Frequently Asked Questions
What should we bring to the hospital?
Bring all assistive devices (braces, orthosis, etc.) your child uses for walking and ambulation. Your child should wear loose, comfortable clothing. T-shirts, sweatshirts, sweatpants or shorts work well.
Bring along a favorite item. Children often find it comforting to have something familiar with them at the hospital like a favorite toy, blanket, doll or stuffed animal.
How long will we stay in the hospital?
Your child will be scheduled for a 23-hour admit. We recommend patients spend one night in the hospital to assure that pain is well managed. Some families prefer to rest at home or in a nearby hotel.
How will my child’s incision area be bandaged?
Your child’s incision areas will be covered with a bandage that will remain on for 10 days. Under the bandages, steri-strips cover the actual incision. The steri-strips stay on the incision area until they become loose and fall off. Some blood spots on the bandages are normal.
Will my child be in pain?
Children are given prescription pain medications after surgery. By the next day, most children have switched from prescription pain medications to over-the-counter acetaminophen, or Tylenol.
When can my child return to school?
Your child can return to school when you feel they are ready. We do not place restrictions on their return to school.
Can my child swim after tendon lengthening?
Swimming in clean chlorinated pools after surgery is not recommended until after steri strips come off and incisions are closed a minimum of two weeks.
Will we need follow up appointments?
Your physician will inform you if your child needs any follow-up appointments. If a follow-up appointment for tendon lengthening is needed, we will try to schedule it on the same day that you return to see Dr. Park.
Will my child need further lengthening in the future?
All children are different and some may require future lengthening if they have recurrent tightness and growth. The goal is to increase your child’s range of motion, allowing them to walk with heels on the floor and knees straight.
My insurance carrier is requesting CPT codes. What are they?
The CPT codes are used for billing purposes. CPT codes for the tendon lengthening procedures are:
- Hamstrings unilateral (one side) 27393 or bilateral (both sides) 27394
- Achilles 27685
- Gastroc 27687
What if I have more questions or concerns?
For more information about selective dorsal rhizotomy surgery or minimally-invasive tendon lengthening surgery at St. Louis Children’s Hospital, contact 314.454.KIDS (5437) or 800.678.KIDS (5437).