Pullman Regional Hospital


Common Questions

We compiled a list of the top ten things you should know about knee replacement surgery.

Preparation Class

Take the online joint replacement preparation class to help you feel prepared for surgery and recovery.

Recovery Timeline

Planning a knee replacement surgery? Download our free recovery timeline for more information.

Total Joint Replacement

Types of Joint Replacements

Total knee replacements are the most common type of joint replacement surgery performed at Pullman Regional Hospital, with cases more than doubling between 2011-2015. If you have dealt with knee arthritis and joint pain and are ready to get back to your day-to-day activities, you may consider talking to your physician about a total knee replacement surgery. Total knee replacement, also called “arthroplasty” is a surgical procedure to repair a knee damaged by osteoarthritis, or a severe injury to the joint. The process involves resurfacing the bone ends of the joint with artificial parts made of both stainless steel and plastic. Recovery for a total knee replacement lasts several months and includes physical therapy, medication, use of support equipment, and rest. After several months of recovery, most knee replacement patients report dramatic improvements in knee pain and ability to return to normal activities. Want to learn more? Read 10 Common Questions about Knee Replacement Surgery. 

A total hip replacement is a common surgery to repair hip joints when deformity, disease, or an injury to the joint occurs, hindering your ability to participate in daily activities. If other non-surgical treatments such as physical therapy or medication have not helped, talk to your physician about a total hip replacement. This procedure removes the damaged bone and tissue in the hip joint and replaces it with an artificial hip implant. We are now offering a minimally-invasive surgical approach to hip replacement with a faster and less painful recover. Learn more below.  

Get back to living faster. The new anterior approach to hip replacement does not cut into the muscles like a standard hip replacement. That means less pain and a faster recovery.  Click here to learn more about the Anterior Approach to Hip Replacement.

While shoulder replacements are generally less common than knee and hip replacements, over 50,000  shoulder replacement surgeries are performed in the U.S. each year. Much like knee and hip replacements, osteoarthritis seems to be the biggest cause of pain for prospective shoulder replacement patients, along with injuries to the joint, such as a rotator cuff tear.  Depending on whether your rotator cuff is attached or not, there are two options for shoulder replacement surgery: total shoulder replacement and reverse total shoulder replacement. The standard total shoulder replacement will be performed if your shoulder has normal joint anatomy, with an attached rotator cuff. This surgery replaces the damaged shoulder socket with a plastic cup, and replaces the head of the humerus bone with a metal ball. 

 Patients with a detached rotator cuff rely on different muscles to move the arm. In this case, a reverse total shoulder replacement will take place. In this procedure, the placement of the plastic socket and metal ball will be switched.


Joint Replacement Preparation Class

We provide comprehensive patient education to those considering or scheduled for joint replacement surgery.  Whether your surgery has already been scheduled or you’re just starting to look into getting a joint replaced, attending the monthly Joint Replacement Preparation Class or watching the online webinar is highly recommended. The class will teach you how to prepare for your surgery to achieve the best outcome, and what you can expect after surgery and during rehabilitation.  

Along with the preparation class, there are several others ways to prepare yourself for the best outcome from joint replacement surgery. Want to learn more? Read 5 Ways to Prepare for your Joint Replacement Surgery.

Joint Replacement Preparation Class WATCH NOW-01



Discharge Options after Joint Replacement

Discharge goals are individualized based on the patient. The Orthopedic Care Team will consult your insurance and collaborate with you and your family to determine if you are eligible for outpatient therapy, swing bed, home health, or a skilled nursing facility for short-term rehabilitation. Discharge goals differ based on individual needs. Generally, you should be able to do the following at discharge:

  • Do the home exercise program independently
  • Understand postoperative precautions
  • Get in and out of bed without help
  • Walk with a walker up to 300 feet
  • Go up and down 4 steps using a railing
  • Shower, use the toilet, and dress safely.


Here are your discharge options after your total joint replacement surgery:

Consider this option if you can get to the restroom, manage your medications, and arrange for transportation for outpatient therapy and blood work without help.

Consider this options if you need help with transfers, are normally home-bound, have limited transportation, would benefit from therapy and labs at home, and need help with your medications.

While many patients choose to return to their home with the support from family and friends, that may not always be the best options for you. We offer a "swing bed" alternative for patients who need additional assistance after surgery, including total joint replacement. Swing bed is meant for those who require help with transfers, using the bathroom, transportation, or if you have stairs at home and haven't arranged for a caregiver. Many insurance companies offer swing bed benefits, including Medicare. If you meet the eligibility requirements and we have the available bed space, you can transition to swing bed status and have a short stay for rehabilitation right here at the hospital. 

Call Elizabeth Schilling, R.N., Swing Bed Coordinator, at (509) 336-7528 for more information.

Consider this option if you need 1-2 people to help with transfers, need help using the restroom, have stairs at home and no arranged caregiver, and need someone to transport you to therapy. 



Meet the Orthopedic Surgeons

Dr. Ed Tingstad Orthopedic Surgeon at Pullman Regional Hospital

Dr. Ed Tingstad

Orthopedic Surgeon

Dr. Tingstad has been practicing at Inland Orthopaedic Surgery & Sports Medicine Clinic since 2000.  He is board certified by the American Board of Orthopaedic Surgery and the American Board of Orthopaedic Surgery in Orthopaedic Sports Medicine.  He graduated medical school and completed a clinical fellowship in Sports Medicine from the University of Washington, and completed his residency in orthopaedic surgery at Vanderbilt University Medical Center.  Dr. Tingstad serves as the team physician and orthopedic surgeon for Washington State University, as well as a clinical instructor for the WWAMI Program at the University of Washington School of Medicine.   


Dr. Kyle Hazelwood Orthopedic Surgeon at Pullman Regional Hospital

Dr. Kyle Hazelwood

Orthopedic Surgeon

Dr. Hazelwood began practicing at Inland Orthopaedic Surgery & Sports Medicine Clinic in 2017. He is board certified by the American Board of Orthopaedic Surgery and board eligible for subspecialty in Orthopaedic Sports Medicine. He completed a fellowship at the San Diego Arthroscopy and Sports Medicine Fellowship, where he spent time covering the San Diego Chargers and San Diego State University athletic teams. 


Dr. Steve Pennington Orthopedic Surgeon at Pullman Regional Hospital

Dr. Steve Pennington

Orthopedic Surgeon

Dr. Pennington has been practicing at Inland Orthopaedic Surgery & Sports Medicine Clinic since 1997. He is board certified by the American Board of Orthopaedic Surgery and the American Board of Orthopaedic Surgery Sports Medicine. He completed his residency in orthopaedic surgery at Campbell Clinic at the University of Tennessee. He graduated from medical school from Oregon Health Sciences University. Additionally, he serves as the team physician for the University of Idaho Department of Intercollegiate Athletics.



Dr. Charles Jacobson

Orthopedic Surgeon

Dr. Jacobson has been practicing at Inland Orthopaedic Surgery & Sports Medicine Clinic since 1994. He is board certified by the American Board of Orthopaedic Surgery. He performed his residency in orthopaedic surgery at Loma Linda University and graduated from Loma Linda University Medical School. Dr. Jacobson continues to enjoy the practice of general orthopedics and especially spending time with patients. As the senior partner of the group, he is always willing to lend an ear and give advice to his partners.



Orthopedic Care Coordination

Orthopedic Care Coordination

One of the benefits of having total joint surgery at Pullman Regional Hospital is our Orthopedic Care Coordinator program. We are unique in that we have a dedicated Orthopedic Care Coordinator to help guide you through the process of your total joint surgery – from start to finish. As soon as your appointment is scheduled, Maile Keller, PTA, is available to answer any questions you have, remind you of important tips to remember before surgery, help coordinate your post-surgery care options, and so much more. With more than 20 years of experience taking care of total joint replacement patients, Maile knows what it takes to make your experience as easy and seamless as possible. Click here to send Maile an email, or reach her by phone (509) 336-7598.


Surgical Concierge Program

 ** Some Surgical Concierge benefits are subject to COVID-19 restrictions.

We know having surgery can be an anxious time with lots of details to arrange. Your family might need a place to stay near the hospital, you might be worried about who will take care of your pets while you’re away, or maybe you take care of a dependent adult who will need supervision during your surgery and recovery. We can help with that! Our Surgical Concierge Service is dedicated to making your surgery arrangements as easy as possible. This free service includes:

  • Discounted rates with participating Pullman hotels
  • Discounted rates at Tail Waggin' Adventures pet care
  • Financial counseling to help you understand what insurance will cover and what your out-of-pocket costs will be
  • Free Red Sage Cafe bucks for meals at Pullman Regional Hospital's Red Sage Cafe
  • 10% off of $10 or more purchase at Diane's Gift Garden in the hospital

Visit the Surgical Concierge Services page or call (509) 336-7466 to learn more.



Joint Replacement Testimonials

“I’ve been in 10 different hospitals and Pullman Regional Hospital is at the top of the list. I’ve been doing exercises and it’s such a relief after living with pain for so many years. I'm so glad I went there for my shoulder replacement and that's where I'd go again."
Holly Allen

"I’ve had two knee replacement surgeries at Pullman Regional Hospital. The care I received both times was excellent! Everything from the preparation class to my physical therapy contributed to my successful outcomes. I can now walk and get back to doing things I love without pain."

Jeff Kimberling