Ellis & Badenhausen FAQs
Because every E&B provider treats their patients as an individual, exact details of treatment may vary, however, the following answers to our most frequently asked questions should provide a general overview of what patients can expect. If you still have questions or concerns after reviewing these FAQs, please call our main office number so that our team can assist: (502) 587-1236.
SURGERY
Where is my surgery taking place?
This information is located on your surgery order. You can also find information regarding the facility in your surgery folder. Our doctors perform surgery at several locations: Norton Women’s and Children’s Hospital, UofI East, Metro Specialty Surgery Center, and Premier Surgery Center.
How long will my surgery take?
Depending on what type of procedure you are having it could be anywhere from 30 mins to 2hrs.
How long do I need to be off work/recovery time?
This varies depending on procedure, as well as variations from patient to patient. If you have questions about your recovery time, please reach out to your surgery scheduler. They will be happy to get that information for you.
Do I need pre-op labs, and where do I go for these?
This information will be located by your surgery scheduler. If you are having a total joint replacement at Norton Women’s and Children’s, this will be a scheduled appointment that is set up by the hospital. If you are having any other type of surgery at Norton, or any surgery at any of the other facilities, your labs are done as outpatient walk in. You will be provided with an order, a date to complete these by, and a list of locations and their walk in hours.
What time is my surgery?
Surgery times are not finalized until a few days before surgery, and are always tentative. We factor in several things, but the biggest factor is the room set up/equipment. This will determine the order of cases.You will be called two days prior to your surgery to finalize times. While it is unlikely, these times will sometimes change at the last minute due to unexpected circumstances (last minute cancellations/equipment issues/etc.). You will receive a call if this happens.
Pre-Operative
When should pre-admission testing be completed?
All pre-admission lab work and testing must be completed two weeks before surgery. If not completed, the surgical procedure may be rescheduled.
Will my insurance cover pre-admission testing?
Insurance coverage for pre-admission testing varies. Some carriers may not cover the expenses, but testing is necessary for preoperative screening and final surgery approval.
What if I have a pacemaker or defibrillator?
Patients with a pacemaker or defibrillator must inform their physician. Our office will also need a copy of the pacemaker ID card, which includes the serial number, model number, and vendor phone number. A surgery scheduler will contact the vendor before the procedure.
Can I eat or drink before surgery?
Do not eat or drink anything after midnight before surgery, including candy, mints, and chewing gum. Avoid alcoholic beverages for 48 hours before surgery. It is recommended to refrain from smoking before surgery.
What medications should I discuss with my surgeon before surgery?
Inform your surgeon about all current medications, including blood thinners (Eliquis, Xarelto, Coumadin, Heparin, Plavix, Lovenox), aspirin, NSAIDs (Ibuprofen, Advil, Motrin, Aleve), herbal supplements, and weight control medications such as GLP-1 drugs (Ozempic, Wegovy, Mounjaro, Jardiance). If you take medications regularly, discuss whether you should take them the night before or the morning of surgery. A full list of medications that need to be stopped prior to surgery is included in the surgery folder provided when scheduling.
The Morning of Surgery
What should I do on the morning of surgery?
Arrange for a responsible adult to escort you home. Arrive at the scheduled time; being late may delay your surgery. Shower or bathe to minimize infection risk. Avoid smoking. Be prepared for possible delays due to emergencies or complications with earlier procedures.
What should I wear for my surgery?
Wear loose, comfortable clothing and flat shoes. Remove all jewelry and nail polish. Bring insurance cards. If you wear contact lenses, bring a case or wear glasses instead.
Post-Operative
What should I expect immediately after surgery?
You will receive written instructions from the hospital or surgery facility. Once stable, you will be discharged to your escort. Dizziness and drowsiness are normal due to anesthesia.
Are there any restrictions after surgery?
Do not make important decisions on the day of surgery. Do not drive or operate machinery for 24 hours. Have a responsible adult accompany you home. Arrange childcare for small children so you can rest.
How do I manage pain after surgery?
Pain medication will help lessen, but not eliminate, pain. Elevating the surgical area above heart level and applying ice can help reduce swelling and discomfort. Bruising and numbness from a nerve block are normal. Swelling and low-grade fever are common healing responses. Nausea and constipation can occur due to pain medications.
Will I have dietary restrictions after surgery?
Your surgeon will inform you of any necessary dietary restrictions.
When should I schedule a follow-up appointment?
If a post-operative appointment has not been scheduled, call the office as soon as possible to arrange this essential visit.
What should I expect when transitioning out of a splint or boot?
Removing a splint or boot may cause temporary pain due to reduced support. Instead of reverting to the splint or boot, gradually increase activity using pain as a guide.
Do I need antibiotics for dental procedures after joint replacement?
Yes. After a total joint replacement, patients must take an antibiotic one hour before all future dental appointments to prevent infection. Contact our office several days before your dental visit if you need a new antibiotic prescription.
INJECTIONS
Why orthopaedic injections?
Injections are a safe and effective nonsurgical method of addressing joint pain caused by degeneration.
What types of injections are offered at Ellis & Badenhausen?
We offer Cortisone injections and Viscosupplementation (Gel) injections.
What is a Cortisone injection?
A Cortisone injection is when corticosteroid medication is directly injected to reduce inflammation and pain in a specific area.
What is a Viscosupplementation (Gel) injection?
A Viscosupplementation (Gel) injection is when a hyaluronic acid is injected into a joint to lubricate and cushion, reducing pain and improving mobility.
Viscosupplementation
What should I expect immediately after a viscosupplementation injection?
The injected area may feel temporarily numb due to the lidocaine in the injection. Once the numbness wears off, some soreness around the injection site is common and may last for several days.
How long does it take for the injection to work?
It can take up to six weeks for the viscosupplementation injection to take full effect.
How long do the results last?
Results vary, but the effects of the injection can last up to six months, depending on the severity of arthritis.
What should I do after the injection for the best results?
Apply ice to the affected area for 20 minutes at a time throughout the day as needed. Reduce activities for the next several days, though daily activities are fine. Avoid exercise for four to five days. After the recommended rest period, gradually increase activity levels.
Cortisone
What should I expect immediately after a cortisone injection?
The injected area may feel temporarily numb due to the lidocaine in the injection. Once the numbness wears off, some soreness around the injection site is common.
How long does it take for the injection to work?
It can take up to two weeks for the cortisone injection to take full effect.
What is a cortisone flare?
A cortisone flare is a rare reaction that can cause redness in the face and severe pain at the injection site. These symptoms should resolve on their own after a short period.
Can a cortisone injection affect blood sugar levels?
Yes, in diabetic patients, cortisone may cause a temporary increase in blood sugar levels.
What should I do after the injection for the best results?
Apply ice to the affected area for 20 minutes at a time throughout the day as needed to help reduce soreness.
REGENERATIVE MEDICINE
Platelet-Rich Plasma (PRP) Therapy
What is Platelet-Rich Plasma (PRP) therapy?
PRP therapy is a regenerative treatment that uses a concentration of a patient’s own platelets to promote healing, reduce inflammation, and accelerate tissue repair.
How is PRP obtained?
A small sample of the patient’s blood is drawn and placed in a centrifuge to separate and concentrate the platelets. The PRP is then injected into the targeted area to aid in healing.
What conditions can PRP treat?
PRP is commonly used for joint pain, osteoarthritis, tendon and ligament injuries, muscle strains, rotator cuff injuries, and hair restoration.
How should I prepare for my PRP injection?
Stop taking NSAIDs (Ibuprofen, Aleve, Advil, Motrin) for seven days before your appointment. Stay well-hydrated in the days leading up to your injection to ensure an easier blood draw.
What should I do the day of my PRP appointment?
Do not eat or drink anything other than water for three hours before your appointment. Engage in vigorous exercise for 30 minutes the morning of your PRP appointment to promote circulation.
What should I do after my PRP injection?
Avoid NSAIDs for 14 days after your injection. Refrain from exercise for four to five days, though daily activities are fine. Increased pain at the injection site is common and may last for several days. To relieve discomfort, use Tylenol, ice, and elevation as needed.
How long does it take for a PRP injection to work?
It can take up to six weeks for the PRP injection to take full effect.
How can I maximize the results of my PRP injection?
Stay hydrated by drinking the recommended daily intake of water: 125 oz (3.7 L) for men and 91 oz (2.7 L) for women. Eat plenty of fruits and vegetables, which have high fluid content, while reducing processed, sugary, and fatty foods. Avoid alcohol, as it can cause dehydration. If you smoke, quitting can improve PRP results, as smoking-related blood toxins can impair stem cell function.
Bone Marrow Aspirate Concentrate (BMAC) Therapy
What is Bone Marrow Aspirate Concentrate (BMAC)?
BMAC is a regenerative therapy that uses stem cells derived from a patient’s own bone marrow to promote healing and tissue repair.
How is BMAC obtained?
Bone marrow is typically extracted from the hip (iliac crest) using a specialized needle. The sample is then processed to concentrate the stem cells and growth factors before being injected into the targeted area.
What conditions can BMAC treat?
BMAC is commonly used to treat joint pain, osteoarthritis, tendon injuries, cartilage damage, and other musculoskeletal conditions.
How should I prepare for a BMAC procedure?
Patients should stop taking NSAIDs (Ibuprofen, Aleve, Advil, Motrin) for at least seven days before the procedure. Staying hydrated and consuming a balanced diet rich in nutrients can optimize the body’s regenerative response.
What can I expect during the procedure?
The procedure is performed under local anesthesia. Bone marrow is drawn from the hip, processed in a centrifuge to concentrate the stem cells, and then injected into the affected area. The process typically takes about one to two hours.
What should I expect after the procedure?
Patients may experience soreness at the extraction and injection sites for several days. NSAIDs should be avoided for at least seven days post-procedure. Pain relief methods include ice, elevation, and Tylenol.
How long does it take for BMAC to work?
Healing is gradual, and patients may begin noticing improvements within six to eight weeks, with continued progress over several months.
How long do the effects of BMAC last?
Results vary based on the condition being treated, but pain relief and functional improvements can last from several months to a few years, depending on the severity of the injury or degeneration.
Are there any risks or side effects?
BMAC is generally safe since it uses the patient’s own cells, reducing the risk of rejection or allergic reactions. However, mild swelling, bruising, or discomfort at the extraction or injection site can occur. Serious complications are rare.
Can I resume normal activities after BMAC?
Patients should avoid strenuous exercise for four to five days but can continue with daily activities. A gradual return to physical activity is recommended for optimal healing.
Is BMAC covered by insurance?
Most insurance plans do not cover BMAC therapy, as it is considered an experimental or regenerative treatment. Patients should check with their insurance provider for specific coverage details.
How does BMAC compare to PRP (Platelet-Rich Plasma) therapy?
Both treatments use the body’s natural healing properties, but BMAC contains a higher concentration of stem cells and growth factors, making it more effective for severe joint damage or tissue degeneration compared to PRP.