1. DIET

Begin with clear liquids and light foods (jellos, soups, etc.)
Progress to your normal diet if you are not nauseated

2. WOUND CARE

To avoid infection, keep surgical incisions clean and dry – you may shower by placing a large garbage bag over your splint starting the day after surgery – NO immersion of operative leg (i.e. bath) if beyond the third post-operative day. NO immersion of operative arm (i.e. bath)

3. MEDICATIONS

Pain medication is injected into the wound and ankle joint during surgery – this will wear off within 8-12 hours
Most patients will require some narcotic pain medication for a short period of time – this can be taken as per the directions on the bottle
Common side effects of the pain medication are nausea, drowsiness, and constipation – to decrease the side effects, take medication with food – if constipation occurs, consider taking an over-the-counter laxative
If you are having problems with nausea and vomiting, contact the office to possibly have your medication changed
Do not drive a car or operate machinery while taking the narcotic medication
Ibuprofen 200-400mg (i.e. Advil) may be taken in between the narcotic pain medication to help smooth out the post-operative ‘peaks and valleys’, reduce overall amount of pain medication required, and increase the time intervals between narcotic pain medication usage

4. ACTIVITY

Elevate the operative leg to chest level whenever possible to decrease swelling
Use crutches to assist with walking – use a heel-toe pattern when walking, but do NOT bear any weight on your operative leg – unless instructed otherwise by physician
Do not engage in activities which increase ankle pain/swelling (prolonged periods of standing or walking) over the first 7-10 days following surgery
Avoid long periods of sitting (without leg elevated) or long distance traveling for 2 weeks
NO driving until instructed otherwise by physician
May return to sedentary work ONLY or school 3-4 days after surgery, if pain is tolerable

5. ICE THERAPY

Begin immediately after surgery
Use icing machine continuously or ice packs (if machine not prescribed) every 2 hours for 20 minutes daily until your first post-operative visit – remember to keep arm elevated to level of chest while icing

6. EXERCISE

No exercise or motion is to be done until instructed to do so by your physician after the first post-operative visit
Formal physical therapy (PT) will begin about 10-14 days post-operatively with a prescription provided at your first post-operative visit

7. EMERGENCIES

Contact Dr. Waterman or his nurse at 336-716-8091 if any of the following are present:

Painful swelling or numbness
Unrelenting pain
Fever (over 101° - it is normal to have a low grade fever for the first day or two following surgery) or chills
Redness around incisions
Color change in wrist or hand
Continuous drainage or bleeding from incision (a small amount of drainage is expected)
Difficulty breathing
Excessive nausea/vomiting
**If you have an emergency after office hours or on the weekend, contact the same office number at 336-716-8091 and you will be connected to our page service – they will contact Dr. Waterman or one of his fellows if he is unavailable. Do NOT call the hospital or surgical center.

**If you have an emergency that requires immediate attention, proceed to the nearest emergency room.

8. FOLLOW-UP CARE/QUESTIONS

A member of Dr. Waterman’s team will call you on your first day after surgery to address any questions or concerns. If you have not been contacted within 48 hours of surgery, please call the office at 336-716-8091.
If you do not already have a postoperative appointment scheduled, please contact the office during normal office hours (336-716-8091) and ask for appointment scheduling.