December 15


A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee

By Dan

December 15, 2010

Knee, OA

Believe it or not people find that surgery is the cure for everything. Guess what, its not, and this study proves it. In many cases surgery is the easy way out. People forget that after surgery you still have to do the strength training, the mobility work and the flexibility. Why not just do that and skip the surgery? It will save you money, and pain, and the chance of infection. People don’t like to work when it comes to resolving an injury. Yes it takes time and patience and the right therapist.

So in this study they took a bunch of people who had osteoarthritis of the knee to which about 90 had surgery and about 80 had physical therapy only. After two years the results were the same. The people who had surgery had debridement, which is just basically filing down rough knee cartilage…ouch. To back this up in 2002 Moseley published a great study to which they faked arthroscopic knee surgery in subjects. The subjects who had the fake surgery had the exact same relief of pain as those who did have surgery!

Moseley 2002

So what does this mean? Generally if a joint has a mechanical dysfunction surgery is not the best answer. You must try physical therapy first with the right therapist, and even then surgery is risky and often useless.

Article Abstract here

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