Eric Eifler, MD


Post Surgery Equipment Instructions

Understanding the "how & why" using your post surgery equipment is important to your recovery.  I have chosen M-Medical as my partner in providing you with these essentials . Additionally, M-Medical provides the customer service needed to make your recovery top notch!  There are 3 pieces of equipment I believe are essential in your recovery...

  1. Ice and Compression Therapy
  2. Neuromuscular Electrical Stimulation or NMES
  3. Sequential Compression Therapy

Fortunately, many insurances cover these pieces of equipment so many patients have access to these post surgery essentials.  M-Medical will always verify coverage with your insurance, and if an item is not covered, M-Medical provides a discounted price, and you have the ability to decide if you would like to incorporate these essentials into your recovery.  Below you will find my instructions for each peace of equipment .


Ice and Compression Therapy

Why Cold Compression

Cold compression is a combination of cryotherapy and static compression commonly used for the treatment of pain and inflammation after acute injury or surgical procedures.[1]

Cryotherapy has become one of the most common treatments in orthopedic medicine. The primary reason for using cryotherapy in acute injury management is to lower the temperature of the injured tissue, which reduces the tissue's metabolic rate and helps the tissue to survive the period following the injury. It is well documented that metabolic rate decreases by application of cryotherapy.[2]

Static compression is often used in conjunction with cryotherapy for the care of acute injuries. To date, the primary reason for using compression is to increase external pressure on the tissue to prevent edema formation (swelling). This occurs by hindering fluid loss from the vessels in the injured area, making it more difficult for fluids to accumulate. Ice with compression is significantly colder than ice alone due to improved skin contact and increased tissue density caused by extended static compression.[2] Tissue reaches its lowest temperature faster and the tissue maintains its cool even after treatment ends.

How to use

Ice is your best friend! Use as much and as often as you can.  Ice and compression

  1. Alleviates discomfort after surgery
  2. Manages swelling 
  3. Produces healthy blood flood 

Ice and compress intervals...

  • 20 minutes on the body ice and compressed.
  • And 20 minutes off of the body (relieve compression, and take brace off) .
  • Continue the intervals throughout the day (feel free to take a break if you get cold, tired, etc.).
  • Compress around the area (i.e knee/hip) to a tight but comfortable compression.  If the compression hurts the area, relieve compression to your comfort level.


Neuromuscular Electrical Stimulation or NMES


Neuromuscular Electrical Stimulation or NMES uses a device that sends electrical impulses to nerves. This input causes muscles to contract. The electrical stimulation can increase strength and range of motion, and offset the effects of disuse. It is often used to “re-train” or “re-educate” a muscle to function and to build strength after a surgery or period of disuse.

How to use

Use the  the muscle stimulator as follows...

  • 2-3 times a day for 15-30 minutes each time.
  • For hip and knee surgery recovery; place the muscle stimulator 6-10 inches above the center of your knee cap similar to the image above.
  • Increase intensity as instructed by you M-Medical representative to a comfortable twitch.  
  • After your therapy session remove the equipment and set aside until your next therapy session.


Sequential Compression Therapy

Why Compression Therapy

Intermittent sequential compression therapy (ISCT) is effective in reducing oedema of the lower limbs (Vowden, 2001) and can improve circulation of blood in the affected areas (Sayegh, 1987).

The primary functional aim of the device “is to squeeze blood from the underlying deep veins, which, assuming that the valves are competent, will be displaced proximally.” When the inflatable sleeves deflate, the veins will replenish with blood. The intermittent compressions of the sleeves will ensure the movement of venous blood.[2]

How to use

This device is very useful during the first few days of recovery.  Especially when one may not be as mobile due to the surgery.  You can wear these on your lower legs (around the calves and as instructed by your M-Medical representative).  When to use is simple...

  • Wear as much as you can for the first three days after surgery when you are not mobile (i.e.  sleeping, resting, sitting down watching TV, etc.)
  • You do not need to wear when you are up and moving around.
  • After the first three days, use as needed to manage swelling as you become more active.