Preoperative Care
Midwest Medical Services
Our goal is to optimize and take the pain out of every step of your recovery. Midwest Medical Services, led by Dr. Dan DeSalle, works directly with MCJR to deliver personalized preoperative care for all joint replacement candidates. His team will coordinate care with the MCJR surgeons to ensure each patient is healthy enough for surgery.
After you schedule surgery, you will then have an appointment in one of our two offices with Dr. DeSalle for any preoperative and medical fitness testing before surgery.
This includes:
- History and physical
- Laboratory workup
- Pulmonary and cardiac testing
- Additional medical fitness testing if needed
- Post-surgical care

Call 317-455-1064 to schedule this appointment in Indianapolis or Bloomington.
Dr. Dan DeSalle
Daniel J. DeSalle, DO is a board-certified internal medicine physician who optimizes preoperative care for MCJR joint replacement candidates. Dr. DeSalle has spent most of his life in Bloomington, IN, where he still lives with his wife of 17 years and three children.
DeSalle attended Indiana University for college, then went to medical school at the A.T. Still University Kirksville College of Osteopathic Medicine in Missouri, then completed a residency in internal medicine at Lehigh Valley Hospital in Pennsylvania. DeSalle has been working in Bloomington and Mooresville hospitals for over 15 years, including the Franciscan IMPACT Center. DeSalle currently splits his time between MCJR and Monroe Hospital, primarily serving patients with cardiac and respiratory conditions as they prepare for joint replacement surgery.
In his spare time, DeSalle enjoys participating in competitive swimming and driving cars on racetracks.
Dr. DeSalle sees patients in both our Indianapolis and Bloomington offices.

Your Journey to Recovery: Pre-Op Nutrition
Pre-Operative Nutrition
A healthy diet and proper nutrition before and after surgery can lead to better outcomes after a joint replacement. The surgeons at Midwest Center for Joint Replacement recommend using EMN, a supplement for orthopedic nutrition.
The ortho nutrition bundle contains clinical-grade protein and carbohydrate supplements designed specifically to support your surgical journey

How it works

ISOlution
ISOlution is a clinical-grade whey protein isolate designed to help maintain muscle.

ISOlution
ISOlution is a clinical-grade whey protein isolate designed to help maintain muscle.
- Before Surgery
- 14 days
- 2x daily

- Night Before Surgery
- 2x daily

- After Surgery
- 14 days
- 2x daily

Prepare better. Recover faster.
- Maintain Muscle
Protein supplementation with leucine preserves muscle
- Wound Healing
Specific amino acids are clinically proven to encourage wound healing and the recovery process
- Improved Experience
Consuming complex carbohydrates before surgery reduces the impacts of the stress of surgery
Order your 4-week nutrition bundle at emnortho.com or call 1-800-619-0783.
Use code MIDWEST
Learn more about preparing for your surgery
Specialties
Total Knee Replacement
Total knee replacement, or total knee arthroplasty, is a surgical procedure that replaces the damaged components of your knee with artificial implants.
Learn MorePartial Knee Replacement
During a partial knee replacement, your surgeon removes and replaces only the damaged compartments in your knee.
Learn MoreAnterior Hip Replacement
During your hip replacement surgery, your surgeon replaces the damaged ends of your hip bones, both in the femur and pelvis.
Learn MoreOutpatient Joint Replacement
Thanks to modern anesthesia techniques and a multimodal approach to pain control, we can perform hip and knee replacements in the outpatient setting.
Learn MoreArthritis
If you have arthritis, the highly skilled team of orthopedic surgeons at Midwest Center for Joint Replacement can help.
Learn MoreKnee Pain
Our team treats numerous knee conditions through total and partial knee replacement surgery or nonsurgical treatments such as steroid injections.
Learn MoreHip Pain
If hip pain is disrupting your life, our board-certified team of orthopedic surgeons at Midwest Center for Joint Replacement can help.
Learn MoreInjections
If you're experiencing joint pain that isn't improving with conservative treatment, steroid injections could help.
Learn MoreOur Locations
Choose your preferred location.