Preparing for Surgery
The weeks before, the day of, and the first days at home.
Will I need to stop any medications before surgery?
Yes, often. Many patients are asked to pause blood thinners, aspirin, and certain anti-inflammatory medications for a set number of days before surgery, because these can raise the risk of bleeding during the procedure.
Your surgical team will confirm exactly which medications to stop, when to stop them, and when it is safe to restart them. Do not change any medication on your own before checking with your team.
Do I need to arrange a ride home after surgery?
Yes. Most procedures Dr. McMillan performs, including shoulder arthroscopy, hip arthroscopy, and reverse shoulder replacement, use anesthesia or sedation that makes it unsafe to drive the same day.
Plan for a family member or friend to drive you home, and, if possible, to stay with you through the first evening.
Should I do physical therapy before my surgery?
Not always, but it can help.
For joint procedures such as hip arthroscopy or reverse shoulder replacement, some patients benefit from a short period of strengthening before the operation, sometimes called prehab. Dr. McMillan completed fellowship training in Arthroscopic Sports Medicine of the Shoulders, Hips, Knees and Elbows at the University of Massachusetts in Worcester, Massachusetts, and he will tell you whether prehab makes sense for your specific procedure.
What should I bring with me on the day of surgery?
Bring a photo ID, your insurance card, a current list of your medications, and any paperwork your surgical team has given you.
Leave jewelry, contact lenses, and other valuables at home. Wear loose, comfortable clothing that is easy to remove, especially if you are having shoulder or hip surgery.
Will my arm or leg be in a brace or sling afterward?
Often, yes. Shoulder procedures such as reverse shoulder replacement and shoulder arthroscopy commonly involve a sling for a period after surgery, and some knee and ankle procedures, such as meniscal repair or the Brostrum procedure for ankle ligament repair, may call for a brace or limited weight-bearing for a time.
Your surgical team will explain what to expect for your specific procedure and roughly how long it is likely to last.
Can I eat or drink the morning of my procedure?
No, usually not. Most surgeries require fasting, meaning no food or drink, for a set number of hours beforehand to keep anesthesia safe.
Your surgical team will give you exact instructions based on your surgery time and the type of anesthesia planned.
Ready to talk about your hip, knee and shoulder?
Call the office or request an appointment. Accepting new patients.