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What to Expect Before, During, and After Orthopedic Surgery

Taking the First Step Toward Pain-Free Movement

Deciding to have orthopedic surgery is a major step in reclaiming your mobility and your quality of life. Whether you’re dealing with arthritis in your knee, a shoulder injury from sports, or a fracture that just won’t heal, the right treatment can restore function and relieve pain.

Orthopedic surgeons treat the entire musculoskeletal system: bones, joints, soft tissues like muscles and ligaments, and even the spine. This means they can help with everything from knee arthroplasty (knee replacement) to minimally invasive hip surgery, carpal tunnel syndrome, and hand surgery.

At Mellano Orthopedics, Dr. Chris Mellano brings years of specialized training, experience with professional athletes, and a focus on minimally invasive techniques to help patients heal faster. Supported by a skilled orthopedic surgery department and sports medicine specialists, he works closely with each patient to design a plan that meets their unique needs.

In this guide, we’ll walk through what orthopedic surgery is, when it’s needed, how to prepare, what happens in the operating room, and what recovery looks like, so you can feel confident at every step.

What is Orthopedic Surgery?

Orthopedic surgery is a specialty within medicine that focuses on diagnosing, treating, and repairing problems with the musculoskeletal system. This system includes your bones, joints, spine, ligaments, tendons, muscles, and other soft tissues.

Common orthopedic surgical procedures include:

  • Joint replacements such as knee arthroplasty or minimally invasive hip replacement for severe arthritis or deformities.
  • Sports medicine repairs for ligament tears, meniscus injuries, and shoulder instability.
  • Spine surgery, including minimally invasive spine surgery for herniated discs or spinal stenosis.
  • Fracture repair for broken bones in the forearm, elbow, hip, or other joints.
  • Hand surgery for carpal tunnel syndrome, tendon injuries, or trauma.
  • These procedures can be life-changing, restoring function, reducing pain, and helping patients get back to their everyday activities.

    Who Might Need Surgery?

    Orthopedic surgeons don’t jump straight to surgery. Many musculoskeletal problems can be managed first with physical therapy, injections, bracing, or medication. But surgery may be recommended if:

  • Pain limits daily activities and keeps you from working, exercising, or caring for yourself.
  • X-rays or MRIs show significant joint damage, fractures, or degenerative changes.
  • Your function is declining, making it hard to walk, lift, or use your arms.
  • Injuries or deformities are affecting your health or mobility long term.
  • Getting Ready for Surgery

    The preparation phase sets the stage for a smooth surgery and recovery. Here’s a general idea of what your consultation and pre-op appointments will consist of:

  • Meet with your orthopedic surgeon to discuss the diagnosis, surgical plan, and what to expect from recovery. This is your chance to ask questions and understand the procedure.
  • Complete medical evaluations, which may include blood tests, an EKG, and imaging like X-rays. Patients with certain health conditions may need clearance from other physicians.
  • Build strength and flexibility. Your surgeon may recommend physical therapy or specific exercises to improve surgical outcomes.
  • Adjust daily routines to support healing, such as quitting smoking, improving nutrition, and preparing your home for easier movement post-surgery.
  • Arrange your support system, have friends, family, or caregivers ready to help with meals, transportation, and daily tasks.
  • Your orthopedic surgery department team will give you detailed instructions, including when to stop eating or drinking before surgery and how to prepare your skin to reduce the risk of infections.

    The Day of Surgery

    When you arrive at the hospital or surgical center, the focus is on making you comfortable and ready. Here’s what you can expect:

    1. Check-In and Preparation: You’ll change into a hospital gown, have your vitals taken, and review your procedure with your surgeon.
    2. Meet the Anesthesiologist: They’ll discuss whether you’ll have general anesthesia or a regional block, depending on your surgery.
    3. In the Operating Room: The surgical team works together to make sure everything is ready. The operating room is equipped for your specific procedure, whether it’s knee arthroplasty, minimally invasive spine surgery, or hand surgery.

    Procedure times vary for every procedure. Arthroscopic repairs may take under an hour, while joint replacements often last two to three hours. Complex spine surgery can take longer.

    Once surgery is done, you’ll be moved to recovery, where nurses monitor your breathing, pain, and vital signs.

    Right After Surgery

    In the recovery area, your team will focus on pain control, infection prevention, and getting you stable enough to go home or move to a hospital room.

    You’ll receive instructions on caring for your incision and recognizing signs of infection, managing pain with prescribed medication and ice, and using assistive devices like walkers, crutches, or slings. You will also be informed on how to schedule rehabilitation so healing and function start right away.

    Some patients are up and walking within hours, especially after minimally invasive hip or knee surgeries. Early movement supports circulation, prevents stiffness, and helps you regain function faster.

    Recovery and Rehabilitation

    Recovery is more than just waiting for stitches to heal. It’s an active process.

    In the first few weeks, swelling and bruising are normal. You’ll want to keep the surgical area clean and protected while you follow your rehabilitation program exactly as prescribed.

    Rehabilitation often involves physical therapy multiple times a week, along with home exercises. Whether it’s regaining range of motion after shoulder surgery or rebuilding strength after spine surgery, consistent effort is key.

    Your timeline will depend on your surgery and health:

  • Knee arthroplasty: walking with support in days, back to most activities in six to twelve weeks.
  • Spine surgery: walking the same day in some cases, gradual return to work in weeks.
  • Hand surgery for carpal tunnel syndrome: light activities in days, full function in weeks.
  • Good nutrition, staying hydrated, and listening to your body’s signals help with healing.

    Looking Ahead: Long-Term Results

    Many patients see life-changing improvements: less pain, more movement, and greater independence. With modern orthopedic techniques, including minimally invasive approaches, the recovery process is often faster and less disruptive than in the past.

    By following your surgeon’s advice and sticking with rehabilitation, you put yourself in a unique position to get back to living the life you want, whether that means running, working, or simply walking without discomfort.

    Moving Forward with Confidence

    Orthopedic surgery can restore health, function, and confidence. From diagnosis to rehabilitation, having the right surgeon, the right team, and the right plan makes all the difference.

    Mellano Orthopedics brings advanced surgical expertise, years of training, and a commitment to patient-centered care to every procedure and patient. Whether it’s knee arthroplasty, minimally invasive spine surgery, fracture repair, or sports medicine treatment, our focus is on delivering the best outcomes for both adults and children dealing with musculoskeletal problems.

    If pain or injury is keeping you from the life you want, it’s time to discuss your options. Schedule an evaluation with Dr. Mellano and take that first step toward a pain-free future.

    Dr. Mellano’s mission is to give his patients the freedom to keep doing the activities they love. If you are struggling with joint pain, arthritis, lack of mobility, or joint inflammation, contact Dr. Mellano for a consultation so he can help you get moving again.

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