⌄ What forms or paperwork will I need to fill out at my appointment?
Please visit our Online Forms section to fill out the forms online before your appointment. This will help save you time at the office filling out paperwork.
⌄ When should I arrive for my first appointment?
You may be required to complete new patient paperwork or provide personal identification and insurance information prior to being seen. To help us serve you better, we ask that you arrive up to 20-30 minutes prior to your appointment time.
⌄ What should I bring to my appointments?
- Current ID card
- Current Insurance card(s)
- Insurance co-payment, co-insurance, and or deductible information if applicable
- Insurance referral if applicable
- All recent imaging (X-ray, MRI), and lab results for your current injury or problem
- Pertinent medical records (operative reports) from your primary physician or another health care provided. This may be requested in advanced and faxed to our office at (209)-577-1236
- Current list of medications and medical history
- Your personal list of questions to ask us if needed
- An adult translator if needed
⌄ What should I wear to my appointment?
It is advised that you wear comfortable clothing to allow us to properly assess your injury. If you have a shoulder problem, it is recommended that you wear something that will enable us to examine both of your shoulders, i.e. tank tops. For hip and knee problems, it will be helpful if you bring in a pair of shorts to change into.
⌄ How long will I expect to be there for my appointment?
We strive to provide all patients with individualized and professional care. We appreciate your understanding and patience if you experience longer than expected wait times.
⌄ Where do I park and how do I get to the office?
We are the in the off-white building located at the southwest corner of Orangeburg Ave and Oakdale Ave. There is access to public transportation within walking distance from our office. We also have ample parking spaces directly in front of the building with handicap access.
NON-SURGICAL TREATMENT OPTIONS
⌄ What are my options if I do not undergo surgery?
We certainly try to exhaust all non-operative treatment modalities prior to offering our patients surgery. Other treatment options may include but is not limited to use of nonsteroidal anti-inflammatory drugs (Ibuprofen, Naproxen, etc.), corticosteroid injections, physical therapy, activity modification. We will discuss in detail the options you may have for your problem to help you decide what is best for your recovery.
⌄ Does your office offer platelet rich plasma (PRP) or stem cell treatments?
We do offer PRP injections in the office for certain Orthopedic problems. We do not offer stem cell treatments in our office. Both of these treatments are thought to help provide anti-inflammatory effects in addition to promotion or healing. These treatments may not be covered by your insurance and it is best to discuss it with your surgeon at the time of your visit if you would like to learn more about it for treatment of your condition.
⌄ How long does a corticosteroid injection or hyaluronic acid (HA) injection last?
The efficacy of these injections depends on a variety of factors. In general, your surgeon will discuss with you whether or not he or she thinks the injections are appropriate for your condition. A steroid injection may take a couple of days for one to actually feel some therapeutic relief and typically is thought to last about 6 weeks. Hyaluronic acid can be given in a single dose or sometimes up to 3 doses over 3 consecutive weeks. Like the steroid, HA injections can take a few days to begin having some therapeutic effect and may last up to months.
⌄ I had my corticosteroid injection yesterday, today my pain is worse. What do I do?
This can be a common reaction to a corticosteroid injection. Some patients may get a steroid flare the next day following an injection. We suggest that you ice the injection site and take an over the counter pain medication such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), Naproxen (Aleve) if it is not medically contraindicated. Typically, this pain will improve by day two following an injection. If it does not, and you have increased pain and redness, please call the office immediately.
⌄ Why do I have to wait to have surgery if I have had a recent corticosteroid injection in my joint?
There is published data to suggest surgical within 3 months of an injection can increased your risk of an infection following a surgery, especially if it is for a joint replacement. We suggest waiting at least a full 3 months before proceeding to surgery.
⌄ When do I need to stop eating and drinking?
Typically to prevent risk of aspiration during anesthesia or induction of anesthesia, it is advised that patients stop eating after midnight. The morning of the surgery, the anesthesiologist may advise you to take certain medications with a small sip of water.
⌄ What medications do I need to stop before my surgery?
We will work with your team of physicians to decide on which medications we need to stop. In general, to minimize the risk of bleeding and post-operative hematoma during elective surgery, we ask that patients stop their nonsteroidal anti-inflammatory drugs at least 10 days prior to surgery (Aspirin, Aleve, Naproxen, Ibufropen, etc.). Other blood thinners such as Aspirin, Coumadin, Pradaxa, Xarelto, etc., need to be stopped for at least one week under the advice of your primary care physician or cardiologist. If you are on rheumatologic medications such as Methotrexate, Humira, Embrel or other disease modifying drugs/biologics, we will work with your rheumatologist to best manage your symptoms while we stop these medications. In general, some rheumatologic medications may need to be stopped one month before and resumed one month after your surgery to reduce the risk of infection.
⌄ Where will I have my procedure performed?
Dr. Williamson and Dr. Giang have privileges at Doctors Medical Center, Stanislaus Surgical Center, Memorial Medical Center, Tower Surgery Center. We will occasionally select specific facilities for a particular type of procedure to help optimize your outcome and we will be happy to discuss with you your options.
⌄ How will my pain be controlled after my surgery?
For certain procedures, your surgeon may discuss with you about having a nerve block before surgery to control your pain better after surgery. The nerve block uses numbing medication to help control your pain. We will also work with you to ensure your post-operative pain medicine regimen is adequate for your comfort. Other modalities we suggest may include cold therapy (ice, ice machine) and elevation.
⌄ I just had surgery and now I have a low-grade fever (less than 101.4 °F). Is this normal?
Within the first day or so, it is not uncommon for patients to have a low-grade fever following major surgery. It is recommended that you practice deep breathing as one may breathe more shallowly following surgery. It is also recommended that you dring plenty of liquids, get up and move around in order to minimize your risk of complications. You may take acetaminophen (Tylenol), ibuprofen (Advil, Motrin) to help with your fevers if it is not contraindicated. Often times pain medications such as Percocet and Norco will have acetaminophen together with the narcotic. In those cases, it is advised that patients take no more than 4 grams of acetaminophen (Tylenol) in a period of 24 hours. If the fevers do not go away by day three, it is advised that you inform our office so we can help advise you of the next step.
⌄ Am I able to get refills on my narcotic medications?
Adequate pain control is important for all patients recovering from surgery. By law, a written prescription is required for all narcotic medications and cannot be done over the phone. When needed, you can pick up your prescription at the office during regular business hours to have it filled at your preferred pharmacy. If we cannot adequately control your pain by three to four weeks after surgery without narcotic medications, we may enlist the help of a pain management specialist.
⌄ When can I change my bandages?
Typically, the first surgical bandage should stay in place for at least 48 hours to minimize the risk of infection. We ask that you do your best to keep the bandage dry and clean. If it was arranged with your surgeon, we sometimes have patients come in a few days after the procedure to have the first dressing change and wound check performed in the office. If instructed, after 48 hours, you may change your bandage with new and sterile supplies.
⌄ When can I shower?
In general, a surgical wound should stay covered and completely dry for at least 48 hours. In certain cases, your surgeon may allow you to shower after a certain period of time. We ask that you cover your dressings to avoid getting the dressing and incision wet to avoid an infection. If showering is not allowed, we ask that patients sponge bathe until patients are told it is safe to shower. It is not recommended to soak or submerge a surgical wound until cleared by your surgeon.
⌄ When Can I Drive?
We understand that driving a car may be a necessity of everyday life. We want you to be safe when you are driving your car following a surgery. Your surgeon will discuss with you when it is safe for you to drive.
⌄ When can I return to my activities?
Our goal is to get you back to the activities that you enjoy. We will work with you and your therapist after your surgery to help progress your recovery in a stepwise fashion to optimize your recovery for the best outcome. Every case is different. Depending on your surgery, it may take months and sometimes up to year before you are able to return to your regular activities. That is a good question to ask your surgeon before surgery so that you can know what to expect.
⌄ Will I need to go to physical therapy after surgery?
Most of our patients like and prefer to go to formal physical therapy following their surgery for supervised instruction. We understand that sometimes this can be an added cost and recommend that patients still go for a few sessions before transitioning to a home exercise program so that we can help optimize the patient’s outcome.
⌄ Why is smoking a bad idea after my surgery?
Smoking can increase your risk of wound complications, poor healing of your surgical repairs (rotator cuffs, etc.), and blood clots. We ask that you try to refrain from smoking after your surgery.