**Please note that the instructions provided below are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Mead supersede the instructions below and should be followed.


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


  • Maintain your operative dressing, loosen the bandage if swelling of the foot and ankle occurs.
  • It is normal for the kneed to bleed and swell following surgery.  If blood soaks onto the ACE bandage, do not become alarmed, reinforce with additional dressing.
  • To avoid infection, keep surgical incisions clean and dry for the first 7 days following surgery – you may shower by placing a large plastic bag over your brace beginning the day after surgery.  NO immersion of the operative leg 

(i.e.: bath or pool)

  • Wait until your first post-operative appointment to have Dr. Mead’s team remove the surgical dressing.
  • Please do not place any ointments, lotions or creams directly on the incisions.
  • Once the sutures are removed at least 7-10 days post operatively you can begin to get the incision wet in the shower (let water and soap lightly run over the incision and pat dry).  NO immersion in a bath until given approval by our office.


  • Tylenol 1,000mg (Pain reducer): 

Take 2 extra strength capsules/tablets (500mg each) by mouth 3 times per day.

For example: 2 with Breakfast, 2 with Lunch, and 2 with Dinner.


  • Celebrex 200mg (Anti-inflammatory):

Take 1 capsule/ tablet by mouth 2 times per day. 

For example: 1 with Breakfast and 1 with Dinner


  • Neurontin (Gabapentin) 300mg (Nerve pain):

Take 1 capsule/ tablet by mouth 3 times per day.

For example: 1 with Breakfast, 1 with Lunch, and 1 with Dinner.


  • Tramadol 50mg (Non-Narcotic pain medication):

Take 1 capsule / tablet by mouth every 4 hours as needed for pain

  • Oxycodone 5mg (Narcotic pain medication):

  Take 1-2 capsule(s)/ tablet(s) by mouth every 4-6 hours AS NEEDED FOR BREAKTHROUGH PAIN.

  • The need for this medication should be very low with the proper use of the other medications listed above. DO NOT DRIVE WHILE TAKING THIS MEDICATION.


  • Elevate the operative leg to chest level whenever possible to decrease swelling.
  • Do not place pillows under knees (i.e. do not maintain the knee in a flexed or bent position), but rather place pillows under the foot / ankle.
  • Use crutches to assist with walking – 
  • Do not engage in activities which increase knee pain / swelling (prolonged periods of standing or walking) for 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 the physician.
  • May return to sedentary work ONLY or school 3-4 days after surgery, if pain is tolerable.


  • Your brace should be worn at all times (day and night – except for CPM and exercises) until otherwise instructed after the first post-operative visit.


  • Icing is very important in the initial post operative period and should begin immediately after surgery.
  • Use an icing machine continuously or ice packs (if machine not prescribed) for 30-45 minutes every 2 hours daily until your first post-operative visit – remember to keep your leg elevated to the level of your chest while icing.  Care should be taken with icing to avoid frostbite to the skin.
  • You do not need to wake up in the middle of the night to change over the ice machine or ice packs unless you are uncomfortable.


  • Begin exercises 24 hours after surgery (straight leg raises, quad sets, heel slides and ankle pumps) unless otherwise instructed.
  • Discomfort and knee stiffness are normal for a few days following surgery.
  • Complete exercises 3-4 times daily until your first post-operative visit – your motion goals are to have complete extension (straightening) at your first post-operative appointment unless otherwise instructed.
  • Perform ankle pumps continuously throughout the day to reduce the risk of developing a blood clot in your calf.
  • Formal physical therapy typically begins after you are seen for your initial post-operative appointment following surgery.  A prescription protocol will be provided at your first post op visit.


If you have any problems or questions about your post op care, please do not hesitate to call our office at (850) 771-2001.  Let the operators know you just had surgery by your doctor and ask to speak with a medical assistant.  If you should need to call after hours, the answering service will get your information and have the on-call physician return your call.  If the matter is urgent, proceed to the emergency room.

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