OrthoMiami

OrthoMiami

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FAQs

Does it take a long time for a fracture to heal?


It depends on the severity of your break. Minor breaks and hairline fractures heal in as quickly as a few weeks. If you have a severe break or one that requires surgery, pins, and plates, expect your injury to take up to several months to heal.
Whether your fracture is minor or major, you can expect to lose some muscle strength simply because you have to stabilize the broken bone during the healing process. As a result, when you’re finally out of the boot or brace, you’ll probably need some physical therapy. With PT, figure on adding a few more weeks — or months — onto your recovery period.

What do I do if my boot makes me itch?


If your boot starts making you itchy, which is quite common, send a little breeze from your blow dryer’s cool setting down your boot. You can injure yourself and rip out stitches if you stick anything down into your boot to scratch, so use your blow dryer instead.

How do I care for my boot when I have a broken bone?


The team at OrthoMiami ensures you know everything about caring for your boot before you head home. In general, though, the most important thing you need to remember is to avoid getting it wet. When you have to shower or bathe, cover your boot with a sturdy trash bag and securely tape it up. You might need to do this if you have to go out in rain or snow, too.
Of course it’s inevitable that your boot is going to get a little wet, no matter how many precautions you take. Simply use a blow dryer, set it to cool, and dry your boot. This won’t work if your boot becomes too saturated though. In this case, call the office and let the team know. It’s possible that you might need to have your boot reset.
If for some reason your boot breaks, parts of it rip, or something is sticking out and causing you pain, call the office. You might need some minor adjustments.

Can I get treatment for varicose veins and spider veins?


Yes. Dr. Ceballos recommends a treatment for your vein disorder based upon the severity of your condition. Your vein treatment might be as simple as wearing compression socks regularly to help redirect blood flow. It’s also possible that you might need an alternative treatment.

 

For example, having a sclerotherapy treatment for varicose veins requires the injection of a certain chemical directly into the vein, which forces it to close off. This treatment irritates your vein, causing scarring on the inside of the vein. Over time, your vein fades away.

 

If you have spider veins or very small varicose veins, you might only need microsclerotherapy. This treatment involves getting a smaller amount of the chemical injection to close off your problem vein.

Are there risk factors for having vein disorders?


Yes, although you can’t always control your chances of having varicose or spider veins. Up to 60% of men and women have some sort of vein disorder, according to the National Institutes of Health. While you’re more likely to have a vein disorder if you’re a woman, about a quarter of vein disorder patients are men.

You also have a higher risk of struggling with a vein disorder if you:

What is the difference between varicose veins and spider veins?


Technically, varicose veins and spider veins are essentially the same disorder, but varicose veins tend to be more unsightly. Varicose veins typically develop in the blood vessels in your legs, although any vein can bulge and become varicose. Once varicose veins surface and become twisted and clumpy, Dr. Ceballos can remove or destroy them without affecting blood flow to your legs.

Spider veins are a minor form of varicose veins, appearing as red or blue spider webs along the surface of your skin.

Is physical therapy painful?


When you start working out with a personal trainer, you may be sore as your muscles wake up and start working. The same is true with a physical therapist. This is why you often have to sit with heat or ice on your injury for several minutes before leaving the office — it decreases pain and inflammation.
While you might be slightly sore after an intense physical therapy session, you shouldn’t be in pain. If at any time you experience pain during or between sessions, let your physical therapist know. They can adjust your plan to help minimize discomfort.

SIGNS OF PULMONARY EMBOLUS (PE)
  • Sudden chest pain (at rest or during exercise).
  • Difficult, labored and/or rapid breathing (when not exercising or active).
  • Unusual shortness of breath (when not exercising or active).
  • Excessive, inappropriate sweating (especially when you have not been active).
  • Unusual or significantly worsening confusion.

SIGNS OF INFECTION

  1. Increased swelling, redness.
  2. Change in color, amount, and odor of drainage.
  3. Significantly increased pain in area.
  4. Fever greater than 101.5° F.

What types of treatments do I go through at physical therapy?


Physical activity is a big part of physical therapy, although you also go through additional types of recovery treatments. Your sessions can include:

Your physical therapy doesn’t stop when you leave the office. You get homework with each visit. These custom exercise and conditioning plans are activities for you to do between physical therapy sessions. You need to work on them each day, sometimes several times per day.

How soon do I start physical therapy after orthopedic surgery?


With many orthopedic surgeries, Dr. Ceballos wants you to get moving about a day or so after surgery. While this might sound overwhelming, you have someone by your side providing the help and support you need.
Generally patients start with static (passive) exercises after Miami orthopedic surgery. Your physical therapist does the movements for you while you relax. These exercises help with mobility and blood flow, but don’t typically cause you any pain while your body recovers.
Once you’re cleared, you gradually start working on muscle-building exercises, while gently working on flexibility and joint mobility. Each week, you learn new exercises or add more weight to the exercises you’ve already learned.

Physical Therapy Q & A How many physical therapy sessions do I need?


It depends on the severity of your injury and whether you need surgery. Dr. Ceballos generally gets you started with two to three physical therapy sessions weekly. For minor injuries, you may finish up your physical therapy in less than a month. But for major injuries or reconstructive surgeries, it’s typical to need physical therapy sessions several times a week for up to six months or more.

Why is it important to see a sports medicine doctor after an injury?


You can certainly go to any orthopedic doctor when you have an injury. But your goal isn’t just to heal — it’s to get back out and crush your competition. You need a sports medicine doctor Miami who is skilled with orthopedic treatment and can help you improve your athletic readiness.

 

Dr. Ceballos is a dual board-certified orthopedic surgeon with an extensive background working with beginner athletes, all the way up to professional athletes, including NFL and PGA players. Because Dr. Ceballos and his team understand the importance of getting back out there, they work with you to get you competition-ready. After all, you don’t just want to compete, you want to win.

Which types of treatments do I get with a sports medicine doctor?


Your injury generally requires you to see several types of medical professionals during your recovery. But your treatment plan is always directed by your orthopedic surgeon. Once you get through your diagnosis and surgery (if needed), you start physical therapy and rehabilitation. This type of therapy helps you build back your muscle strength, improve flexibility, and boost joint mobility.

 

Part of your treatment also involves getting nutrition counseling. The foods you eat and supplements you take play big roles in your rehab. You need extra bone- and muscle-building nutrients, like protein, vitamin D, and calcium. It’s also important to cut back on inflammatory-boosting processed, sugary, or fatty foods.

 

As you continue to get stronger and heal, you work with athletic trainers, who start getting you back into that competitive mindset. They help you get back to where you were before your injury occurred and may even help you become a stronger competitor.

What is sports medicine?


Sports medicine involves diagnosing and treating injuries related to sports and exercise. At OrthoMiami, you have a dedicated team of orthopedic experts who don’t simply help you recover, they also get you strong enough so the injury doesn’t happen again. After all, prevention is an essential, yet often overlooked, component of sports medicine.

 

Don’t be reluctant to visit OrthoMiami if you’re not an athlete. The term “sports medicine” truly encompasses all types of injuries related to any type of activity. So even if you’re a novice to a sport or just started a workout routine, you may need treatment from an orthopedic provider if you have an injury.

Which types of treatments do I get with a sports medicine doctor?


Your injury generally requires you to see several types of medical professionals during your recovery. But your treatment plan is always directed by your orthopedic surgeon. Once you get through your diagnosis and surgery (if needed), you start physical therapy and rehabilitation. This type of therapy helps you build back your muscle strength, improve flexibility, and boost joint mobility.

 

Part of your treatment also involves getting nutrition counseling. The foods you eat and supplements you take play big roles in your rehab. You need extra bone- and muscle-building nutrients, like protein, vitamin D, and calcium. It’s also important to cut back on inflammatory-boosting processed, sugary, or fatty foods.

 

As you continue to get stronger and heal, you work with athletic trainers, who start getting you back into that competitive mindset. They help you get back to where you were before your injury occurred and may even help you become a stronger competitor.

What is sports medicine?


Sports medicine involves diagnosing and treating injuries related to sports and exercise. At OrthoMiami, you have a dedicated team of orthopedic experts who don’t simply help you recover, they also get you strong enough so the injury doesn’t happen again. After all, prevention is an essential, yet often overlooked, component of sports medicine.

 

Don’t be reluctant to visit OrthoMiami if you’re not an athlete. The term “sports medicine” truly encompasses all types of injuries related to any type of activity. So even if you’re a novice to a sport or just started a workout routine, you may need treatment from an orthopedic provider if you have an injury.

What can I expect after surgery?


CARING FOR YOURSELF AT HOME
When you go home there are a variety of things you need to know for your safety, your speedy recovery and your comfort.

FOLLOW-UP APPOINTMENT
  1. You will normally have an appointment to follow-up with your surgeon between 1 and 3 days after surgery. Unless otherwise indicated.
  2. This appointment should be made before surgery.
CONTROL YOUR DISCOMFORT / PAIN
  1. If needed, take your pain medicine at least 30 minutes before physical therapy (do not drive while taking pain medication).

  2. Gradually wean yourself from prescription medication to Tylenol/Acetaminophen. You may take two Extra-Strength Tylenol/Acetaminophen in place of your prescription medication up to 4 times per day.

  3. Change your position every 45 minutes throughout the day. Use ice for pain control. Applying ice to your affected joint will decrease discomfort, but do not use more than 20 minutes at a time each hour. You can use it after your exercise program. A bag of frozen peas wrapped in a kitchen towel makes an ideal ice pack. Mark the bag of peas and return them to the freezer (to be used as an ice pack later). Caution: Do not apply ice directly onto your skin. Use a cloth between your skin and the ice bag.
  1. Use ice for no more than 20 minutes at a time. 4-5 times daily.
  2. Wrap ice with some compression (Ace bandage or other)
  3. Remove ice immediately if any numbness or tingling occurs
  4. Please note that prescription refills will only be made during normal office hours, Monday – Thursday 9:00AM to 5:00PM and Fridays 9:00AM to 3:00PM.

BODY CHANGES

  1. Your appetite may be poor. Drink plenty of fluids to keep from getting dehydrated. Your desire for solid food will return.
  2. You may have difficulty sleeping. This is normal. Don’t sleep or nap too much during the day so that you may sleep better for long periods of time at night.
  3. Your energy level may initially be decreased for the first week or so.
  4. Pain medication that contains narcotics promotes constipation. Use stool softeners or laxative such as milk-of-magnesia if necessary.

USE OF CRUTCHES / WALKER – LOWER EXTREMITY SURGERY

  1. Use crutches/walker as instructed.
  2. For most lower extremity surgeries, such as knee arthroscopy, you will be instructed not to apply significant weight to the operative lower extremity and use crutches/walker for the first 2-3 days. After 2-3 days you can gradually progress to full weightbearing and wean off the crutches/walker. Instructions on appropriate weight bearing and use of assisted device (crutches/walker) will be given.
  3. After some surgeries, use of crutches/walker and not bearing weight to the operative extremity may be for a prolonged period of time (2-8 weeks). Instructions on appropriate weight bearing and use of assisted device (crutches/walker) will be given.
  4. Physical therapy may instruct you on appropriate weight bearing and use of assisted device (crutches/walker).

USE OF SLING – UPPER EXTREMITY SURGERY

  1. After most upper extremity surgeries your arm will be in some type of sling.
  2. Unless otherwise instructed by your physician, you may remove the sling 2-3 times a day for 5-10 minutes. Removal of sling for hygiene purposes and for gentle range of motion exercises of your elbow as instructed. Shoulder pendulum exercises if instructed.
CARING FOR YOUR INCISION
  1. Expect some swelling, but if swelling is a major problem please contact the surgeon’s office.

  2. Common options for treatment of recurrent swelling may include the following:

    1. Ice as instructed (do not apply directly to skin).
    2. Elevated extremity.
    3. Oral anti-inflammatory medication.
    4. Continued use of compressive wrap (Ace bandage).
    5. Possible removal of fluid from the joint.
  3. If indicated use the compression wrap (Ace bandage) until it is evident that you do not need it. You will be guided by your physician or therapist. If Ace bandages are to tight, remove and reapply them loosely.

  4. Keep your incision dry.

  5. The incisions/portals may or may not have stitches or skin tape.

  6. Keep your incision/portals covered with a light dressing/Band-Aid until your incision/portals closes. Usually 10-14 days.

  7. You may shower only after receiving permission from your surgeon. After showering, apply a dry dressing/Band-Aid.

  8. Notify your orthopedic surgeon in Miami if there is increased drainage, redness, pain, odor or heat around the incision.

  9. Take your temperature if you feel warm or sick. Call your surgeon if it exceeds 101.5° F.

  10. No swimming-pool/tub-bathing until incision has healed and is completely dry. Usually takes 2 weeks.

DRESSING CHANGE PROCEDURE
  1. Wash your hands thoroughly. Really, wash them well, this is important!
  2. Open all dressing change materials (sterile 4X4(s), etc.).
  3. Remove old dressing.
  4. Inspect incision for the following:
  1. Increased redness.
  2. Increase in clear drainage.
  3. Yellow/green drainage / odor.
  4. Surrounding skin is hot to touch.
  1. Pickup 4×4 by one corner and lay over incision. Be careful not to touch the inside of the dressing that will lay over the incision. Or use Band-Aids as instructed.
  2. Place one or two 4×4(s) over the incision (depending if drainage). Or use Band-Aids as instructed.

SIGNS OF INFECTION

  1. Increased swelling, redness.
  2. Change in color, amount, and odor of drainage.
  3. Significantly increased pain in area.
  4. Fever greater than 101.5° F.
PREVENTION OF INFECTION
  • Take proper care of your incision/portals as explained.
BLOOD CLOTS IN LEGS (DVT)
  • Inactivity after surgery may cause the blood flow to slow and pool in the veins of your legs, creating a blood clot. This is why you may have been instructed to take blood thinners (such as aspirin or Eliquil) after surgery (only if indicated). If a clot occurs despite these measures, you may need to be admitted to the hospital to receive intravenous blood thinners. Prompt treatment usually prevents the more serious complication of pulmonary embolus. Blood clots, although rare, may also occur in the upper extremities.
SIGNS OF BLOOD CLOTS IN LEGS
  1. Swelling in thigh, calf or ankle that does not subside with elevation.
  2. Pain and/or tenderness in calf. NOTE: Blood clots can form in either leg.
SIGNS OF BLOOD CLOTS IN ARMS
  1. Swelling in the arm, forearm, hand, or fingers that does not subside with elevation.
  2. Pain and tenderness and arm and/or forearm.
PREVENTION OF BLOOD CLOTS
  1. Do the Foot and ankle pump exercises EVERY hour.
  2. Be active and WALK for exercise!
  3. Generally avoid being stagnant or inactive for more than 1 hour at a time.
  4. If you are driving far or flying, try to get up and walk around once every hour.
  5. Wear the compression (TED) stockings (if indicated as instructed).
  6. Avoid sitting with your legs crossed.
  7. Blood thinners such as Eliquis, or aspirin (if indicated).
PULMONARY EMBOLISM
  • Rarely, an unrecognized blood clot could break away from the wall of a vein and travel to the lungs. This is an EMERGENCY! CALL 911 if you notice the following signs or symptoms during unusual circumstances:
SIGNS OF PULMONARY EMBOLUS (PE)
  • Sudden chest pain (at rest or during exercise).
  • Difficult, labored and/or rapid breathing (when not exercising or active).
  • Unusual shortness of breath (when not exercising or active).
  • Excessive, inappropriate sweating (especially when you have not been active).
  • Unusual or significantly worsening confusion.
PREVENTION OF PULMONARY EMBOLUS
  • Prevent blood clots in legs (see prevention of blood clots above).
  • Recognize a blood clot in your leg and call a physician promptly!
  • *If you have any questions please contact the office at 305-596-2828.

Please see OrthoInfo.AAOS.org for more information and diagrams.

Related Pages

 

Do I need physical therapy or rehabilitation after orthopedic surgery?


Probably, yes. While orthopedic surgery is essential for repairing bone and soft tissue breaks and tears, it won’t work on its own. You have to rebuild the area with gradual strength training and flexibility exercises.

Before you go in for surgery, Dr. Ceballos lets you know what to expect during recovery. If you do need physical therapy, he usually wants you to get started within a couple days of having orthopedic surgery. Most Miami physical therapy or rehabilitation plans require you to see your therapist several times each week, sometimes for several months.

Which injuries can be repaired with orthopedic surgery?


Dr. Ceballos is a dual board-certified orthopedic surgeon. His renowned team treats even the most complex of conditions. Some of the most common types of orthopedic surgeries that Dr. Ceballos and his team perform include:

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