From the time you enter our practice through your recovery, our dedicated team works together to ensure you get the best care.

You’ll start your first appointment either with Dr. Puri or his physician assistant, Marie. They’ll ask about your pain experiences and joint replacement goals, ultimately getting to understand you better over the next 45 minutes to an hour.

For New Patients

If you’re a new patient, please arrive early to complete your registration process. In addition, please bring the following:

  • Copies of operation records, medical records, x-rays, MRIs, and CT scans

  • Driver's license or state ID

  • Referral (if insurance required)

  • Insurance information

  • List of current medications and any known allergies

The orthopAedic evaluation consists of several components

  • A medical history in which Dr. Puri gathers information about your general health and asks questions about the extent of your hip or knee pain and how it affects your ability to perform everyday activities

  • A physical examination to assess your hip or knee’s mobility, strength and alignment

  • X-rays to determine the extent of damage or deformity in your hip or knee

  • Occasionally, a blood test or other radiological tests such as an MRI (Magnetic Resonance Imaging), CT scan, or a bone scan may be needed to determine the condition of the bone and soft tissues of your knee.

Dr. Puri will review the results of your evaluation with you and discuss whether knee replacement surgery is the best method to relieve your pain and improve your mobility. He may also recommend treatment options such as medications, injections, or physical therapy.

Additionally, Dr. Puri will explain the potential risks and complications of total hip or knee replacement surgery, including those related to the surgery itself and those that can occur over time after your surgery.

When you feel ready, Marie, Dr. Puri's physician assistant, or Kim, Dr. Puri's orthopaedic nurse, will start the scheduling process. 

To prepare for surgery, Dr. Puri encourages patients to:

  • See your primary care physician for a history and physical, EKG, and blood work

  • Register for NorthShore’s complimentary joint replacement class (now available online)

  • Avoid any dental work or cleaning one month before surgery to avoid infection

  • Make plans based on whether you’d prefer to recover at home or at rehab after surgery

The surgery length itself typically depends on the particulars of each patient’s treatment. A total knee replacement generally lasts 45 minutes and requires one to three days for inpatient recovery. Hip replacements generally take an hour and require only one to two days for inpatient recovery because it is not a weight-bearing joint.

After surgery, patients move to a private room on a specially designed orthopaedic floor for total joint replacement. The floor, coupled with Dr. Puri’s team approach, wraps patients in 360-recovery that includes pain services. Each patient’s individual recovery plan depends on the patient’s medical history.

Keep a list of questions and concerns for Dr. Puri leading up to your appointment, and be ready to discuss them during your office visit. He will also be available after surgery 24 hours a day, through the contact at his office.