Fuller life, fewer limitations. Forward Motion Participant Guide

Size: px
Start display at page:

Download "Fuller life, fewer limitations. Forward Motion Participant Guide"

Transcription

1 Fuller life, fewer limitations Forward Motion Participant Guide Please bring this guide with you to the hospital so you can refer to it during your stay. This is a general guide and not intended to replace any special orders your physician may write for you.

2 Set a goal What do you want your life to look like after your joint replacement? Many of our patients have told us they want to sleep without pain, go dancing, walk their dog, or actively play with their children or grandchildren. What do you want to get back to doing? Write it down! You and your care team Get your life back into Forward Motion! Your total joint replacement journey begins with an interactive, informal class. Team members from nursing, physical therapy, and discharge planning will be on hand to give you an overview of what to expect during your stay. There will be plenty of time to address questions or concerns. You will need to bring a coach to the class. Your coach can be a friend or relative who will help you at home. He or she will be a great resource during your recovery process. If your physician s office did not already sign you up to attend the Forward Motion Preoperative Joint Replacement Class, call DRH (4374) to enroll. You can also register online at dukeregional.org/events. To ensure the best patient care, the Forward Motion staff uses a team approach. You, your surgeon, nurses, aides, therapists, care manager, and discharge planner communicate on a daily basis. This communication helps guide your care plan and discharge needs. You and your team will review your needs, preferences, and insurance coverage to offer the best possible solution for you. You and your family are a big part of your care team, and your input is critical to the success of your recovery. Please feel free to share your thoughts, concerns, and preferences with us so we can best serve you as an individual. Our goal is to get you back into Forward Motion so you can live a fuller life with fewer limitations. Preoperative visit Your physician will make an appointment for your preoperative visit. Bring your Social Security card, insurance card, Medicare card, and driver s license. Bring your prescription bottles for all pills you currently take, or fill out the chart below. Any copayments required by your insurance plan are generally reviewed during this appointment. When your preoperative visit is complete, you will be given an orange card to bring on the day of your surgery. Medicare patients please note: You may pick up your orange card the day of surgery at the Admissions check-in desk on the thrid floor of the hospital. Sample medication list List any prescription medications, over-the-counter medications, and herbal supplements you take. Name of medication Dose How often and route Example: Aspirin 81 mg once a day by mouth Surgery time The hospital will call you the day before your surgery to tell you what time the surgery is planned and what time you should arrive. If you have not been called by 5:00 p.m. the day before surgery, call and ask for the OR charge nurse. He or she will be able to tell you what time to arrive. welcome PRE-OP1

3 Joint replacement exercises These strengthening exercises will help you before and after your joint replacement procedure. A sturdy chair with armrests and athletic shoes with non-skid soles are all you need for these simple strength-building exercises. All exercises should be done two to three times a day (or as advised by your physical therapist). Seated bridge Sit slightly forward in a chair with your hands on the armrests. Your feet should be flat on the floor and slightly apart, and your upper body should be upright. Using your arms, slowly raise your buttocks off the chair until standing. Wait five seconds, then slowly sit back down. Aim for eight to 12 repetitions. Ankle pumps/ankle rotations This exercise may be done while lying in bed or sitting in a chair, and it should be done FREQUENTLY throughout the day. Action: Move both ankles slowly in an up-and-down motion. Repeat eight to 12 times. Quad sets/knee straightening Position: Sit on a bed or flat surface with the involved leg straight and the uninvolved leg bent. Action: Tighten the thigh muscles of the involved leg by pushing your knee down into the bed. Hold for five seconds. DO NOT hold your breath. Repeat eight to 12 times. Triceps dip Put a chair with armrests up against a wall. Sit in the chair and put your feet together, flat on the floor. Lean forward a bit while keeping your shoulders and back straight. Bend your elbows and place your hands on the armrests of the chair so they are in line with your torso. Pressing downward on your hands, try to lift yourself up a few inches by straightening out your arms. Raise your upper body and thighs, but keep your feet in contact with the floor. Pause. Slowly release until you re sitting back down again. Aim for eight to 12 repetitions. Gluteal setting (buttock contractions) Position: Lie on your back with both knees straight or with both knees bent. Action: Squeeze your buttocks together; do not lift your back off the bed. Hold for five seconds. Repeat eight to 12 times. Heel slides Position: Lie on your back with your involved leg straight (your uninvolved leg may be bent or straight) Action: Slowly slide your heel towards your buttocks as your knee bends, then slowly slide your leg back to a straight position. Repeat eight to 12 times. Note: If these exercises cause pain in your shoulders or if you have had recent shoulder surgery, don t do the two exercises above. exercises 2 Duke Regional Hospital Forward Motion Participant Guide 3

4 At home before surgery What to bring to the hospital The day of surgery Post-Anesthesia Care Unit (PACU) Move furniture,, to make wide walkways in your main living areas. Remove clutter and throw rugs so you don t trip. Prepare food and freeze it for easy meals when you first return home. You may want to place a stool or tall chair in the kitchen to sit on while washing dishes or preparing meals. Be sure the handrails for stairs, inside and out, are in good repair. Move items you use frequently onto a waisthigh surface. You may need to arrange for a friend or family member to assist you with caring for your pets. If you are scheduled for knee replacement surgery, your physician may plan for you to use a Polar Care device. You may want to buy two extra bags of ice and place in your freezer (if your refrigerator has an ice maker, you won t need the extra ice). If your bedroom is upstairs, is there a place on the first floor you can sleep for the first week or so? This Forward Motion Participant Guide Health insurance card(s) Detailed list of medications (name of drug, how much you take, and how often you take it) Any forms the physician may have given you Copy of your advance directive, if you have one (living will and/or health care power of attorney) Glasses Hearing aids, extra batteries Dentures, denture cup, and wafers Books, magazines, or other items to help you pass the time Clothing to wear home that s loose and easy to put on Optional Items Gown, shorts, T-shirt, or calf-length bathrobe Toiletries (toothpaste, toothbrush, and soap are available here, but you may bring your own) Slippers or shoes with nonskid sole and enclosed heel Do not bring Take only the medicines that your physician told you to take with a small sip of water. Shower or bathe with the liquid antibacterial product for a second time if possible. You can brush your teeth and rinse your mouth, but do not swallow water or mouthwash. On the day of surgery, come to the third-floor Ambulatory Care Unit (ACU). At the welcome desk you will turn in your orange card. When your care team is ready, they will call you back to begin the preparations for your procedure. How long will surgery last? The average surgery takes two to two and a half hours. A revision can take up to four hours. The surgeon will talk with your family after the surgery is finished. When you wake up in the PACU, you can expect to find: Oxygen tubing in your nose Yourself still feeling sleepy from the surgery One or two IV sites in your arms for fluids and pain medication A blood pressure cuff on your upper arm so your blood pressure can be checked frequently A clip on your finger that monitors your heart rate and the oxygen level in your blood Tight white stockings or TED hose to reduce swelling Possibly a Foley catheter to drain your urine Knee replacement patients may have a knee immobilizer on that leg. Hip replacement patients may have a large pink pillow holding your legs apart to remind you not to cross your legs. From the PACU you will be brought to Unit 7-1, Orthopaedics and Neurosurgery. Your friends and family can join you when you arrive in your room. The night before surgery Do not eat or drink anything after midnight. This includes chewing gum, hard candy, water, coffee, and tea. Remove all makeup and jewelry. Valuables such as cash or credit cards Jewelry Your own medication, unless you were asked to bring it Shower or bathe using the liquid antibacterial product you were given during your preoperative testing. Dress in clean pajamas for bed. Do not apply any lotion, powder, or other skin care products after showering or bathing. BEFORE Surgery 4 Duke Regional Hospital Forward Motion Participant Guide 5

5 Meet your team Nurses closely monitor your treatments and progress while providing comfort and personal care. They partner with you to manage your pain, and teach you how to care for yourself when you are discharged. Nursing assistants help you with comfort and personal care. Respiratory therapists assist with oxygen and breathing therapy. Physical therapists help get you back on your feet by teaching you how to walk safely with crutches or a walker. They show you exercises to strengthen your muscles and increase your range of motion. They work with you to reach your recovery goal. Occupational therapists reorient you to basic activities of everyday living, from dressing and bathing to routine household tasks. Their goal is to help you become as safe and independent as possible before discharge, using special tools or aids as needed. A discharge planner and a care manager will oversee your discharge planning needs, from arranging for any equipment you need to setting up home physical therapy. If it is decided that you would benefit from additional therapy, the discharge planner will review rehabilitation options with you. What routine tests can I expect? Vital signs Blood pressure, heart rate, temperature, and blood oxygen level are checked every four to eight hours, depending on your physician s orders. Blood tests are usually performed daily between 3:30 and 4:30 a.m. Your physician will review the results each day to determine if you need additional treatments. X-rays of your hip, knee, or chest may be ordered by your physician. What types of medications may be given during my stay? Antibiotics will be given in the first 24 hours to reduce the chance of a surgical site infection. Pain medication will reduce the chance of complications and allow you to participate in therapy. Blood-thinning medication will help prevent blood clots. Based on your medical history, your physician will decide which blood thinner is right for you. Drugs most commonly used are aspirin, Lovenox, Xarelto, or Coumadin. A stool softener or laxative will help with constipation, which can be a side effect of pain medication. Discharge: Three options Going home Most of our patients go directly home when they are discharged. After returning home, plan to have someone stay with you for the first few days to one week. Your therapists will recommend what type of equipment (crutches, walker, or elevated toilet seat) you may need. The equipment can be delivered to your room prior to discharge. When someone comes to take you home, it is helpful to have a vehicle you can easily get in and out of. If needed, your discharge planner can help you with other transportation options. These options will probably not be covered by your insurance. If you need home physical therapy, your therapist will likely come three to five times a week for about an hour. Home physical therapy will be arranged by your discharge planner before you leave the hospital. Going to a short-term rehabilitation center If it is decided you would benefit from more frequent therapy, you may choose to go to short-term rehabilitation. Your discharge planner will provide options available in your area. Transportation is based on your needs and insurance coverage. You may go by private vehicle or,, transportation may be set up for you. If there is a charge to you, your discharge planner will inform you. If you need acute rehabilitation For individuals having two total joint replacements at one time or needing intensive therapy, acute rehabilitation is recommended. An evaluation will be done during your hospitalization to see if you meet the eligibility criteria. team RECOVERY 6 Duke Regional Hospital Forward Motion Participant Guide 7

6 Remember: Call, Don t Fall! Call for assistance if you need to get up, even if you think you can do it. Your safety is important to us. Knee replacement at a glance Diet Vital Signs (Blood pressure, heart rate, temperature, blood oxygen level) Pain Management (Oral pain medicine must be requested from your nurse) Physical Therapy/ Occupational Therapy Blood Clot Prevention Tests Personal Care Remember to Call, not Fall Surgical Site Care Discharge Planning Day of Surgery Clear liquids such as water, chicken broth, juice, or gelatin Checked every hour for 4 hours when you first arrive, then every 4 hours Nerve block or On Q IV 1 session with physical therapy X-ray Urinary catheter or bedside toilet Reinforce only if bleeding Has begun, based on your Forward Motion Discharge Planning Guide Post-op Day 1 Regular diet if you are not nauseated or throwing up Checked every 4 hours Nerve block or On Q IV 2 sessions with physical therapy Urinary catheter or bedside toilet Assisted or self-bathing Reinforce only if bleeding Progress evaluated by you and your health care team Post-op Day 2 Regular diet Checked every 8 hours 2 sessions with physical therapy 1 session with occupational therapy Use bedside toilet or walk with assistance to bathroom Self-bathing Talk with nurse if no bowel movement by today Nurse or MD may change dressing 1-2 times Progress reevaluated by you and your team Equipment delivered, Go home if making good progress Post-op Day 3 Regular diet Checked every 8 hours Therapy goals for discharge to home 1-2 sessions with physical therapy Occupational therapy, Walk with assistance to bathroom Self-bathing Nurse or MD may change dressing and teach you how to change at home Nurse reviews final instructions and removes IV Self-Care Guide is completed Equipment delivered and home physical therapy arranged, Walk feet with your crutches or walker Get in and out of bed Note: If you need help to gather your things before discharge, let your nurse know. knee 8 Duke Regional Hospital Forward Motion Participant Guide 9 Get on and off the toilet Dress with minimal assistance Do prescribed exercises Friends and family can coach you, but you need to do the work for the best recovery!

7 Remember: Call, Don t Fall! Call for assistance if you need to get up, even if you think you can do it. Your safety is important to us. Hip replacement at a glance Diet Vital Signs (Blood pressure, heart rate, temperature, blood oxygen level) Pain Management (Oral pain medicine must be requested from your nurse) Physical Therapy/ Occupational Therapy Blood Clot Prevention Tests Personal Care Remember to Call, not Fall Surgical Site Care Discharge Planning Day of Surgery Clear liquids such as water, chicken broth, juice, or gelatin Checked every hour for 4 hours when you first arrive, then every 4 hours IV 1 session with physical therapy X-ray Urinary catheter or bedside toilet Reinforce only if bleeding Has begun, based on your Forward Motion Discharge Planning Guide Post-op Day 1 Regular diet if you are not nauseated or throwing up Checked every 4 hours IV 2 sessions with physical therapy 1 session with occupational therapy Urinary catheter or bedside toilet Assisted or self-bathing Reinforce only if bleeding Progress evaluated by you and your health care team Post-op Day 2 Regular diet Checked every 8 hours 2 sessions with physical therapy 1 session with occupational therapy, Use bedside toilet or walk with assistance to bathroom Talk with nurse if no bowel movement by today Nurse or MD may change dressing 1-2 times Progress reevaluated by you and your team Equipment delivered, Go home if making good progress Post-op Day 3 Regular diet Checked every 8 hours Therapy goals for discharge to home 1-2 sessions with physical therapy, Walk with assistance to bathroom Self-bathing Nurse or MD may change dressing and teach you how to change at home Nurse reviews final instructions and removes IV Self-Care Guide is completed Equipment delivered and home physical therapy arranged, Walk feet with your crutches or walker Get in and out of bed Get on and off the toilet Dress with minimal assistance Do prescribed exercises Friends and family can coach you, but you need to do the work for the best recovery! Note: If you need help to gather your things before discharge, let your nurse know. hip 10 Duke Regional Hospital Forward Motion Participant Guide 11

8 Pain management options Pain Block is a combination of medications that are put in the area around your incision at the end of surgery. They usually help with pain control for the first hours. IV pain medication such as Ofirmev (acetaminophen), morphine, or dilaudid to keep your pain at a tolerable level. Oral pain medication such as Oxycodone, Vicodin, or Percocet for longer-lasting relief. Depending on your physician's orders, you can usually request it every four to six hours. Oral anti-inflammatories like Celebrix or Motrin to help decrease swelling and pain. none mild moderate severe Discuss pain management with your nurse so you can develop a strategy that meets your needs. Sometimes pain medication can make you nauseated or itchy. There are medications to reduce or eliminate these side effects. Let your nurse know so he or she can help you. An ice pack can also be applied to your surgical site. This is helpful to reduce swelling and pain. may also help reduce your discomfort. Ask your aide or nurse for assistance. Breathing exercises can help you relax. Take a deep breath in through your nose. Then blow out slowly through your mouth. Frequently asked questions Q: Should I have pain? A: You can expect to have some pain. Our goal is to help you manage your pain to make it tolerable. Q: Is bleeding normal? A: Bleeding is normal following any surgical procedure. Your nurse will monitor bleeding. Your nurse may also add more bandages or apply a cold compress to slow or stop bleeding. Q: Why do I need to take a stool softener? A: Reduced activity and pain medication can make you constipated. Be sure to drink plenty of fluids, take the stool softener, and walk as soon as you are able. Ask for a laxative if you feel you need one. Q: When do physical and occupational therapists come? A: In the morning you can often expect them between 8:30 and noon. In the afternoon they regularly see patients between 2:00 and 3:30. Occupational therapy generally makes rounds between 8:30 a.m. and 3:30 p.m. Q: When will my IV be removed? A: Your nurse will remove your IV while reviewing your discharge instructions or sometime during your day of discharge. Q: When will I see my physician or physician s assistant? A: They usually come to see their patients each morning between 6:30 and 8:00. Each physician has a slightly different schedule, which may change from day to day. If you have concerns and have not seen your physician or physician s assistant, let your nurse know so he or she can help. Q: When can I take a shower? A: This information will be included in your physician s discharge instructions. You can usually shower when you get home. Be sure someone is close by in case you get tired or dizzy. (No tub baths yet.) Q: Why does the laboratory technician come draw my blood so early? A: Blood is drawn early so the test results are ready for your physician when he or she arrives in the morning. no hurt little bit little more even more whole lot worst Important telephone numbers When in your room, dial 4 and the extension below. Dietary: 4254 Nurses Station: 7137 Charge Nurse: 8771 Approximate meal times Breakfast: 8:15 a.m. Lunch: 12:15 p.m. Dinner: 6:00 p.m. PAIN FAQs 12 Duke Regional Hospital Forward Motion Participant Guide 13 Copyright Duke University Health System, 2013 MCOC-9361

9 MEDICAL PARK DR DANUBE LN 501 PACIFIC AVE N ROXBORO ST BEN FRANKLIN BLVD E CARVER ST CARVER ST 157 TO GUESS RD W CARVER ST CRUTCHFIELD ST DUKE REGIONAL HOSPITAL N DUKE ST OLYMPIC AVE 3643 North Roxboro Road Durham, NC dukeregional.org/forwardmotion GUESS RD W CLUB BLVD Duke Regional Hospital s Forward Motion total joint replacement program has earned The Joint Commission s Gold Seal of Approval. This certification highlights our commitment to the best care for total joint replacement patients.

Endovascular Abdominal Aortic Aneurysm Repair Surgery

Endovascular Abdominal Aortic Aneurysm Repair Surgery Endovascular Abdominal Aortic Aneurysm Repair Surgery You are scheduled for an admission to Cooper University Hospital for Endovascular Abdominal Aortic Aneurysm surgery (EVAR). Please read this handout,

More information

ANTERIOR HIP REPLACEMENT WWW.ORTHOWISCONSIN.COM

ANTERIOR HIP REPLACEMENT WWW.ORTHOWISCONSIN.COM ANTERIOR HIP REPLACEMENT WWW.ORTHOWISCONSIN.COM The Orthopaedic Surgery Center Welcome Thank you for choosing The Orthopaedic Surgery Center for your medical and surgical needs. It is our goal and privilege

More information

Pre-operative Instructions for MIS Total Knee Stephen J Kelly, M.D.

Pre-operative Instructions for MIS Total Knee Stephen J Kelly, M.D. Pre-operative Instructions for MIS Total Knee Stephen J Kelly, M.D. 33 Sewall Street Portland, ME 04102 207.828.2100 800.439.0274 www.orthoassociates.com Pre-operative Pain Protocol Two days before surgery:

More information

PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY

PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY PREPARING YOUR SKIN BEFORE SURGERY PRE-OP HIBICLENS BATHING INSTRUCTIONS: General Information: Because the skin is not sterile, it is important to make sure

More information

CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY

CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY www.cpmc.org/learning i learning about your health What to Expect During Your Hospital Stay 1 Our Team: Our cardiac surgery specialty team includes nurses,

More information

You will be having surgery to remove a tumour(s) from your liver.

You will be having surgery to remove a tumour(s) from your liver. Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be

More information

Colon Cancer Surgery and Recovery. A Guide for Patients and Families

Colon Cancer Surgery and Recovery. A Guide for Patients and Families Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,

More information

Lumbar Spine Surgery What to Expect

Lumbar Spine Surgery What to Expect Lumbar Spine Surgery What to Expect You have been scheduled for lumbar spine surgery and are probably wondering what to expect with your surgical journey. We will discuss pre- operative tasks, the day

More information

X-Plain Preparing For Surgery Reference Summary

X-Plain Preparing For Surgery Reference Summary X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding

More information

Total Hip Replacement Surgery Home Care Instructions

Total Hip Replacement Surgery Home Care Instructions Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Rehabilitation. Rehabilitation. Walking after Total Knee Replacement. Continuous Passive Motion Device

Rehabilitation. Rehabilitation. Walking after Total Knee Replacement. Continuous Passive Motion Device Walking after Total Knee Replacement After your TKR, continue using your walker or crutches until your surgeons tells you it is okay to stop using them. When turning with a walker or crutches DO NOT PIVOT

More information

PERIACETABULAR OSTEOTOMY SURGERY

PERIACETABULAR OSTEOTOMY SURGERY 1 PERIACETABULAR OSTEOTOMY SURGERY It is important to us that all of our patients know what to expect before surgery, during their hospitalization and after surgery. Office Visits Planning begins with

More information

Orthopedic Campus of Excellence

Orthopedic Campus of Excellence Orthopedic Campus of Excellence At Kenmore Mercy Hospital, we want to ensure that your experience before, during, and after joint replacement surgery is excellent. The first step is education. We are proud

More information

Gallbladder Surgery with an Incision (Cholecystectomy)

Gallbladder Surgery with an Incision (Cholecystectomy) Gallbladder Surgery with an Incision (Cholecystectomy) It is normal to have questions about your surgery. This handout gives you information about what will happen to you before, during and after your

More information

Hip Replacement Surgery Johns Hopkins Hip and Knee Replacement Program

Hip Replacement Surgery Johns Hopkins Hip and Knee Replacement Program Patient Education: Hip Replacement Surgery Johns Hopkins Hip and Knee Replacement Program Thank you for choosing Johns Hopkins for your hip replacement surgery. We use a team-based approach, and you are

More information

Orthopaedic Surgery Center of Joint Preservation and Replacement After Total Knee Replacement Discharge Instructions

Orthopaedic Surgery Center of Joint Preservation and Replacement After Total Knee Replacement Discharge Instructions Congratulations! You are going home after a successful total knee replacement. Although there is still much work to do, we have already achieved a lot. So, when you get home, take a deep breath and relax.

More information

Total Hip Replacement

Total Hip Replacement NOTES Total Hip Replacement QUESTIONS DATES PHONE NOS. Compiled by Mr John F Nolan FRCS for The British Hip Society 2009. A patient s information booklet 16 1 Introduction This booklet has been produced

More information

Orthopaedic Surgery Center of Joint Preservation and Replacement After Total Hip Replacement Discharge Instructions

Orthopaedic Surgery Center of Joint Preservation and Replacement After Total Hip Replacement Discharge Instructions Congratulations on your new hip! You are going home after a successful total hip replacement. Although there is still much work to do, we have already achieved a lot. So, when you get home, take a deep

More information

Total Knee Replacement. Patient Information

Total Knee Replacement. Patient Information Total Knee Replacement Patient Information Introduction: We would like to thank you for choosing The Institute for Advanced Bone and Joint Surgery at St. Joseph s/ Candler for your Total Joint Replacement

More information

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.

More information

Total knee replacement: The enhanced recovery programme

Total knee replacement: The enhanced recovery programme INFORMATION FOR PATIENTS Total knee replacement: The enhanced recovery programme Aim This leaflet aims to explain the enhanced recovery programme after total knee replacement surgery, and outline what

More information

PATIENT HANDBOOK AND JOURNAL POST SURGERY

PATIENT HANDBOOK AND JOURNAL POST SURGERY PATIENT HANDBOOK AND JOURNAL POST SURGERY POST ANESTHESIA CARE UNIT (PACU) After surgery you will be moved from the Operating Room directly to a special recovery room, called the Post Anesthesia Care Unit

More information

Total Knee Replacement

Total Knee Replacement Total Knee Replacement Contents Introduction Total Knee Replacement Preparing for surgery Pre-op visit Day of surgery After surgery (In Hospital) After surgery (In Rehab) Exercise Program and Physical

More information

Guidelines for Surgical Patients

Guidelines for Surgical Patients Guidelines for Surgical Patients Guidelines for Surgical Patients We are pleased that you and your physician have selected us to provide your surgical care. Everyone associated with the hospital is dedicated

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

total hip replacement

total hip replacement total hip replacement EXCERCISE BOOKLET patient s name: date of surgery: physical therapist: www.jointpain.md Get Up and Go Joint Program Philosophy: With the development of newer and more sophisticated

More information

Preparing for your Surgery:

Preparing for your Surgery: Preparing for your Surgery: Information for Patients Undergoing a: UHN Minimally Invasive Radical Hysterectomy Possible removal of one or both ovaries and tubes Possible removal of pelvic lymph nodes Patient

More information

Lumbar or Thoracic Decompression and Fusion

Lumbar or Thoracic Decompression and Fusion Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS

More information

TOTAL KNEE REPLACEMENT

TOTAL KNEE REPLACEMENT PENN ORTHOPAEDICS TOTAL KNEE REPLACEMENT Home Exercise Program PENN ORTHOPAEDICS TOTAL KNEE REPLACEMENT HOME EXERCISE PROGRAM To get the best results from your surgery, it is important that you do your

More information

Knee Arthroscopy Post-operative Instructions

Knee Arthroscopy Post-operative Instructions Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Knee Arthroscopy Post-operative Instructions PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY. THEY WILL ANSWER MOST OF YOUR QUESTIONS. 1. You may walk

More information

Total Hip or Knee Joint Replacement

Total Hip or Knee Joint Replacement Preparing for your Total Hip or Knee Joint Replacement Pre-operative education for patients St. Clair Hospital Center for Orthopedics Copyright 2011 by St. Clair Hospital The Orthopedic Team Physicians

More information

Fine jewelry is rarely reactive, but cheaper watches, bracelets, rings, earrings and necklaces often contain nickel.

Fine jewelry is rarely reactive, but cheaper watches, bracelets, rings, earrings and necklaces often contain nickel. BEFORE SURGERY What should I do to prepare for my surgery? Arrange for a family member or friend to accompany you to the hospital on the day of your surgery. Cancel any dental appointments that fall within

More information

Functional rehab after breast reconstruction surgery

Functional rehab after breast reconstruction surgery Functional rehab after breast reconstruction surgery UHN A guide for women who had DIEP, latissimus dorsi with a tissue expander or implant, or two-stage implant based breast reconstruction surgery Read

More information

For patients of Crittenton Hospital Medical Center Surgery Guide

For patients of Crittenton Hospital Medical Center Surgery Guide For patients of Crittenton Hospital Medical Center Surgery Guide Dear Patient, Thank you for choosing Crittenton Hospital Medical Center for your upcoming procedure. We value your confi dence and will

More information

Total Knee Replacement and Rehabilitation. Baylor Medical Center at Carrollton

Total Knee Replacement and Rehabilitation. Baylor Medical Center at Carrollton Total Knee Replacement and Rehabilitation Baylor Medical Center at Carrollton What you need to know about your total knee replacement and rehabilitation There s no need to lower your standards when it

More information

Enhanced recovery programme (ERP) for patients undergoing bowel surgery

Enhanced recovery programme (ERP) for patients undergoing bowel surgery Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare

More information

Your Recovery After a Cesarean Delivery

Your Recovery After a Cesarean Delivery Your Recovery After a Cesarean Delivery It is normal to have many questions about your care after delivery. Cesarean delivery is surgery and your body needs time to heal and recover for the next 6 weeks,

More information

Lumbar or Thoracic Fusion +/- Decompression

Lumbar or Thoracic Fusion +/- Decompression Lumbar or Thoracic Fusion +/- Decompression PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS

More information

ANTERIOR CERVICAL DECOMPRESSION AND FUSION

ANTERIOR CERVICAL DECOMPRESSION AND FUSION ANTERIOR CERVICAL DECOMPRESSION AND FUSION NOTE: PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, etc) OR ASPIRIN PRODUCTS FOR 2 WEEKS

More information

Spine and Orthopedic Surgery Unit Hamilton General Hospital. Information for patients and their families

Spine and Orthopedic Surgery Unit Hamilton General Hospital. Information for patients and their families Spine and Orthopedic Surgery Unit Hamilton General Hospital Information for patients and their families Curing - Caring - Comforting 905-527-4322, ext. 46650 Table of contents Page About 6 West... 1 Health

More information

Arthritis of the hip. Normal hip In an x-ray of a normal hip, the articular cartilage (the area labeled normal joint space ) is clearly visible.

Arthritis of the hip. Normal hip In an x-ray of a normal hip, the articular cartilage (the area labeled normal joint space ) is clearly visible. Arthritis of the hip Arthritis of the hip is a condition in which the smooth gliding surfaces of your hip joint (articular cartilage) have become damaged. This usually results in pain, stiffness, and reduced

More information

Preparing for Your Surgery

Preparing for Your Surgery Preparing for Your Surgery Welcome As you get ready for surgery, you may have a lot of questions. This booklet will help you know what to expect before, during and after surgery. You and your family are

More information

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament The anterior cruciate ligament or ACL is one of the major ligaments located in the knee joint. This ligament

More information

Excision of Vaginal Mesh

Excision of Vaginal Mesh What is excision of vaginal mesh? This procedure is done to remove mesh from the vagina. When is this surgery used? If mesh has eroded into the vagina, bladder, urethra, or bowel If there is pain associated

More information

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery / Sports Medicine

More information

Neck Surgery (Cervical spine surgery) Remember to bring this handout to the hospital with you.

Neck Surgery (Cervical spine surgery) Remember to bring this handout to the hospital with you. Neck Surgery (Cervical spine surgery) Remember to bring this handout to the hospital with you. 1 Neck Surgery (cervical spine surgery) Table of contents Page Why do I need neck surgery?... 2 What kinds

More information

Recto-vaginal Fistula Repair

Recto-vaginal Fistula Repair What is a recto-vaginal fistula repair? Rectovaginal fistula repair is a procedure in which the healthy tissue between the rectum and vagina is closed in multiple tissue layers. An incision is made either

More information

TOTAL HIP REPLACEMENT

TOTAL HIP REPLACEMENT PENN ORTHOPAEDICS TOTAL HIP REPLACEMENT Home Exercise Program Maintain Your 3 HIP PRECAUTIONS! The purpose of your hip precautions is to allow for the best healing and the most successful outcomes from

More information

What you need to know before, during, and after spine surgery.

What you need to know before, during, and after spine surgery. What you need to know before, during, and after spine surgery. 1 General Information Thank you for choosing the Spine Center at St. Luke s Cornwall Hospital. Your physician and our care-giving team are

More information

Total Hip Replacement and Rehabilitation. Baylor Medical Center at Carrollton

Total Hip Replacement and Rehabilitation. Baylor Medical Center at Carrollton Total Hip Replacement and Rehabilitation Baylor Medical Center at Carrollton What you need to know about your total hip replacement and rehabilitation There s no need to lower your standards when it comes

More information

TIPS and EXERCISES for your knee stiffness. and pain

TIPS and EXERCISES for your knee stiffness. and pain TIPS and EXERCISES for your knee stiffness and pain KNEE EXERCISES Range of motion exercise 3 Knee bending exercises 3 Knee straightening exercises 5 STRENGTHENING EXERCISES 6 AEROBIC EXERCISE 10 ADDITIONAL

More information

You and your doctor will talk about your condition and the treatment that is best for you.

You and your doctor will talk about your condition and the treatment that is best for you. PATIENT EDUCATION patienteducation.osumc.edu It is normal to have questions about your surgery. This handout gives you information about what will happen to you before, during and after your surgery. If

More information

Knee / Hip Replacement Orientation Class

Knee / Hip Replacement Orientation Class THIS IS YOUR GUIDE FOR YOUR HIP OR KNEE REPLACEMENT PATIENT NAME DATE OF SURGERY Physicians Location Phone Christian H. Bean, MD Green Mountain Orthopaedic Surgery (802) 229-2663 Mahlon A. Bradley, MD

More information

Cardiac Rehab Program: Stretching Exercises

Cardiac Rehab Program: Stretching Exercises Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. Stretch warm muscles

More information

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. When is this surgery used? Treatment

More information

Knee arthroscopy advice sheet

Knee arthroscopy advice sheet Knee arthroscopy advice sheet During an arthroscopy, a camera is inserted into the knee through two or three small puncture wounds. It allows the surgeon to look at the joint surfaces, cartilage and the

More information

Exercises for older people

Exercises for older people Exercise for older people Exercises for older people Sitting Getting started If you ve not done much physical activity for a while, you may want to get the all-clear from a GP before starting. For the

More information

AFTER TOTAL KNEE REPLACEMENT. Living with Your New Knee

AFTER TOTAL KNEE REPLACEMENT. Living with Your New Knee AFTER TOTAL KNEE REPLACEMENT Living with Your New Knee Stepping into Recovery Before knee replacement surgery, your painful knee may have limited your activity. Movements that you once took for granted

More information

Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?

Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery? Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a

More information

A Preop Nurse will attempt to call you to review your medical history and instructions.

A Preop Nurse will attempt to call you to review your medical history and instructions. Pre-Operative Instructions A Preop Nurse will attempt to call you to review your medical history and instructions. What to bring to SDS: Identification and insurance information Arrival time: In order

More information

Information and exercises following dynamic hip screw

Information and exercises following dynamic hip screw Physiotherapy Department Information and exercises following dynamic hip screw Introduction A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance

More information

Baker Rehab Group HomeCare Rehab and Nursing LLC

Baker Rehab Group HomeCare Rehab and Nursing LLC Baker Rehab Group HomeCare Rehab and Nursing LLC Introduction So it s time for a joint replacement... Are you worried about the surgery? Are you wondering about the pre and post surgical process? Do you

More information

Inpatient Surgery Information The Lady Minto Hospital 241 Eighth Street, Cochrane, Ontario P0L 1C0 Phone: 705-272-7200

Inpatient Surgery Information The Lady Minto Hospital 241 Eighth Street, Cochrane, Ontario P0L 1C0 Phone: 705-272-7200 Inpatient Surgery Information The Lady Minto Hospital 241 Eighth Street, Cochrane, Ontario P0L 1C0 Phone: 705-272-7200 About Your Care You and your doctor have agreed that you need an operation. Staying

More information

ORTHOPEDIC AND JOINT PROGRAM

ORTHOPEDIC AND JOINT PROGRAM ORTHOPEDIC AND JOINT PROGRAM Table of Contents TITLE PAGE NUMBER Call and Confirm 3 Introduction 4 The Orthopedic Team 5 What to Expect at the Hospital 6 General Hospital Information 7 Pre-Surgery Exercise

More information

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2 This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery

More information

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS)

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS) Premier Orthopaedic Pathway Physiotherapy after dynamic hip screw (DHS) The surgery After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. It allows

More information

Getting ready to stay at a rehab hospital

Getting ready to stay at a rehab hospital Getting ready to stay at a rehab hospital UHN Information for patients having rehab after hip or knee replacement surgery Read this information to learn: how to prepare what you can expect what you need

More information

How To Stretch Your Body

How To Stretch Your Body Exercise Module A New Leaf Choices for Healthy Living University of North Carolina at Chapel Hill 2007 Center for Health Promotion and Disease Prevention Physical Activity Exercises for Keeping Active

More information

Pre and Post-Op instructions for laminectomy

Pre and Post-Op instructions for laminectomy Pre and Post-Op instructions for laminectomy These instructions are divided in 3 sections: Pre-op instructions (things to do) The hospital stay Post-op and discharge instructions Pre- op instructions (things

More information

Low Back Surgery. Remember to bring this handout to the hospital with you.

Low Back Surgery. Remember to bring this handout to the hospital with you. Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your

More information

THE RECOVERY PROCESS

THE RECOVERY PROCESS THE RECOVERY PROCESS PART 1 This information will help you get ready for your surgery AND prepare for the days, weeks, and months following your surgery. You may need to adjust your work schedule, ask

More information

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy)

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Date of admission Date of surgery Expected Length of Stay in hospital We will aim to discharge you

More information

Preoperative Education: LUMBAR SPINE SURGERY

Preoperative Education: LUMBAR SPINE SURGERY Preoperative Education: LUMBAR SPINE SURGERY 1 Dear Patient, In order to make your hospital stay as comfortable as possible, we have prepared this informational packet for you designed to outline and explain

More information

My Spinal Surgery: Going Home

My Spinal Surgery: Going Home My Spinal Surgery: Going Home The Spinal Surgery Team has prepared this insert containing information to help prepare you and your family for going home after your spinal surgery. Please visit the UHN

More information

Your admission for day surgery

Your admission for day surgery Royal Berkshire NHS Foundation Trust London Road Reading Berkshire RG1 5AN 0118 322 5111 (switchboard) West Berkshire Community Hospital London Road, Benham Hill Thatcham Berkshire RG18 3AS 01635 273300

More information

Pre and Post-Op instructions for lumbar fusion

Pre and Post-Op instructions for lumbar fusion Pre and Post-Op instructions for lumbar fusion These instructions are divided in 3 sections: 1. Pre-op instructions (things to do) 2. The hospital stay 3. Post-op and discharge instructions Pre- op instructions

More information

Before and After Your Cardioversion

Before and After Your Cardioversion 2013 Before and After Your Cardioversion Before and After Your Cardioversion Preparing for your cardioversion Your doctor has recommended cardioversion to treat your heart rhythm problem. This booklet

More information

Knee Arthroscopy Exercise Programme

Knee Arthroscopy Exercise Programme Chester Knee Clinic & Cartilage Repair Centre Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Hospital Telephone: 01244 680 444 CKC Website: www.kneeclinic.info Email: office@kneeclinic.info

More information

ANESTHESIA. Anesthesia for Ambulatory Surgery

ANESTHESIA. Anesthesia for Ambulatory Surgery ANESTHESIA & YOU Anesthesia for Ambulatory Surgery T oday the majority of patients who undergo surgery or diagnostic tests do not need to stay overnight in the hospital. In most cases, you will be well

More information

Sue Schuerman, PT, GCS, PhD UNLVPT

Sue Schuerman, PT, GCS, PhD UNLVPT Sue Schuerman, PT, GCS, PhD UNLVPT Exercise & Physical Activity (Your Everyday Guide from the National Institute on Aging) Go4Life Retain our physical and mental health Continue to do the things we enjoy

More information

Prevent Bleeding When Taking Blood Thinners

Prevent Bleeding When Taking Blood Thinners PATIENT EDUCATION patienteducation.osumc.edu Prevent Bleeding When Taking Blood Thinners Blood thinners are medicines used to keep harmful blood clots from forming in the body. Blood thinners can also

More information

POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION

POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION www.southerarizonaspine.com POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION This handout will review the care you need to follow once you are home. If you have any questions or concerns,

More information

Strength Training HEALTHY BONES, HEALTHY HEART

Strength Training HEALTHY BONES, HEALTHY HEART Strength Training HEALTHY BONES, HEALTHY HEART No matter what your age, strength training can improve your bone health and your balance. As we age, our bones lose both tissue and strength. This condition

More information

Better Breathing with COPD

Better Breathing with COPD Better Breathing with COPD People with Chronic Obstructive Pulmonary Disease (COPD) often benefit from learning different breathing techniques. Pursed Lip Breathing Pursed Lip Breathing (PLB) can be very

More information

Medical Rehabilitation. Rehabilitation Unit

Medical Rehabilitation. Rehabilitation Unit Medical Rehabilitation Rehabilitation Unit Medical Rehabilitation The purpose of this handout is to give you information about University Hospital s Rehabilitation Unit (2 North or 2N). It will explain:

More information

Brachytherapy: Low Dose Rate (LDR) Radiation Interstitial Implant

Brachytherapy: Low Dose Rate (LDR) Radiation Interstitial Implant Brachytherapy: Low Dose Rate (LDR) Radiation Interstitial Implant Goal of the Procedure Brachytherapy, or internal radiation therapy, is a way of giving a higher dose of radiation to the tumor area while

More information

GOING HOME AFTER YOUR TAVR PROCEDURE

GOING HOME AFTER YOUR TAVR PROCEDURE GOING HOME AFTER YOUR TAVR PROCEDURE HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE GOING HOME After your TAVR procedure, you will need help when you go home. It is hard to predict how much help

More information

How to Care for Yourself after Lumbar Posterior Decompression

How to Care for Yourself after Lumbar Posterior Decompression How to Care for Yourself after Lumbar Posterior Decompression What is Lumbar Posterior Decompression? Lumbar Posterior Decomposition is the removal of part of or all of the bone that covers the back of

More information

General Guidelines. Neck Stretch: Side. Neck Stretch: Forward. Shoulder Rolls. Side Stretch

General Guidelines. Neck Stretch: Side. Neck Stretch: Forward. Shoulder Rolls. Side Stretch Stretching Exercises General Guidelines Perform stretching exercises at least 2 3 days per week and preferably more Hold each stretch for 15 20 seconds Relax and breathe normally Stretching is most effective

More information

The following document includes information about:

The following document includes information about: Patient information WHAT TO EXPECT WHILE RECEIVING RADIATION THERAPY FOR PROSTATE CANCER Oncology Vitalité Zone : 1B 4 5 6 Facility : Dr. Léon-Richard Oncology Centre The following document includes information

More information

Stem cell transplant, you and your rehabilitation Information for patients and their carers

Stem cell transplant, you and your rehabilitation Information for patients and their carers Oxford University Hospitals NHS Trust Physiotherapy department Stem cell transplant, you and your rehabilitation Information for patients and their carers Stem cell transplant exercise handout Thank you

More information

We ve got your back. Physical Therapy After Lumbar Fusion Surgery

We ve got your back. Physical Therapy After Lumbar Fusion Surgery We ve got your back Physical Therapy After Lumbar Fusion Surgery Physical therapy is an extremely important part of you recovery after spinal surgery. This booklet, prepared by the therapists who specialize

More information

Shoulder Dislocation or Instability Surgery: A Guide to Recovery After Surgery

Shoulder Dislocation or Instability Surgery: A Guide to Recovery After Surgery What is Shoulder Instability? What is a Shoulder Dislocation? The shoulder joint is a ball in socket joint and is the most mobile joint in the human body. The socket, however, is quite shallow which means

More information

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol The First Two Weeks After Surgery You will go home with crutches and be advised to use ice. Goals 1. Protect reconstruction 2. Ensure wound healing 3. Maintain full knee extension 4. Gain knee flexion

More information

Electroconvulsive Therapy ECT and Your Mental Health

Electroconvulsive Therapy ECT and Your Mental Health Electroconvulsive Therapy ECT and Your Mental Health Mental Health and Addictions Program St. Joseph s Healthcare Hamilton Charlton Campus 50 Charlton Avenue East Hamilton, Ontario 905-522-1155 ext. 33684

More information

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal

More information

Colonoscopy or Upper GI Endoscopy

Colonoscopy or Upper GI Endoscopy Day Surgery Guide to your Colonoscopy or Upper GI Endoscopy Pre-Admission Phone Interview Date & Time: (you will be given the time of your procedure on this call) Date of Procedure: with Dr. Your Upcoming

More information

In-Patient Radioactive Iodine ( 131 I) Treatment

In-Patient Radioactive Iodine ( 131 I) Treatment In-Patient Radioactive Iodine ( 131 I) Treatment Information for patients and families Princess Margaret Read this booklet to learn: what radioactive iodine treatment is what to expect instructions to

More information

Femoral artery bypass graft (Including femoral crossover graft)

Femoral artery bypass graft (Including femoral crossover graft) Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to

More information