Even family meals, that had been a chore, became a pleasant and fulfilling focal point of her days again.
Dave noticed the improvement immediately after his operation.
So moment I woke up from surgery, Know what, I noticed the arthritis pain I’d been suffering all along was gone. Because Dave had previous work done on the knee, Dave ughed it out, his recovery was a little more demanding than most. I just knew I had to hang in there. He’s glad he did. You may have noticed a recent article in the New York City Times discussing the indications for surgery for meniscus tears.
In light of a recent article in the New England Journal of Medicine, the author makes the argument that a lot of the 700000 arthroscopic knee surgeries done every year should be unnecessary.
I agree that so it’s likely the case, though I doubt Surely it’s as big a real problem as the NYC Times suggests. Undoubtedly it’s very important for patients and their surgeon to be absolutely clear about the possible benefits and risks of the surgery prior to intending to the operating room.
He often experiences pain caused by that tear, when a young person without arthritis sustains an injury that causes a meniscus tear. Knee arthroscopy to remove the rn part of the meniscus can improve the injuryinduced pain, when most of the knee is normal. For most patients with knee pain, x rays should’ve been the first study ordered. Patients must start with interventions like physical therapy, overthecounter medicine and possibly injections, So in case there is any visible arthritis. Consideration will be given to ordering a MRI to look for a meniscus tear, I’d say if these interventions fail. Generally, the patient and surgeon should have a frank discussion of risks and benefits knee arthroscopy might offer, I’d say in case the MRI shows a meniscus tear.
Just as your neighbor’s knee pain was better 2 days following arthroscopy does not mean that it going to be true for you.
Patients with arthritis have thinning of the articular cartilage and often experience degenerative meniscus tears.
For years, surgeons performed a clean up knee scope to remove rn meniscus prior to considering knee replacement. Two studies published about 10 years ago showed us that in most cases patients who have degenerative meniscus tears do not benefit from knee arthroscopy. Now look, the pain is caused by the arthritis, not by the meniscus tear. Most surgeons have stopped offering arthroscopic surgery to treat meniscus tears in a severely arthritic knee. Science is clear.
Medicine becomes an art, with cases that fall into the middle ground.
And some degenerative tearing of the meniscus, the excellencies of surgery become harder to predict, when a knee has some degenerative change of the articular cartilage.
For these patients, options include medication, injection, physical therapy, fat loss, and arthroscopy. It carries more risk than the other options, while knee arthroscopy is a very safe procedure. Study discussed in The NY Time reinforces the idea that, for degenerative meniscus tears, surgery could be the last resort. I find that patients who have had knee scopes are often unclear about the reason they underwent the procedure. Most will tell you that they had surgery to repair rn cartilage. I’m sure that the confusion stems from the fact that there’re two different kinds of cartilage types in the knee. First, articular cartilage, is like a veneer on the end of the bones that forms a smooth gliding surface allowing the knee to have fluid motion. It becomes thin and rough, as that articular cartilage wears. Resulting arthritis causes pain in the knee. Basically the second cartilage type is meniscus cartilage. There’re two menisci, that are semicircular rubbery structures that to protect the articular cartilage.