FAQs2016-11-28T23:16:34+00:00

General FAQs

Our practice hours are from 8:30 am to 5:00 pm, Monday through Friday. Appointments can be made by contacting Dr. Wolff’s medical assistant at DrWolff.MA@WOSM.com. Email is preferred, however you can reach her by phone by calling 202-787-5601 ext 616.
Yes, we accept all insurance except TRICARE (because of TRICARE’s coverage policies). However, we are out of network with all commercial insurances. We understand that this is confusing. Click here for more information. If you still have questions or concerns, please contact Dr. Wolff’s medical assistant, drwolff.ma@wosm.com.
When you come for your appointment remember to bring the following:

  • Driver’s license or state-issued photo ID
  • Insurance information
  • Copies of operation records, medical records, x-rays, MRIs, CT scans and so on from prior doctor visits
  • Medications list (if any)
  • If you have had surgery elsewhere, please bring a copy of your operation report

Procedure Related FAQs

Diagnosing injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as an MRI, or CT scan also may be needed. Through the arthroscope, a final diagnosis is made which may be more accurate than through “open” surgery or from X-ray studies.
No, it is not a surgery that should be performed unless you are experiencing symptoms caused by the labral tear or femoral acetabular impingement (FAI). It is not recommended that it be performed based solely on an abnormal imaging result.
Total hip replacements are very rare without the diagnosis of advanced osteoarthritis. Hip arthroscopy is not indicated for the treatment of osteoarthritis. Unfortunately, this diagnosis means you are not a candidate for this surgical procedure. Read more
Yes. Arthroscopic surgery of the hip is a technically demanding procedure to perform consistently well. It is regarded among the toughest skills to master in all of Orthopaedic Surgery. Just as important and difficult to master is the ability to understand a patient’s hip problem and design a treatment plan that meets that patient’s goals. It is for this reason that Dr. Wolff has chosen to focus his entire practice on performing arthroscopic hip surgery at the highest level.
Dr. Wolff performs approximately 300 arthroscopic hip surgeries per year. He has been in practice since 2008.
Approximately 800. He performed his first in 2009 and is considered a pioneer in this field. He has shown his technique to be equally or more effective than labral repair. Read more about labral reconstruction and Dr. Wolff’s involvement in the expanding field of hip arthroscopy.
A part of a donor Iliotibial band is custom sized and shaped to reconstruct the patient’s labrum. Read more about labral reconstruction approach. 
No. Allografts as this donor tissue are known are widely used throughout the body. The tissue is from donors who are screened for infection and then the tissue is completely sterilized. It basically acts as a scaffold of collagen for your own tissue to incorporate into. Because it doesn’t have a lot of bloodflow through it (like a donated heart of kidney, rejection doesn’t happen).
Not necessarily, you will be given your protocol following surgery at your first post-op appointment. In the first few days before this first post-op appointment, you should not do anything differently based on the procedure of a repair versus a reconstruction alone.
No, Dr. Wolff will not perform a total hip replacement if too much arthritis is found. Finding too much arthritis in surgery is something that Dr. Wolff tries to prevent, which is why so many imaging studies are taken before surgery including x-rays and high quality MRIs.
Over 90% in general. There are, however, factors including arthritis, dysplasia and non-compliance with post-operative restrictions that may lower this number. Other factors such as patient health, age, and post-operative demands and compliance that may increase this number. Please remember, all patients are different and heal at their own pace. Please be patient, and listen to your body.

FAQs on Surgery Logistics

In most cases, I am not able to provide the exact time for the surgery more than one week out. I am able to provide an estimated time roughly one week before the surgery. This is due to the fact that I will need to coordinate laterality between the surgery center and possible surgical patients with comorbidities. You are more than welcome to check in with Dr. Wolff’s medical assistant roughly a week before to ask for the estimated time of surgery and arrival time. The surgery center always has the final say in times.
Dr. Wolff typically does not require a pre operative clearance unless you have an adverse health history (but some of the facilities at which he operates may). Be sure to tell us if you have a history of bleeding/clotting disorders, heart valve defects, diabetes, etc. Please also make sure you have reviewed the pre-op surgery packet given to you by Dr. Wolff’s assistant at the time of scheduling surgery. Click here to find some additional preoperative information.
No. During surgery you will receive an IV dose of antibiotics to help prevent infection. Unless there is reason to believe you may have an infection after surgery, we do not provide antibiotics. Dr. Wolff has a very low threshold to prescribe antibiotics if he suspects any chance of infection, so do not be alarmed if you are prescribed these at a post-op appointment.
Generally speaking, the minimally invasive nature of this procedure results in less post-op pain. Usually patients do not require post-op pain medications beyond 48-72 hours after surgery. Some patients actually get by without any pain medicine after surgery. With this surgery, you should expect discomfort, but pain should be minimal. You may have difficulty finding comfortable sleeping positions and require more frequent change in positions from sitting to standing to walking, etc. This is completely normal and actually strongly recommended that you do make an effort to move around (within reason) after surgery.
You should be 30% weight bearing (or bearing the weight of your leg at a minimum) following surgery, regardless of the procedure performed. Most patients are weight bearing as tolerated unless otherwise told. If you are unsure, contact Dr. Wolff’s assistant for clarification. Please note: you should never be non-weight bearing following a hip arthroscopy. Click here for more information on post-operative crutching and videos of proper technique.
Please refer to the discharge instructions in the surgery packet. In general, all that’s necessary is a few days. You will need to be off narcotic pain medications and be able to safely control your leg.
10-14 days after surgery.
We encourage you to call your insurance company so that you are aware of your surgery benefits. Our office will call for professional prior authorization only. Please note: the surgical facility is billed separately. We will file your claims for you and advocate on your behalf for payment from your insurance company in order to limit your personal financial obligation as much as possible. For any and all questions regarding payment of surgery please contact Dr. Wolff’s billing office. If you do not already have this contact information, please contact Dr. Wolff’s assistant so that she can ensure your information is accurate and accessible to the billing office prior to your call so that they may be prepared to speak with you.
***Please note: the professional fees and facility fees for surgery are billed separately. Please be sure to contact the facility at which you will have your surgery performed at for any questions concerns/regarding financial obligations for facility fees for surgery.
The questionnaire is an important part of helping track not only your outcome, but that of all of Dr. Wolff’s patients. It is important that we know how you are doing so we can do the right thing for you and for all of our future patients. We won’t bother you too much though. It should take less than 10 minutes and you will only be asked to fill it out once per year. It’s very important. If you have any questions, please contact Dr. Wolff’s Research Assistant.

Physical Therapy FAQs

Appropriate physical therapy is important to the success of your surgery. Physical therapy can be started after your first post-op visit with Dr. Wolff, unless otherwise told. Please refer to your surgery packet for more detailed instructions on post-op physical therapy. Click Here for more information about physical therapy, including links to our post-op physical therapy protocols.
You may start physical therapy within a few days after surgery. For local patients, this is often the day of the first post-operative visit. Dr. Wolff strongly recommends meeting with his physical therapy hip specialist at the time of your first post-op appointment with him (or even before surgery if schedule permits). His protocol is very specific and following surgery you will have many questions regarding rehab and post-op expectations. By meeting with his PT you will be given a very good idea of what to expect and she/he will, through protocol education, gait training, etc, get your recovery started off on the right foot. It will be a $75 out of pocket fee for this visit and, unless you plan to stick with PT at SMARTherapy, we will not submit it to your insurance company so as to not interfere with insurance payment to your regular physical therapist. If you are interested, please contact Dr. Wolff’s assistant so that she may coordinate these appointments.
Please note: The most important part of therapy is that you are compliant with his protocols and you actually go to therapy. Dr. Wolff much prefers that you use a therapist that is convenient for you so that you will be able to easily and regularly attend sessions. Make sure to find a therapist that will follow Dr. Wolff’s protocol and not attempt to stray away without first consulting with Dr. Wolff. Dr. Wolff is always willing to speak with any therapist. If they have any questions please give them his assistant’s (Catherine), contact information so she may help to coordinate conversations.

Post Op Medical Equipment FAQs

NuLife and OrthoSport are companies separate from WOSM and Dr. Wolff. They provide Ice/compression machines and CPMs. When they contact you (normally 2 days prior to surgery) you can discuss all of your concerns with them.
You may also reach out to them, although they may not have your personal information–depending on how far in advance from your surgery you call. The contact number for NuLife is 305-401-2746. Also- please refer to the several documents that contain this information in the surgery packet (specifically the discharge instructions document). Instructions for use of the devices should be given to you at the time of device delivery. All financial and coordination of delivery questions should be directed to them.
Dr. Wolff will indicate to his medical assistant at the time of scheduling surgery which devices are applicable to you. If you received the packet in person, his medical assistant will have crossed off items that are not applicable and circled ones that are applicable. If they are emailed to you, the email containing the attachments for the surgery packet should include a list of items pertinent to your surgery.
If Dr. Wolff indicates you need a certain device it is generally required unless other arrangements are made. The ONLY device that is NEVER required is the ice machine, whether it is the Game Ready or the Polar Care or the NuLife ice machine. However, most patients that an ice machine report it to be highly beneficial. You may use a large icepack instead of the ice machine, but most patients find the ice machine to be more convenient and effective. Icing is most helpful in the first few days after surgery. Also, when you become active during your recovery period and feel sore post-activity – Ice! It is not mandatory but will help your pain and inflammation levels stay low.
You may have been given a CPM machine to use after surgery. This machine is used to provide early, comfortable motion to the hip. Unless instructed otherwise, you should use this for up to 3 hours per day for the first 3 weeks after surgery. This machine should not be uncomfortable. It should be set to 0 degrees of extension (knee and hip lying flat) and 70 degrees of flexion at most. You will start anywhere from 25-45 degrees of flexion and it recommended to increase in intervals of 5 degrees at a time as long as no pain or discomfort is experienced. You may increase until you get to 70 degrees of flexion at your own pace – but do not go past 70 degrees of flexion. Most people will set this up in bed or in a comfortable place where they can do other things while in the machine (sleep, read, watch tv, etc.). You should be lying down flat while in the CPM. If this machine is causing discomfort, adjust the settings until it is no longer uncomfortable. If you cannot find settings that are comfortable, stop using the machine. You may use this for 3 hours straight or break it up into intervals. If it causes pain/pinching/discomfort, discontinue use and try again at the same or decreased settings the next day.
You will need to cover as much of the surgical area as possible (including the groin) – the more you cover, the better. Ice as much as possible for 20-30 minutes on and 20-30 minutes off particularly for the first few days.