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Rehabilitation After Orthopedic Surgery: What to Expect

Orthopedic surgery is a medical specialty that deals with conditions affecting the musculoskeletal system, including bones, muscles, ligaments, tendons, and joints. Orthopedic surgery is usually recommended when non-surgical treatments have failed to relieve pain and restore function. While surgery can effectively treat many orthopedic conditions, it is only one aspect of a patient’s treatment plan. After surgery, rehabilitation is critical to restoring function and mobility.

What is Rehabilitation after Orthopedic Surgery?

Rehabilitation after orthopedic surgery is a program designed to help patients recover from surgery and restore their physical function and mobility. The rehabilitation process can vary depending on the type of surgery and the individual’s specific needs.

The goal of rehabilitation is to help patients achieve the following:

  • Reduce pain and inflammation
  • Improve range of motion
  • Restore strength and endurance
  • Improve flexibility and balance
  • Prevent future injuries

Rehabilitation programs may include exercises, manual therapy, and other modalities such as heat or ice. The rehabilitation process usually begins in the hospital or an outpatient facility shortly after surgery and continues for several weeks to several months, depending on the patient’s progress.

What to Expect During Rehabilitation

Rehabilitation after orthopedic surgery typically involves several phases, each with its specific goals and activities. While the specifics of the program will vary depending on the patient’s condition and the type of surgery, most rehabilitation programs include the following phases:

Acute Phase

The acute phase is the initial phase of rehabilitation that occurs immediately after surgery. The primary goal of this phase is to control pain and inflammation while promoting healing. Physical therapy during this phase may include gentle exercises, such as range-of-motion exercises, to help the patient regain mobility.

Recovery Phase

The recovery phase is the next stage of rehabilitation, which typically occurs a few weeks after surgery. The focus of this phase is to increase strength, endurance, and range of motion. Patients may also learn how to use assistive devices such as crutches or braces.

Strengthening Phase

The strengthening phase typically begins several weeks after surgery and focuses on building muscle strength and endurance. Physical therapy during this phase may include resistance training, such as weight lifting or resistance bands, to help patients build muscle mass.

Functional Restoration Phase

The functional restoration phase is the final stage of rehabilitation, which aims to restore the patient’s functional abilities. This phase includes activities such as balance training and sports-specific exercises to help patients return to their pre-injury level of activity.

Rehabilitation is a gradual process, and patients may progress through these phases at different rates, depending on their specific needs and abilities.

Benefits of Rehabilitation after Orthopedic Surgery

Rehabilitation after orthopedic surgery is essential for restoring function and mobility. Some of the benefits of rehabilitation include:

  • Reduced pain and inflammation
  • Improved range of motion
  • Restored strength and endurance
  • Improved flexibility and balance
  • Faster recovery time
  • Reduced risk of complications and future injuries

Rehabilitation after orthopedic surgery can be challenging, but with the right treatment plan, patients can fully recover and return to their pre-injury activity level.


Rehabilitation after orthopedic surgery is a crucial component of the healing process. The program is designed to help patients regain function and mobility and prevent future injuries. The rehabilitation process typically involves several phases, each with its specific goals and activities.

At OSSM, we provide personalized care and support to each patient, ensuring they feel comfortable and informed throughout the entire process. Our experienced physical therapists work closely with our orthopedic surgeons to develop customized rehabilitation programs that meet each patient’s unique needs and goals.

Our state-of-the-art facility is equipped with the latest technology and equipment to ensure patients receive the highest level of care. In addition to rehabilitation after orthopedic surgery, we also offer sports medicine services to athletes of all levels. Our team of experts includes board-certified sports medicine physicians and physical therapists who are dedicated to helping athletes recover from injuries and achieve their performance goals.

If you or a loved one are in need of orthopedic surgery or sports medicine services, we invite you to schedule a consultation with us. Our team of experts will work with you to develop a personalized treatment plan that meets your unique needs and goals. We are committed to helping our patients achieve a full recovery and return to their active lifestyles as quickly as possible.

At OSSM, we understand that rehabilitation after orthopedic surgery can be challenging, and it requires a significant commitment from patients. Our team of experienced physical therapists and sports medicine physicians is here to support our patients throughout the entire rehabilitation process. We use a collaborative approach to treatment, working closely with each patient to ensure they receive the care and support they need to achieve a full recovery.

In addition to our personalized care and support, we also offer a wide range of resources to help patients succeed in their rehabilitation program. We provide educational materials, access to support groups, and other resources to help patients stay motivated and engaged in their recovery.

If you are in need of orthopedic surgery or sports medicine services, we invite you to contact us today to schedule a consultation. Our team of experts is here to help you achieve a full recovery and return to your active lifestyle.

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Exercise and Nutrition Tips for Healthy Bones and Joints

Our bones and joints are essential for our mobility and overall health. They provide us with structure, support, and protection. However, our bones and joints can weaken as we age, leading to osteoporosis and osteoarthritis. Fortunately, there are steps we can take to keep our bones and joints healthy. In this blog post, we will discuss why exercise and nutrition are important, and provide exercise and nutrition tips for healthy bones and joints.

Why Exercise is Important for Healthy Bones and Joints

Regular exercise is essential for maintaining healthy bones and joints. Exercise helps to increase bone density and improve joint flexibility and strength. Additionally, exercise can help to reduce the risk of falls and fractures in older adults. Here are a few specific reasons why exercise is important for healthy bones and joints:

Increases Bone Density: Weight-bearing exercises, such as walking, jogging, and resistance training, can help to increase bone density. This is especially important for older adults who are at risk of developing osteoporosis, a condition in which bones become weak and brittle.

Improves Joint Flexibility and Range of Motion: Regular exercise can help improve joint flexibility and range of motion, reducing the risk of joint pain and stiffness.

Strengthens Muscles: Strong muscles help to support and protect our bones and joints. Regular exercise, particularly resistance training, can help to build and maintain muscle mass.

Reduces the Risk of Falls and Fractures: Exercise can help to improve balance, coordination, and reaction time, reducing the risk of falls and fractures in older adults.

Why Nutrition is Important for Healthy Bones and Joints

In addition to exercise, nutrition is critical in maintaining healthy bones and joints. Proper nutrition can help to provide the nutrients our bones and joints need to stay healthy and strong. Here are a few specific reasons why nutrition is important for healthy bones and joints:

Provides Essential Nutrients: Calcium, vitamin D, and other nutrients are essential for building and maintaining strong bones. A balanced diet that includes these nutrients can help to ensure that our bones have the building blocks they need to stay healthy.

Reduces Inflammation: Certain foods, such as those high in omega-3 fatty acids, can help to reduce inflammation in the body. Inflammation can contribute to joint pain and stiffness, so reducing inflammation through diet can help to promote healthy joints.

Supports Muscle Health: Adequate protein intake is important for building and maintaining muscle mass. Strong muscles help to support and protect our bones and joints.

Helps Maintain a Healthy Weight: Being overweight or obese can put extra stress on our bones and joints, increasing the risk of joint pain and osteoarthritis. A healthy diet can help to maintain a healthy weight, reducing the stress on our bones and joints.

Exercise and Nutrition Tips for Healthy Bones and Joints

Now that we understand why exercise and nutrition are important for healthy bones and joints, let’s discuss some specific exercise and nutrition tips to help maintain their health.

Exercise Tips:

Incorporate Weight-Bearing Exercises: Weight-bearing exercises such as walking, jogging, and resistance training can help to increase bone density and improve joint strength and flexibility.

Incorporate Balance Exercises: Balance exercises such as standing on one leg or using a balance board can help to improve balance and reduce the risk of falls and fractures.

Stretch Regularly: Regular stretching can help to improve joint flexibility and range of motion, reducing the risk of joint pain and stiffness.

Include Aerobic Exercise: Aerobic exercise, such as cycling or swimming, can help to improve cardiovascular health, which is important for overall health and can indirectly benefit our bones and joints.

Nutrition Tips:

Consume Calcium and Vitamin D: Calcium and vitamin D are essential nutrients for bone health. Calcium can be found in dairy products, leafy greens, and fortified foods. Vitamin D can be found in fatty fish, egg yolks, and fortified foods. It is important to get enough of both of these nutrients to support healthy bones.

Eat Foods High in Omega-3 Fatty Acids: Omega-3 fatty acids can help reduce inflammation in the body, contributing to joint pain and stiffness. Foods high in omega-3s include fatty fish, nuts, and seeds.

Get Enough Protein: Adequate protein intake is important for building and maintaining muscle mass, which supports and protects our bones and joints. Good sources of protein include lean meats, poultry, fish, beans, and legumes.

Limit Processed Foods and Added Sugars: Processed foods and added sugars can contribute to inflammation and weight gain, which can put extra stress on our bones and joints. Limiting these foods and focusing on whole, nutrient-dense foods instead is best.

Orthopedic Surgery and Sports Medicine at OSSM

At OSSM, we understand the importance of healthy bones and joints. Our team of orthopedic surgeons and sports medicine specialists are dedicated to helping our patients maintain and improve their bone and joint health through a combination of exercise, nutrition, and medical treatments when necessary.

Whether you are an athlete looking to prevent injuries or a senior looking to maintain your mobility, OSSM has the expertise and experience to help you achieve your goals. From joint replacement surgery to sports medicine services, we offer a wide range of treatments and services to help our patients stay healthy and active.

Don’t wait to seek treatment if you are experiencing joint pain, stiffness, or other symptoms. Contact OSSM today to schedule a consultation with one of our experienced orthopedic surgeons or sports medicine specialists. We are here to help you achieve optimal bone and joint health.

OSSM Dr . Keese

Hand and Elbow Injuries at Orthopedic Surgery & Sports Medicine

Hand and Elbow Injuries at Orthopedic Surgery & Sports Medicine

Hand and elbow injuries are common, although debilitating, problems we see in the orthopedic surgery field. Like the majority of orthopedic problems, hand and elbow injury greatly affects daily life. Surgeon Dr. Keese is our hand/elbow/fracture specialist at OSSM that works with patients to restore function to these areas.

Dr. Keese works with patients to treat injuries or dysfunction of the hand and elbow, whether through surgery or other treatment modalities. He sees a wide variety of problems and injuries, and has extensive training in examining, diagnosing, and treating hand and elbow injuries.

About Dr. Keese

Dr. Keese was an avid soccer player all through college, with a highlight of being elected to the “Hall of Fame” for athletics and academics as well as playing soccer internationally. His undergraduate degree is from Claremont McKenna College in Southern California. Dr. Keese completed medical school at Georgetown University, graduating in the top 15% of his class.

As a surgeon, Dr. Keese chose to enter the orthopedic field. For his orthopedic residency, Dr. Keese spent 5 years at Loma Linda University Medical Center. During his residency Dr. Keese gained a wealth of knowledge while also being awarded the “Leonard Marmor Surgical Arthritis Foundation Award” for excellency in his field of orthopedic surgery.

To further his education and expertise, Dr. Keese completed a fellowship specializing in hand and elbow surgery at the University of California San Francisco. During his fellowship, Dr. Keese gained knowledge and experience in many techniques and subspecialties, including:

  • Arthroscopic wrist and elbow surgery
  • Microsurgery
  • Ligament and cartilage preservation
  • Reconstruction of hand, wrist, elbow
  • Pediatric hand surgery (at Northern California Shriners Hospital)
  • Sports Medicine (as hand surgeon for University California Berkeley sports team)

Do I Need a Hand Surgeon?

Wondering if you need the expertise of Dr. Keese? With his extensive fellowship training and experience, Dr. Keese is equipped to diagnose and treat all hand and wrist maladies. If you are experiencing any of the following, it would be recommended to schedule an appointment at OSSM:

  • Hand, elbow, or wrist pain
  • Hand, wrist, or elbow injury
  • Arthritis or tendonitis
  • Fracture
  • Dislocation
  • Sports Injury
  • Tennis Elbow
  • Carpal Tunnel Syndrome

Seeing an orthopedic surgeon that specializes in the hand and elbow will save one of the most important aspects of treating an injury: time. Being diagnosed by a specialist will increase positive outcomes and get the patient on the right track sooner. There is no better place to be when suffering from hand or elbow injury or dysfunction than in our office.

What To Expect:

Whether you visit our Orthopedic Urgent Care and see one of our doctors or team members there, or schedule and appointment directly with Dr. Keese, you can expect an integrative approach to care. Dr. Keese is the only fellowship trained hand surgeon in North Idaho, and consequently has a high level of expertise in his subspecialty. Patients can rest assured knowing they are seeing someone that specializes in diagnosing and treating their exact problem.

The complex anatomy of the hand, and the necessity of use in every day life make injuries incredibly important to diagnose and treat correctly the first time. Dr. Keese has the specialized training not just in hand and elbow anatomy, but also in microsurgery, reconstruction, and arthroscopic surgery. We also work closely with our team of Occupational Therapists at OPTI to ensure that the patient recovers to full health after surgery. OPTI has an amazing team of certified hand therapists that work with our hand and elbow patients.

If you are suffering from hand or elbow injury, pain, or dysfunction, you know firsthand how much it affects every single aspect of daily life. Dr. Keese and our team at OSSM are in the business of not just seeing patients with orthopedic injuries or struggles, but improving their health and lives. Call us today to schedule and appointment to get your injury free life back: 208-664-2175.

Couer D’ Alene location of OSSM along with Orthopedic Urgent Care:

850 W. Ironwood Drive, Suite 202

Couer D’ Alene, ID 83814

Post Falls OSSM location:

1160 E. Polston Avenue, Suite B

Post Falls, ID 83854


Common Foot Surgeries: Bunions, Hammertoes, and Claw Toes

As we head into the colder months, we want to remind our elderly patients to take extra care when maneuvering the ice and snow. Studies show that when facing icy conditions, adults over the age of 65 had double the odds of having great difficulty when leaving their home, and fall-related fractures are statistically higher in older adults during the winter month. Hip and arm fractures are more common among the elderly in cold weather due to the higher incidence of falls.

Preventing Knee Injury

How to Avoid Knee Injuries

Knee injuries can happen to anyone at any time. It is considered one of the most common injuries in the US today. From the elderly to the young many suffer from a variety of knee problems. Roughly 6,600,000 knee injuries occur each year in a variety of age groups. There are times when an injury is not correctly diagnosed and increases the risk of further injury. It’s incredibly important to find a doctor that can correctly diagnose you for your wellbeing.