Your Visit

Colorado Springs Orthopaedic Group welcomes your visit and is eager to serve you. Below you will find some helpful tips on how to prepare for your office visit or surgery and what to expect, including general orthopedic FAQs If you have any questions, please don’t hesitate to contact us at (719) 632-7669.

What to Expect on Your First Visit

During your initial consultation, your doctor will take your history and conduct a comprehensive examination and evaluation of your problem and symptoms. Specifically, your doctor will assess your injury or condition, including range of motion, swelling, muscle and soft tissue weaknesses, and any instability or abnormality present. He will want to know how severe your pain is and how it interferes with your daily activities or participation in sports.

Your doctor will review any previous tests you had, discuss your injury or problem, make a diagnosis, and recommend treatment. If imaging studies are needed to help make a diagnosis, such as X-rays or an MRI, these may be performed in our office the same day. 

Some treatments may be performed in our office during your visit, while others may require a subsequent appointment. Your initial consultation is typically 15 to 30 minutes long, unless imaging services or treatment such as casting is required. 

Appointment Checklist

The following list will help you prepare for your appointment at CSOG. Please take the time to plan ahead for your appointment so that you get the most out of your visit.

  • Bring a valid photo ID to your appointment.
  • Complete your patient forms online by logging in to our secure patient portal and following the instructions provided.
  • Call your insurance company to find out about co-pays and other coverage issues.
  • Prepare to have transportation to and from the doctor's office.
  • Be prepared to tell your doctor how and when you injured yourself. Jot down any specific details such as what you felt or heard at the time.
  • Bring a list of all medications you are taking, including any over-the-counter pain relievers, vitamins, and herbal supplements.
  • Make a list of questions to ask your doctor.
  • Be honest and complete in talking with your doctor. Share your point of view and don't hold back information.
  • Take notes on what the doctor tells you, and ask questions if you don't understand the meaning of a word or the instructions for taking medication.
  • Ask your doctor for handouts or brochures that you and your family members can review at home. Your doctor may refer you to an Internet web site for more information.

Pre-Surgery Checklist

The following checklist will help you prepare for your surgery. Please take the time to plan ahead for your procedure so that your recovery goes as smooth as possible.

  • Do not eat or drink after midnight before your procedure.
  • Communicate with your employer that you will be having surgery. You may have special restrictions when returning to work that you and your employer need to plan for.
  • Make sure you have someone that can help you the first 2-3 weeks after surgery with chores, changing dressings, etc. This is especially important the first week, as your pain level may limit your ability to do simple tasks.
  • Do not take anti-inflammatories (aspirin or ibuprofen), herbal remedies or high doses of vitamin E one week before your surgery. You may take Tylenol (acetaminophen).
  • Arrange your home to be as comfortable as possible before surgery, so that no obstacles are encountered after surgery.
  • Arrange transportation to and from the surgery center ahead of time.
  • Call the surgery center the morning of surgery to confirm your scheduled surgery and expected arrival time. Sometimes the schedule may be slightly advanced or delayed.
  • Arrange your physical therapy before surgery by contacting our physical therapy referral coordinator. Your first therapy visit should be scheduled within the first week after surgery.
  • Wear comfortable, loose fitting clothes the day of surgery.
  • Remove all jewelry and leave at home.

General Orthopedics FAQs

What are the most common orthopedic conditions?

Osteoarthritis affects more than 21 million Americans and is responsible for thousands of yearly hip, knee and shoulder replacements. Back and spine problems also account for a large number of complaints. Other common problems are bursitis, tendonitis, carpal tunnel syndrome, rotator cuff tears, ligament and cartilage injuries and fractures from sports and motor vehicle accidents.

How can I keep my bones healthy and avoid orthopedic problems?

Bone minerals are composed heavily of calcium. During periods of bone growth, between 10 and 20 years of age, calcium should be a regular dietary component. In addition, individuals begin to lose bone minerals past the age of 35.

Calcium supplements can help minimize this loss. Staying active with regular exercise as well as weight control and a healthy diet are also very important for keeping bones and joints healthy.

What is the difference between a sprain and a fracture and how can I tell the difference?

A fracture is a break in a bone that can result from an accident or other injury. If the broken bone punctures the skin, it is called an open or compound fracture.

Fractures commonly happen because of auto accidents, falls or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

In many fractures the affected limb will look misshapen and out of place. It can become very swollen and cause severe pain. Other symptoms include bruising, numbness or tingling and sometimes an inability to move the limb or bear weight.

A sprain is an injury of the ligaments, tissues that connect bones together. When the ligaments are stretched past their normal range of motion, the result can include swelling, severe pain and limited mobility.

A sprain will heal with rest, but a fractured bone must be set or surgically repaired to heal. If you have an injury to a limb you should always seek the advice of a medical professional to determine the correct diagnosis.

What causes osteoarthritis?

A layer of tissue called cartilage covers the end of the bones at each joint and acts as a shock absorber. Over time, cartilage can wear away, and the joints can become stiff, swollen, and sore. This condition is called arthritis. Arthritis is a leading chronic condition, affecting more than 21 million Americans.

Should I apply ice or heat to an injury?

Ice is the rule of thumb in the first stage of an injury (within the first 24-48 hours), or whenever there is swelling. Ice helps to reduce inflammation by decreasing blood flow to the area to which cold is applied. Heat increases blood flow and may promote pain relief after swelling subsides. Heat may also be used to warm up muscles prior to exercise or physical therapy.

What actually is physical therapy?

Physical therapy is used to help treat musculoskeletal and neurological injuries to promote healing and a return to normal function after an injury or surgery. Physical therapy helps you regain range of motion, strength, and endurance, thereby helping you to regain normal function. This is achieved through stretching, resistance exercises, and modalities such as heat, cold, ultrasound, and electrical stimulation.

What is a tendon, a ligament, cartilage?

A tendon is a band of tissue that connects your muscles to your bones. A ligament is a band of tissue that connects bone to bone and provides stability to your joints. Cartilage is a gel-like padding between your bones that protects joints and allows for movement.

What is a cortisone injection?

Cortisone is a steroid that is produced naturally in the body. Cortisone is also produced synthetically (so it is manufactured), and can be injected into soft tissues and joints to help decrease inflammation. While cortisone is not an actual pain reliever, pain may diminish as a result of reduced inflammation.

Cortisone injections are commonly used as a treatment for conditions such as bursitis, tendinitis, and arthritis and can bring great relief to pain sufferers. There are generally limits placed on the number of times an affected area can be injected. You can discuss this with your doctor.

I’m having surgery. What is the difference between sedation and general anesthesia?

There are different levels of anesthesia. There is conscious sedation, deep sedation, and general anesthesia. Conscious sedation is often used in short, uncomplicated procedures. Medications are used to help reduce anxiety and pain. It allows the patient to not remember or feel any discomfort during the surgical procedure. The patient remains somewhat awake and is able to follow verbal instruction.

This type of sedation is often used in conjunction with a local anesthesia that numbs the direct area where the procedure is taking place.

Deep IV (intravenous) sedation uses medications that allow the patient to not remember or feel any discomfort or pain during the procedure. They are able to breathe on their own and respond to deep stimulation, with swallowing and other reflexes still functioning.

General anesthesia puts you into a deep sleep so you do not feel pain during surgery. General anesthesia involves administering certain medicines intravenously (through an IV), so you will not be aware of what is happening around you.

Once you are sedated, the doctor may insert a tube into your windpipe (trachea) to administer anesthetic gases, and to help you breathe and protect your lungs. General anesthesia is administered in a hospital or outpatient center and is generally used for longer procedures or procedures that would cause more pain than can be tolerated with other methods of anesthesia.

Colorado Springs Orthopaedic Group