11 Questions To Ask Your Doctor When They Suggest Knee Surgery

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  • Опубликовано: 29 сен 2024

Комментарии • 55

  • @wendyhannan2454
    @wendyhannan2454 9 месяцев назад +23

    Great advice, I’ve had two tears of my meniscus, one a root tear. I had an arthroscope on the root tear, the surgeon said at the follow up visit, you need one full knee replacement on the right knee, and half replacement on the left knee. 😮 I went to another orthopaedic surgeon twelve months later, he examined me and did new X-rays and said no, no surgery needed, walking and cycling on a stationary bike was the way to go. That was 7 years ago. I have to watch the right knee as I do have a little arthritis no squats, as they hurt, but best of all no surgery, I’m now 77 years old.

    • @HamishaHamisha
      @HamishaHamisha 9 месяцев назад +2

      Thank you for this message of Hope

    • @permanentwave
      @permanentwave 5 месяцев назад

      Unloader knee brace works .. after years of pain overnite it relieved my pain and shifted my knee as it always felt displaced. Try it

    • @CaNo173
      @CaNo173 2 месяца назад

      Hi Wendy, Thanks for your commrnt. It brought a hope for my dad whose 69 and has advised for surgery for meniscus tear.

  • @laurielaurie8280
    @laurielaurie8280 9 месяцев назад +2

    Thankyou for the advice :)))

  • @theresahanken4295
    @theresahanken4295 7 месяцев назад +5

    Your videos have helped me SO MUCH!!! Thank you... may God be with you and bless you and your family. ♥

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  5 месяцев назад +1

      Wow! We're so happy to hear that our videos have helped you! That's our goal - to help you make the best decisions for your health. Thank you for the blessings Theresa!

  • @hemaleite6331
    @hemaleite6331 9 месяцев назад +5

    Would you recommend an arthroscopy for meniscus tear?
    Thanks

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Hema! It is difficult for us to answer that question with any kind of certainty as we don't have very much information about the severity and state of your meniscus tear. Generally speaking, we suggest to people that they exhaust all other treatment possibilities as surgical procedures aren't always guaranteed to work - they don't address the root problem that potentially contributed to knee issues in the first place.
      When dealing with meniscus tears and muscle imbalances, the hamstrings and quads tend to be more dominant, like the heavier side of the seesaw. This can put excess pressure on the knee joint, leading to discomfort and potential issues. Our suggestion is to focus on strengthening the glutes and engaging the core muscles, which act as the other side of the seesaw, helping to restore balance and reduce strain on the knee.
      Here are some exercises that you might find beneficial for your recovery:
      “Top 5 Glute Muscle Exercises For Knee Pain”
      ruclips.net/video/NXdCjT2QtJA/видео.html
      “Top 6 Standing Glute Exercises To Help Knee Pain”
      ruclips.net/video/jD7IRBfJ-mM/видео.html
      “3 Big Reasons Your Glute Muscles Won’t Work Well For You”
      ruclips.net/video/TamXorqxCAk/видео.html
      If you're looking for a more structured approach and a program designed to help give you the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. Then you might be interested in our Knee Meniscus Recovery Program, you can learn more about it here:
      www.epmanualphysicaltherapy.com/meniscus-recovery
      We wish you the best on the road to recovery! 🙌

  • @donneone
    @donneone 9 месяцев назад +8

    Great questions to ask. I suspect most surgeons have never been asked most of them. I also anticipate most surgeons would be very offended. Hoping I meet that one exceptional surgeon that won't be offended and can answer that he is confident he is the best for my situation.

    • @barrysmith8193
      @barrysmith8193 6 месяцев назад +2

      Hope is not a strategy. The surgeon is either an expert in all forms or not. After your surgery is too late to say I hired the wrong one. Your pre-meeting assignment is to learn how to ask better questions. Most pre-surgery people will have some form of anxiety. It’s okay to tell the surgeon this and it’s okay for him to set your mind at ease. If he now takes charge and demonstrates his level of professional skills under pressure he quite well could be the correct one for you. This person should be proud of his success. You need to hire that mindset. Honor this persons abilities with your narrative.

    • @donneone
      @donneone 6 месяцев назад

      @@barrysmith8193 I agree. Thanks for the extra tip.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  5 месяцев назад

      Unless you're in a life-threatening situation, then it's a good idea to slow down to find the right surgeon to get this right. If they get offended, then it's their problem! It's a clear sign that they likely have a self-confidence issue they're subconsciously covering up. It doesn't mean they'll never be a great surgeon...certainly they'll gain more confidence by doing more surgeries. We just think most people don't want to be the cases they take on while gaining the experience to get their confidence...it's probably better to have surgery with an already confident and experienced surgeon.

  • @JS-xs5hq
    @JS-xs5hq 9 месяцев назад +4

    If your surgeon does not lay out all alternatives to surgery, RUN AWAY AND FIND ANOTHER SURGEON!!!!! REMEMBER, SURGERY IS HOW HE/SHE MAKES A PROFIT $$$, NOT BY REFERRING YOU TO PHYSICAL THERAPY.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hi JS, Yes! If your surgeon is dismissive of your concerns it's important to advocate for yourself and don't underestimate the power of a second opinion. It's important to know what all your options are so that you can make an educated decision regarding your health.

    • @JS-xs5hq
      @JS-xs5hq 9 месяцев назад +1

      @@epmanualphysicaltherapy Thank you for your response and for all the helpful informative videos......your work is much appreciated.

  • @robinjohanson4916
    @robinjohanson4916 9 месяцев назад +6

    So helpful. Thank you for all the data you provide!

  • @kj-sf4md
    @kj-sf4md 9 месяцев назад +5

    I have allergies to everything, very annoying. Talk to a surgeon about a total knee replacement. Ask about being tested for potential allergic reaction to the metal, cement/ adhesive. He told me that internal is different from external allergies. I agreed as i have internal & external allergies. He told me there was no such thing as an allergic reaction to knee replacement parts. My response was, i agree its less common, but does exist, and given my allergic history, and am informing you my allergies i would think we both would want to enter into this with our eyes wide open.
    He leaned in toward me & said, well if thats your mind set, then I'm not your surgeon. Now this dr is #1 in our area. Personally i think he's #1, cause he's cherry picking patients.
    I said, well thank you for your its been most informative. The dr left. assistant in the room, started setting up times, and pre op appointments. I told, didn't you haer him say he wasn't my surgeon,? She said yes, but you need surgery. Maybe, but when a surgeon tells you he's not your surgeon, you believe him. We will never meet again. She was a bit surprised. I never returned to that practice & won't. Never had the replacement either.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  5 месяцев назад +2

      😱...at least he was honest! It's common for surgeons to cherry-pick patients. That's a good thing because then they're not forcing surgeries where they might not be needed.
      Your concern about allergies is completely justified!!! It just sucks when they're not nice about it because then they lose respect with people. That's not the ideal way to build a reputation, but he must be okay with it.
      The best situation is when you can find a confident surgeon who also is respectful and not egotistical...but if you absolutely need to have a surgery done...then taking the confident, disrespectful, & egotistical surgeon might work out for you.
      In your case, with the allergies, a little due diligence goes a long way to avoid having to re-do the surgery. But we truly wish that this interaction has led you to find ways to fix your knee WITHOUT surgery and that it was the best thing for your knee health because you're better off now.

    • @permanentwave
      @permanentwave 5 месяцев назад +1

      Me too with allergies

  • @pvdoug
    @pvdoug 9 месяцев назад +2

    I don't understand your comments about placebo meniscus surgery. What patient in his right mind would agree to that advance? To have your knee cut open for a test study? I don't get it

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  5 месяцев назад

      Hey Doug, these are studies that were done in Europe:
      "Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial" pubmed.ncbi.nlm.nih.gov/28522452/
      This one states, "...the procedure may be associated with accelerated progression of knee osteoarthritis."
      "Arthroscopic Treatment of Degenerative Meniscal Tears and Sham Surgery or Physical Therapy-an Update on the ESCAPE Trial" jamanetwork.com/journals/jamanetworkopen/fullarticle/2794031

  • @BRenda-jd3zj
    @BRenda-jd3zj 9 месяцев назад +4

    My surgeon told me that we would look at the scenarios together in Spring. So your advice is very useful to know what to ask. Thank you.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Renda, we are so glad we could help! Best of luck and let us know how it goes!

  • @parisvale2561
    @parisvale2561 9 месяцев назад +1

    Hi - i have bine on bone on my shoulder and it has been suggested to go for a shoulder replacement i really dont want to but they have given me a review in April is thwre any excercises i can do? Thank you

  • @dr.lalbiakmawiakhiangte3195
    @dr.lalbiakmawiakhiangte3195 9 месяцев назад +4

    good advise...thank you

  • @rucksanavirjee6178
    @rucksanavirjee6178 9 месяцев назад +2

    Such great advice! We definitely need to advocate for our health! Not sure how open minded the surgeons will be. I've put off knee replacement surgery despite my bone-on-bone knees xray. Regular exercises has been the key to my very minimum pain level. I say keep those bones healthy with exercise! Thank you Dr David!!

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад

      Hey Rucksana, thanks!! Functionality is key!! We are sooooo happy to hear you resonated with our message! In case you need it, here is a playlist with tips and exercises for knee arthritis:
      “Knee Arthritis Pain Help”
      ruclips.net/p/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i
      You might also want to learn about our Knee Arthritis Recovery Program:
      epmanualphysicaltherapy.com/knee-arthritis-recovery-program

  • @MeMe-ue8hc
    @MeMe-ue8hc 9 месяцев назад +2

    Thank you for the information. I greatly appreciate it. I currently have a torn meniscus & I'm getting knee injections & I'm dreading for that day to come when I'm told the shots are my last attempt. But I'd like to know information that could possibly help me in that area.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Meme, we are so sorry to hear about your torn meniscus! :-(
      Glad you are here so we can help! A torn meniscus can heal given the proper environment, which means having a better muscle balance while allowing yourself to frequently offload your knees.
      Our playlist “Knee Meniscus Help” contains several videos with exercises and tips that can help you begin fixing this problem:
      ruclips.net/p/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a

  • @permanentwave
    @permanentwave 5 месяцев назад +1

    ALSO as a nurse i have seen MANY knee revisions after total knee replacement from infection etc its better to wait
    Try the UNLOADER knee brace it works !! This guy has a video on it

  • @revathik9225
    @revathik9225 9 месяцев назад +1

    Hello Dr David. I have bought your online knee arthritis recovery PT program 2 months ago, and am slowly going through the exercises suggested there. Thanks for all the info and motivation you provide there - the program is really excellent! I do have a question regarding the program - to complement the PT, you mention chemical and mechanical means, including massage gun, etc. But I wondered why you do not mention about PEMF therapy? Do you think it is not useful? What is your opinion about PEMF for knee arthritis cases?

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  5 месяцев назад

      Hello Revathi! Pulsed ElectroMagnetic Field therapy treatment is a much less known treatment that not many people talk about. It also tends to be a much higher cost coming in at $3,000 USD or more. We don't know of any places to get the treatment done to avoid having to purchase the machine. The treatments we discuss in the Recovery Program are simple to do, cost-effective, and most importantly - we know they help people.
      We're not saying that PEMF does not work - It may work for you to get some relief, just don't let it be a distraction from getting the swelling and pain under control so that you can work on addressing the root muscle imbalance to help the knee arthritis for the long-term.

  • @CaNo173
    @CaNo173 2 месяца назад

    Hi doc, my father aged 69 India, is diagnosed with "Radial tear of posterior root and horn of medial meniscus with oedema / mucoid degeneration of rest of the posterior horn and body of medial meniscus with partial extrusion beyond articular margins.
    Mucoid degeneration of anterior cruciate ligament.
    Chondral thinning and denudation along medial femorotibial condyles and medial patellar facet with subchondral marrow oedema.
    Mild joint effusion."
    Could you please suggest. He is been suggested by doc for surgery.

  • @janismcgovern5067
    @janismcgovern5067 3 месяца назад

    I ama 68 year old female. I broke my kneecap in 5 places from a fall and had surgery where they put a plate and 9 screws and a cerclage to put it back together. After 4 months the surgeon says it is totally healed . I walk every day but at night my knee joint throbs. I had 6 weeks of pt and have good rom but the pain is unbearable at night and I have trouble sleeping. Any advice would be appreciated.

  • @AtagWood
    @AtagWood 7 месяцев назад

    Hi, I watched yourvideo before when I first injured my knee, but I have a question if you don'tmind answering? I finally after almost 5months of PT just got an MRI. The surgeon I talked to said that I have a buckethandle tear and that it will never heal no matter what exercise I do. He said I don't need surgery now because it doesn't hurt but said to come back if it does. I got the feeling that he expects I'll be back in the future. Is there any possibility my knee will heal on it's own? Does that mean my only and best option is to get surgery? Thank you in advance for taking the time to read this

  • @tygruwell2761
    @tygruwell2761 7 месяцев назад

    I am 24 years old and I have small oblique tear in my meniscus. I don’t know if I should get surgery or not. Can I recover fully from this injury? And can I ever run again?

  • @johnperez2898
    @johnperez2898 9 месяцев назад +1

    I have bone on bone on my knee two doctors recommended knee replacement is there anything else out there for me or get the knee replacement TY

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey John! Great question, we generally urge people to exhaust all other possible treatment options before making a big decision to have surgery - as having surgery is not always guaranteed to fix the problem. One thing to consider is that at El Paso Manual Physical Therapy we specialize in helping people avoid unnecessary injections & surgery while traditional physical therapy tends to focus on healing post-surgery. Because of this, the information we provide will be different versus traditional physical therapy advice.
      When it comes to knee conditions and muscle imbalances, the hamstrings and quads tend to be more dominant, like the heavier side of the seesaw. This can put excess pressure on the knee joint, leading to discomfort and potential issues. Our suggestion is to focus on strengthening the glutes and engaging the core muscles, which act as the other side of the seesaw, helping to restore balance and reduce strain on the knee.
      Here are some exercises you could consider doing to help with your knee issues:
      “Top 5 Glute Muscle Exercises For Knee Pain”
      ruclips.net/video/NXdCjT2QtJA/видео.html
      “Top 6 Standing Glute Exercises To Help Knee Pain”
      ruclips.net/video/jD7IRBfJ-mM/видео.html
      “3 Big Reasons Your Glute Muscles Won’t Work Well For You”
      ruclips.net/video/TamXorqxCAk/видео.html
      We hope this helps, please keep us updated on your progress🙌

    • @permanentwave
      @permanentwave 5 месяцев назад

      Try UNLOADER KNEE BRACE IT HAS CHANGED EVERYTHING AND WORKED IMMEDIATELY THIS GUY HAS A VIDEO ON IT TOO

  • @gozt1703
    @gozt1703 8 месяцев назад

    Hi dr , my mri report shows grade 3 complex posterior horn miniscus tear , only the starting 2 days were the painfull one and from the 3rd day i can fully bend and starraigten the leg with a slight discomfort but no pain , dr suggests me to go through a surgery... What should i do in your opinion? I play football and want to continue that .

  • @snowflower3456
    @snowflower3456 9 месяцев назад

    I am 43.I have had 3 knee surgeries so far,torn ligament and 3 times loose cartalige.
    I have got told by 3 ortpedic doctors last year that i need full knee replacent.The 4th one is a "celebrity" ortopedics said i only need my knee to be "cleared" with endoscopy.
    I had knee injection which only helped 3month with my terrible knee pain.
    I am 5'2 tall and 11stn.Would loosing weight help to reduce knee pain.My knee is bone to bone now.Could i avoid full knee replacement?
    The doctors said im still very young for knee replacent
    But
    How can i live with this terrible knee pain for another 10 -15yrs for fixing my knee
    I would appreciate any advice professional and/or personal experince
    Thank you

    • @permanentwave
      @permanentwave 5 месяцев назад

      Unloader knee brace will help

  • @barrysmith8193
    @barrysmith8193 6 месяцев назад

    One of the best narratives on pre surgery questions. The doctor that you are hiring is no different than hiring any expert. Be they a plumber, an accountant, or whoever. You are considering a very challenging task. This the time to put together a team of proven experts who are experts in their field. Make no mistake about it…you are also a member of that team. I grew up in a family whose policy is and we firmly believed “anything worth doing is worth hiring experts to do it”. This is a team effort that you can’t just erase if you chose the wrong team.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 месяцев назад

      Hi Barry, Thank you for your thoughtful comment! You've brought up an excellent point about the importance of assembling a skilled team before surgery. Your analogy of hiring experts, whether it's a plumber or an accountant, really resonates. We appreciate your wise words and encouragement.
      It's true that this decision is a significant one, and your thoughts on the team effort required are spot on. Your family's policy of "anything worth doing is worth hiring experts to do it" is a valuable perspective, and it's great to hear your approach.
      We appreciate you!

  • @norbertosoto3733
    @norbertosoto3733 9 месяцев назад

    I have tried everything including a shot in the knee im going tomorrow to see the surgeon my pain management doctor referred me to see a surgeon

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Norberto, we are so sorry you've been dealing with painful knee arthritis :-( But we are glad you are here so we can help you!
      First, we need to understand that shots and medications are a short term solution. As long as the underlying problem is not addressed, things won't start moving in the right direction. Fixing your root muscle imbalance can take some time, but it's worth the time and effort. If you'd like to learn more, here is a playlist with all of our content on knee arthritis exercises and tips:
      “Knee Arthritis Pain Help”
      ruclips.net/p/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i
      You might also want to learn about our Knee Arthritis Recovery Program:
      epmanualphysicaltherapy.com/knee-arthritis-recovery-program

    • @norbertosoto3733
      @norbertosoto3733 9 месяцев назад

      @@epmanualphysicaltherapy thank you for your response I just went to the surgeon today and we decided that it's best for me to have a hip replacement so he's going to do the paperwork for the insurance and schedule a surgery date as to my knee I have to find a knee surgeon and see what they decide again thank you sir

  • @cyndilu9
    @cyndilu9 9 месяцев назад

    Thank you!!🙏

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Rose, you are very welcome! :-) Here is a playlist with more information on knee arthritis in case you need it:
      “Knee Arthritis Pain Help”
      ruclips.net/p/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i

    • @cyndilu9
      @cyndilu9 9 месяцев назад

      @@epmanualphysicaltherapy great- I can use it!❤️🙏🩵