The trend in orthopedics and spine is for a specialist to exhaust all non-surgical treatment options in advance of surgery. That’s because the more invasive (surgical) the treatment option, the more tissue is disrupted and there is more potential for more complications than with therapy or a injection.
For example, with back pain, including low back pain, and neck pain, non-surgical treatment is very important because spine surgery is complex, often requiring an overnight stay in the hospital. To gain access to the spine the spine surgeon, may need to access the spine through the abdomen or back, which can require disruption to tissues and muscles, which in turn causes time for recovery and rehabilitation. Also, many times symptoms from disc herniations can disappear with non-surgical treatment options.
So if you are impatient, wanting a quick fix to your problem, keep in mind that the best specialists in orthopedics, sports medicine and spine will first look at if there are non-surgical options for you to try first before surgery.
With sports medicine problems involving strain, sprain or overuse syndrome, non-surgical treatment options like anti-inflammatory medication, injections into a joint space or specialist therapy, can many times provide relief of symptoms without the need for surgery.
The other aspect to non-surgical emphasis can be to address the underlying cause of your pain symptoms. In the United States, for example, research studies have shown that half of the population is overweight, and one in four Americans is categorized as “obese.” The grim reality is that the human knee, for example, was never designed to support a 350 pound person. Over time, excess weight will simply destroy a knee joint, requiring knee replacement. But merely replacing that knee joint, without addressing the obesity causing the problem, will in turn destroy the new artificial knee joint. Because of the nature of a knee replacement surgery, a person can typically have only two knee replacements in their lifetime before they become wheelchair bound.
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