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Drew Burleson, M.D.

March Madness is On! We Share Our Picks PLUS 5 Common Basketball Injuries

Our own Dr. Burleson has spent time on the court during the NCAA Division I Tournament. In this blog post, he shares his picks along with common basketball injuries. While March Madness is a bit of a bust for Cincinnati fans this year, we’re still rooting on our favorite teams and hometown athletes ...


Cincinnati Magazine Top Doctors 2021

Each year, physicians are selected by their peers in a survey, asking them which physicians they would turn to for their own personal care. Beacon Orthopaedics is proud to have 34 doctors listed on the latest Cincinnati Magazine’s Top Docs List of 2021. We are very proud of all of our physicians and ...


Meet the Best Knee Surgeons in the Cincinnati Area at Beacon Orthopaedics & Sports Medicine

At Beacon Orthopaedics & Sports Medicine, we are lucky to have some of the best knee surgeons in the country on our staff. When you have a knee injury and don’t know where to go, our doctors are available without a referral from the ER or a physical therapist. Meet our talented knee surgeons here!   Dr. ...


Full Thickness Gluteus Medius Repair with or without Labral Repair

The intent of this protocol is to provide guidelines for your patient’s therapy progression. It is not intended to serve as a recipe for treatment. We request that the PT/PTA/ATC should use appropriate clinical decision making skills when progressing a patient. The exercises listed are not all inclusive, ...


REHABILITATION GUIDELINES TO IMPROVE DYNAMIC STABILITY

PHASE I – BASELINE STABILIZATION Goals: Diminish pain and inflammation Improve posterior flexibility Re-establish dynamic stability (muscular balance) Re-establish muscular control Improve scapula position, strength, and control   Treatment  Modalities: Cryotherapy ...


Non-Operative Knee Pain

BFR- for quad strengthening Hip abductor and Glute strengthening à must be able to perform one legged squat with knee control by discharge of therapy Hip/core strengthening à pelvis stabilization and biomechanics Quadriceps Strengthening, emphasize VMO strengthening, closed-chain exercises ...


Patellofemoral Syndrome (Non-Operative)

Hip abductor and Glute strengthening à must be able to perform one legged squat with knee control by discharge of therapy Hip/core strengthening à pelvis stabilization and biomechanics Quadriceps Strengthening, emphasize VMO strengthening, closed-chain exercises Iliotibial ...


Rotator Cuff Tear/Tendinitis/ Impingement Syndrome Non-Operative

Weeks 1-4 Upper Body Ergometer PROM: full in all planes with emphasis on functional IR Scapular plane elevation to 90 degrees Elastic Band ER/IR Bodyblade: ER/IR in modified neutral o Scapular plane elevation at 90 degrees Periscapular strengthening such as: wall push-ups o supine ...


POSTOPERATIVE INSTRUCTIONS – ACHILLES TENDON REPAIR

-6 weeks of walking boot starting at first visit w/ 3 heel lifts - decrease 1 heel lift per week Medication: If you were given a nerve block for anesthesia, it will wear off over 18-24 hours. During this time you will have little to no feeling in the body part where you had surgery (i.e. leg). To ...


POSTOPERATIVE INSTRUCTIONS - ANKLE ARTHROSCOPY

WEIGHT BEARING/MOVEMENT Unless told otherwise by Dr. Burleson, you should be non-weight bearing on the operative extremity until your follow-up visit.  You have been placed in a post-operative splint.  Please keep this splint on at all times.  Utilize crutches to mobilize. ICE You can utilize ...


POSTOPERATIVE INSTRUCTIONS - ELBOW ARTHROSCOPY

MOVEMENT      You can move your elbow as much as tolerated.  You should come out of your sling multiple times a day to move the elbow.  The sling is for comfort only. ICE   An ice machine will be provided to you prior to your surgery. This will help decrease swelling and pain after your ...


POSTOPERATIVE INSTRUCTIONS – MEDIAL EPICONDYLE ORIF

SLING/MOVEMENT You will be placed in a soft cast for 1 week after your surgery.  This will limit the movement of your elbow as to not disrupt the reduced medial epicondyle.  You will also be given a sling that you may wear for comfort.   You may move your shoulder in any direction that is comfortable.  ...


POSTOPERATIVE INSTRUCTIONS - KNEE ARTHROSCOPY WITH ACL RECONSTRUCTION

BRACE/MOVEMENT You can walk and bend your knee as much as tolerated. Use your crutches and brace for the first 2-3 weeks. Do not go for long walks or stand on your feet for extended periods of time. This will cause swelling and pain. Wear the brace at all times when not icing or bathing. Have the brace ...


POSTOPERATIVE INSTRUCTIONS HIP ARTHROSCOPY WITH TROCHANTERIC BURSECTOMY

MOVEMENT You are touch down (50%) weight bearing after surgery; it is required that you use crutches for 2weeks postoperatively to provide you with extra stability and to protect your hip. Do not hyperextend or hyperflex your hip. This will be painful. Only move your hip within a pain-free range of ...


POSTOPERATIVE INSTRUCTIONS – UCL Reconstruction

- Start of week 2: Elbow brace 30-60 deg. -Begin PT @ week & 7: Isotonics of scap/shoulder/elbow/forearm/wrist -Week 8 and as motion returns: IR/ER strength, pronation/supination strength, thrower’s ten -Week 12: Plyometric program (begin two handed) -4mos: interval throwing -5mos: hitting -14mos: throwing ...


POSTOPERATIVE INSTRUCTIONS – ULNAR NERVE DECOMPRESSION/TRANSPOSITION

MOVEMENT It is okay to come out of the sling to move the shoulder and wrist.  Light passive range of motion of the elbow is permitted as well.  The sling is for comfort as well as to protect the incision. ICE An ice machine will be provided to you prior to your surgery. This will help decrease ...


POSTOPERATIVE INSTRUCTIONS - Abductor Repair

Post Op WB as tolerated Brace 6 weeks limiting adduction PROM at week 1 No CPM Week 7 D/C brace Begin strength: hip flexion, adduction, Knee open chain flexion/extension Avoid strength with ER, Extension, and Abduction MOVEMENT AND BRACING After your surgery you will be placed ...


POSTOPERATIVE INSTRUCTIONS - HIP ARTHROSCOPY WITH LABRAL REPAIR

MOVEMENT You are touch down (50%) weight bearing after surgery; it is required that you use crutches for 3 weeks postoperatively to provide you with extra stability and to protect your hip. Do not hyperextend or hyperflex your hip. This will be painful. Only move your hip within a pain-free range of ...


POSTOPERATIVE INSTRUCTIONS - KNEE ARTHROSCOPY WITH PCL/PLC RECONSTRUCTION

Post op Brace locked at 0° for 1 week Increase 20° of flexion every two weeks in brace FWB at 7 days with brace PT starts at 7 days ( quad sets, tens therapy) D/C brace at 7 weeks Stationary bike at 7 weeks (fellow lecture) Agility at 12 weeks (fellow lecture)   SLING/MOVEMENT Please ...


POSTOPERATIVE INSTRUCTIONS - PATELLAR REALIGNMENT

Post- op - Ambulation locked at 0 for 6 weeks - Early PROM with CPM up to 90 deg. - MPFL: limit CPM flexion to less 20 deg. - Early Quad sets and SLR - Weight bearing as tolerated 7 weeks - Shields brace - Zero ROM restrictions - Quad sets/SLR - Wean off brace / crutches   BRACE/MOVEMENT You ...


POSTOPERATIVE INSTRUCTIONS - ORIF PATELLA

BRACE/MOVEMENT You can walk with the brace locked in extension with full weight.  Have the brace locked in extension at all times until your post-operative visit.  Use your crutches for stability.  Do not go for long walks or stand on your feet for extended periods of time.  This will cause swelling ...


POSTOPERATIVE INSTRUCTIONS - KNEE ARTHROSCOPY WITH PATELLAR TENDON DEBRIDEMENT/REPAIR

SLING/MOVEMENT Use your crutches for the first week.  Do not go for long walks or stand on your feet for extended periods of time.  This will cause swelling and pain. Wear the brace at all times when not icing or bathing.  Have the brace locked in extension while ambulating until your follow-up visit.   ICE An ...


POSTOPERATIVE INSTRUCTIONS - Osteochondral allograft Femoral condyle

Post op 50% PWB x 6 weeks Full PROM CPM x 4 weeks Less than 90 until 1st post op Start PT at 1 week for PROM and quad sets Locked in brace at 0 for ambulation BRACE/MOVEMENT For the initial six weeks following surgery you must limit the weight you put on the knee.  Have ...


POSTOPERATIVE INSTRUCTIONS - MPFL Recon/repair

Post- op - Ambulation locked at 0 for 6 weeks, some 30 of flexion at week 1 - Early PROM with CPM up to 90 deg. -MPFL: limit CPM flexion to less 20 deg. - Early Quad sets and SLR - Weight bearing as tolerated 7 weeks - Shields brace - Zero ROM restrictions - Quad sets/SLR - Wean off brace ...


POSTOPERATIVE INSTRUCTIONS - KNEE ARTHROSCOPY WITH MENISCUS REPAIR

Post- op 0-90 x 6 weeks Crutches x 6 weeks with TTWB and brace locked at zero 7 wks begin closed chain exercises 7 wks continue flexion ROM, not aggressive 13 wks, possibly running progression WEIGHT BEARING / MOVEMENT You are NOT to bend your knee past 90 degrees for the first 6 ...


POSTOPERATIVE INSTRUCTIONS - KNEE ARTHROSCOPY WITH MENISCUS REPAIR + ACL reconstruction

Post- op Brace locked at Zero with ambulation x 6 weeks Use crutches for 4 weeks with PWB Wear brace at night Limit ROM to 90 deg. For 6 weeks. SLING/MOVEMENT You can weight bear and walk as much as tolerated after your surgery.  You are NOT to bend your knee past 90 degrees for the ...


POSTOPERATIVE INSTRUCTIONS - QUAD/PATELLA TENDON REPAIR

Post op Can start incremental PROM at 4-7 weeks ( i.e. 15° Weekly) have brace mirror this Start Quad sets at 1 weeks, patellar mobs okay Can start closed chain strength approx week 7   BRACE/MOVEMENT You can walk with the brace locked in extension with full weight.  Have the brace ...


POSTOPERATIVE INSTRUCTIONS - KNEE Tibial plateau fracture

TTWB for 6 weeks Brace locked in extension while ambulating Early PT for Quad sets/SLR CPM Flexion up to 90 deg. For 4 weeks if meniscus repair   MOVEMENT       You can walk and bend your knee as much as tolerated.  Use your crutches as needed for the first week.  Do not ...


POSTOPERATIVE INSTRUCTIONS - AC JOINT/CC LIGAMENT RECONSTRUCTION

Post op Sling x 4 weeks PT @ 4 weeks for PROM SLING/MOVEMENT For the first 4 weeks after surgery, you must wear your sling at all times including while you are asleep.  You may only remove the sling to shower and to perform range of motion exercises for your elbow, and the passive range ...


POSTOPERATIVE INSTRUCTIONS - PROXIMAL HAMSTRING REPAIR

Post op -PWB as tolerated immediately, wean off crutches at 6 weeks - No brace - At 4 weeks begin PT with light strength   MOVEMENT AND PHYSICAL THERAPY For the first 6 weeks you will be partial weight bearing with the use of crutches. Always use crutches while walking.  We want you to avoid ...


POSTOPERATIVE INSTRUCTIONS - OPEN PECTORALIS MAJOR REPAIR

Post op Begin PROM PT at 4 weeks Can feed self and pendulums in initial weeks only Sling for 4 weeks NO ROM restrictions at 7 weeks SLING/MOVEMENT For the first 4 weeks after surgery, you must wear your sling at all times including while you are asleep.  You may only remove the sling ...


POSTOPERATIVE INSTRUCTIONS - ORIF CLAVICLE FRACTURE

Post Op Can start pendulums @ 1 week Start PT @ 4 weeks @ 7 weeks no ROM restrictions if no issues Clavicle HW removal - No heavy lifting x 6 weeks Healing Op = 16wks Non-op = 28 wks Surgical indications = 2cm displacement or 2cm shortening SLING/MOVEMENT For the first ...


POSTOPERATIVE INSTRUCTIONS - SHOULDER ARTHROSCOPY WITH LABRAL REPAIR

-Sling x 4 weeks -Begin PT @ week 1 or 4 Week 1: PROM if older/subjective instability -Week 4: PROM if frank instability -Week 7: 0 ROM restrictions -Week 8: Begin strength (Throwers Ten) / okay to begin running -3 mos: Heavier strength (Closed chain/bench/overhead) -4mos: Interval throwing program -6mos: ...


POSTOPERATIVE INSTRUCTIONS - SHOULDER ARTHROSCOPY/DECOMPRESSION/MUMFORD

SLING/MOVEMENT You may come out of the sling and move your shoulder both with passive and active range of motion exercises as soon as you feel comfortable.  There was no repair performed in your shoulder so there are no restrictions in range of motion of your shoulder. You should also flex and extend ...


POSTOPERATIVE INSTRUCTIONS - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR

ROM Sling x 4 weeks Start PT x 4 weeks Limit ER to 30 deg. SLING/MOVEMENT For the first 4 weeks after surgery, you must wear your sling at all times including while you are asleep.  You may only remove the sling to shower and to perform range of motion exercises for your elbow, ...


POSTOPERATIVE INSTRUCTIONS - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR

ROM Sling x 4 weeks Passive ROM @ 4 weeks Active ROM @ 7 weeks Light strength @ 10 weeks Large cuff tear Sling x 6 weeks PROM @ 4 weeks   SLING/MOVEMENT For the first 4 weeks after surgery, you must wear your sling at all times including while you are asleep.  You ...


POSTOPERATIVE INSTRUCTIONS – UNICOMPARTMENTAL KNEE ARTHROPLASTY

MOVEMENT You can walk and bend your knee as much as tolerated.  Use your crutches for the first week.  Do not go for long walks or stand on your feet for extended periods of time.  This will cause swelling and pain.  Have the brace locked in extension while ambulating until your block has worn off. You ...


FLEXOR/PRONATOR MASS REPAIR

IMMEDIATE POSTOPERATIVE PHASE Goals Protect healing tissue Decrease pain/inflammation Retard muscular atrophy Avoid strengthening the flexor mass muscle group during this initial phase to allow for healing at medial epicondyle   Weeks 1-2 Brace: 90° elbow flexion ...


Tommy John Rehabilitation

Introduction The ulnar collateral ligament reconstruction is a tendon transfer procedure. No muscles are transected during this process which allows for a faster recovery time since there is less surgical trauma. Postoperatively, the body requires time to accept the transfer and establish adequate ...


Triceps Repair

Maximum Protection Phase (Day 1 to Week 8) Weeks 0-2 Brace: 30 to 60 degrees flexion ROM: Wrist and hand ROM Gripping exercises Shoulder pendulum in elbow brace Perform PROM shoulder exercises Strengthening exercises: Gripping for hand Wrist flexion and extension, ...


ULNAR NERVE TRANSPOSITION

0 to 2 weeks: Squeeze soft sponge or a soft putty Elbow supported in sling leaving the wrist free   NOTE: During the first two weeks following surgery, passive terminal elbow extension (i.e., last 5° – 10°) with wrist extension should be avoided.   2 to 4 weeks: ...


HIP ARTHROSCOPY REHABILITATION

GENERAL GOALS: Non-antalgic gait (No pain with ambulation) Increase passive ROM of the affected hip Compliance with instructed weight bearing No pain at rest Modalities PRN Home therapy education Soft tissue manipulation around portal sites once healed (after week 2) AVOID ...


ACHILLES TENDON REPAIR

POST OPERATIVE MANAGEMENT Posterior splint for 14 days NWB with crutches   WEEKS 2-6 NWB weightbearing ambulation with crutches in walking boot. May remove boot for ROM exercise. Active inversion and eversion ROM Active dorsiflexion to neutral; passive plantar flexion ...