FAQs
General
Dr. Kelly sees patients at the Burnsville, Eagan and Edina locations. Click here for directions.
Hospitals: Orthopedic Institute (within 212 Medical Center), Fairview Ridges Hospital
Surgery Centers: Crosstown Surgery Center, Eagan Orthopedic Surgery Center
Dr. Kelly and his team treats conditions of the knees, including knee arthroscopy and knee replacements including Custom total knee replacements. They also treat all shoulder problems and injuries and perform shoulder arthroscopies, shoulder rotator cuff repairs and Computer Navigated total shoulder replacement. Commonly performed elbow surgeries include elbow arthroscopy, elbow fractures and elbow replacements. Their approach is a combination of both conservative and surgical treatments, which varies depending on each individual patient.
Yes, Dr. Kelly performs both custom total knee replacements and Computer-Navigated total shoulder replacements. The specifics of each of these surgeries will be discussed with you at an office visit appointment but you can call his Care Coordinator and she would be happy to answer any generic questions you may have.
The EXCEL Orthopedic Surgery and Recovery program is available to patients who are generally healthy but have an orthopedic condition that requires surgery that is not typically done as an outpatient. The surgery is done either in the Crosstown Surgery Center on the third floor of the Edina Clinic or at the Eagan Orthopedic Surgery Center on the third floor of the Eagan Twin Cities Orthopedics clinic.
Postoperatively, patients are transported to a specially designed medical apartment a few blocks away, where there is nursing and medical staff available 24 hrs/day and 7 days a week. Some patients having total shoulder replacement may have the option to go home same day. Because the patient is never admitted to the hospital there is a substantial cost savings and a lower risk of hospital acquired infections. This option is particularly attractive for patients who are paying their own bills, employers who are self-insured, worker’s compensation and patients travelling to the U.S. for their medical care because the costs are less than half of what they are in the hospital.
If you are a new patient, please arrive to your appointment early in order to complete the registration process. In addition, please bring the following:
- Driver’s License or State ID
- Referral (if required by insurer)
- Insurance information
- Copies of operation records, medical records, x-rays, MRIs and CT scans from prior doctor visits
- List of current medications and any known allergies
It depends, as each patient’s situation is unique. If you have any questions, please contact Dr. Kelly’s care team before your appointment, and we will be very happy to address any of your questions.
Yes, absolutely. The more information we have regarding your unique situation and past history, the better equipped we are to provide the highest level of care. Bringing any previous x-rays, scans, and/or documentation (if available) is recommended. If you do not have this information, don’t worry; we will still take great care of you.
Ice should be used during the acute phase (first 24 to 48 hours) following an injury, or whenever there is swelling. Ice decreases blood flow to the area, which in turn decreases swelling and inflammation. Heat does the opposite. It increases blood flow to the area and can provide pain relief once the swelling and inflammation has subsided. Heat is good to use prior to doing any exercises or physical therapy as it warms up your muscles.
You can use the General Contact Form on the Contact & Locations page of this website to get in touch with Dr. Kelly regarding second opinions or contact us via phone to set up an appointment or speak with a member of our care team.
You can get cortisone injections every 3 to 4 months, as long as they continue to provide symptomatic relief.
Some patients get immediate relief from a cortisone injection. For others, it may take up to 2-4 weeks for the injection to take effect. However, most people notice relief within 2 to 3 days. The duration of a cortisone injection can vary greatly. Some will last as long as a year, whereas others may last only a few days. It is also important to know that occasionally pain can get worse following a cortisone injection before it gets better. In the meantime, over the counter pain medications and ice are recommended.
The Crosstown Surgery Center is a 21,000+ square foot facility located at Twin Cities Orthopedics Edina, offering patients a convenient, complete, and coordinated orthopedic care solution at one location. With six surgery suites, a procedure room, and several free amenities for families, the Crosstown Surgery Center is a premier orthopedic facility in Minnesota. To learn more, visit www.CrosstownSurgeryCenter.com.
Before your Appointment
If you have already had imaging studies done, surgery recommended or have a longstanding problem, you can call Dr. Kelly’s care coordinator, at 612-455-2023, to discuss your condition as well as to set up an appointment.
Bring in any x-rays, bone scans, CT scans, MRI films, laboratory blood work, operative reports, your insurance card and identification to your appointment. This may mean contacting the office where you had images or tests performed and having the results faxed to Dr. Kelly’s team at 952-456-7802. Otherwise, you may bring a disc or paper copies of those results to your appointment.
The initial visit is about fact-gathering, listening to your story, and learning more about you. I’ll perform a physical exam, review x-rays and/or other advanced imaging discuss your treatment options, non-operative and operative (if appropriate).
If your injury is going to be claimed under work comp, make sure you report your injury to the HR department at your work so that a file is created for your injury. Most advanced imaging or procedures that may be recommended will require work comp approval before they are done, and if the injury is already filed appropriately with your employer, this will speed the approval process along. You will be asked to provide your Work Comp claim information at the time you make your appointment as well. It will be helpful to us to have your claim adjustor name, phone number and fax number.
If you have records from another physician/provider (outside of TCO), or hospital you may bring them with you to your appointment. If you do not have a copy, please contact the physician, provider, or hospital prior to your TCO appointment to let them know we will be requesting them.
Yes, of course. Feel free to have family members or friends join you in your consultation. Many patients find it is helpful to have support in the room, even just as an extra set of ears to remember the details of the visit.
After your Appointment
After your appointment, or after surgery, you can expect prompt and accessible follow-up treatment. Care continues long after surgery and we want to be a part of your complete healing process. If you ever have questions, please do not hesitate to contact us.
If you have questions after your appointment, please feel free to contact us. You can call Dr. Kelly’s Care Coordinator directly at 612-455-2023.
If an MRI scan or other diagnostic test was ordered, you will need a follow up appointment to be seen in clinic to discuss the results.
If Dr. Kelly or his PA Lindsey order an MRI scan to further evaluate you, they would like to see you back in the office to review those results. By reviewing the MRI scan together in the office, versus hearing the results over the phone, you can actually see the scan and gain a better understanding of your injury and the appropriate treatment options. This helps Dr. Kelly personalize the best treatment for you at that time and treatment can be initiated at that visit, whether it be scheduling surgery, starting physical therapy or providing an injection.
The amount of time will vary depending on each unique patient, and each unique procedure. Please feel free to discuss this with us in your appointment, or contact us directly with any questions. You may call Dr. Kelly’s Care Coordinator at 612-455-2023.
The timeframe for recovery depends on the procedure and the individual, but it is our goal to get you back to your regular lifestyle as fast as possible. You can discuss your likely recovery time at your appointment.
It is very normal after receiving an injection to have pain relief at first but then to have the pain return. Your initial pain relief is caused by the numbing medicine in the injection. It is similar to the Novocain used at the dentist office. Cortisone is a very strong anti-inflammatory and was placed into the area by the injection. It can take a few days to notice the effects, or possibly even several weeks. You may not have a sudden change in your symptoms as your pain will gradually improve. Often, an injection is given along with a prescription for physical therapy. The combination of the two, over time, will improve your pain and function.
Each individual will experience different pain levels, but it is our goal to have you feeling 100% as soon as possible. To get an idea of the pain expectations for your individual case, please discuss with Dr. Kelly at your appointment.
Please note that we strive to get our patients off narcotic pain medication as soon as possible. It can be needed shortly after surgery, but we do not advocate long-term use of pain medication. We take pain medication very seriously and make sure it is necessary before signing a prescription for any patient.
You will be in the sling for 4-6 weeks. You can remove the sling for hygiene and for gentle range of motion exercises. We want you to stay in the sling to avoid re-injury to your repair. We don’t want you falling, reaching away from your body or using the arm to lift anything heavier than a glass of water or telephone during those first 4-6 weeks after your surgery to protect the repair.
Generally speaking, your pain will improve within a few weeks from surgery. You will start therapy to increase your shoulder motion around 6 weeks and will start strengthening at 3 months. You are usually 70-80% improved at 6 months but it can take up to one year to notice complete improvement.
Following a knee replacement, you will spend about 3 days in the hospital. After being discharged from the hospital, you will either return home or go to a rehab facility, depending on your home situation. If you do go to rehab, this will be arranged while you are in the hospital and cannot be arranged before surgery. You will start physical therapy and walking shortly after surgery. A physical therapist will either come to your house or you will go to outpatient therapy. If you know you will be going to outpatient therapy, you can schedule that appointment as soon as you have your surgery date set. You will return to the office around 2 weeks post-op for x-rays and wound care. We would like you to be able to bend your knee to about 90 degrees at your first post-op visit. You will then receive another prescription for physical therapy. You will return to the office in 4-6 more weeks to check your motion. Depending on your progress, more therapy will be prescribed and you may possibly start pool therapy. You will be reminded throughout the process for the need to take antibiotics before any dental or other invasive procedures. You will take those antibiotics for the rest of your life to prevent infection.
Dr. Kelly and his team are pleased to provide most intra-articular injections in the office under ultrasound guidance. The ultrasound machine is used to guide the needle into the joint and make sure the medicine gets injected in the right spot. For this procedure, you will lie down on the exam table and the injection site will be cleaned. Your skin will then be numbed with an injection of lidocaine (an anesthetic). After about 10-15 minutes, once the area is numb, the cortisone will be injected using a sterile ultrasound transducer cover, sterile ultrasound gel and sterile gloves. Patients will typically notice early relief that same day or shortly after from the anesthetic, which may taper off. It may take a few days to weeks to notice the full effects of the cortisone. In some special cases, we may order a fluoroscopic-guided intra-articular injection, which can be performed at the hospital or other special diagnostic centers. This type of procedure uses x-ray guidance to ensure proper placement of the injection into the joint.