taking the Ibuprofen, continue taking the pain medication every 4-6 hours as needed.
 
A sleeping medication (e.g. Ambien) is also provided to help you sleep at night.  Take one tablet 30 minutes before you plan to sleep.
 
DRESSING/BANDAGES
Your hip dressing is waterproof.  You may shower the next day after surgery and pat the dressing dry.  Do not remove the dressing at any time.  Your dressing will be removed once your incisions are checked at your first post-op visit.
 
DRIVING
You may drive 3 to 5 days after surgery if you are not taking pain medication.  If your right leg is the operative side, then you must have good control of your leg before driving.
 
TEMPERATURE
It is normal to have an elevated temperature during the first 2-3 days post-operatively.  Please call our office if your temperature is above 101oF, if there is increased redness around the incision site, or if there is increased drainage from the incision site.
 
APPOINTMENT
Please call the office prior to, or immediately following, your surgery in order to schedule a post-operative appointment.  This should be scheduled 7-10 days after surgery.  At that visit your incision will be evaluated and you will be given a prescription for physical therapy.