Meniscus tear, ACL rupture: How to decide if you should undergo surgery or physical therapy

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Orthopedic surgery has revolutionised the treatment of many common injuries and offers incredible benefits. But some experts worry that many popular procedures are overprescribed — and even ineffective — when simple physical therapy might actually be the best solution.

recommended against the procedure and in favour of physical therapy and other conservative interventions, like activity modifications and lifestyle changes.

“People find it startling because I’m a surgeon,” he said. “But most patients my partners and I see don’t need a surgical intervention. They need PT.”If you have a lingering or acute injury, find the right specialist for your condition and body part, and then gather all the relevant information and potential options.

Before greenlighting surgery, you and your doctor should also take into consideration your age and activity level. A 20-year-old Division 1 soccer player with an ACL tear might want a repair, for instance, so that they can return to the playing field at or near 100 per cent. A 50-year-old runner, on the other hand, can likely avoid it, regaining enough stability through PT to allow them to return to their sport, since it is less demanding on the knee.

If you are leaning toward PT, you should request a full battery of medical tests from your physician or physical therapist, including functional assessments of the damaged joint and strength tests, Dr Johnson said. These might also include performance tests involving movements like jumps, calf raises, squats, push-ups and more.

Source: Healthcare Press (healthcarepress.net)

 

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