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Arthroscopy knee surgery

Real versus a Sham procedure.

Arthroscopy knee surgery is the most common surgical procedure for knee pain and osteoarthritis, yet research casts considerable doubt on the operation. Chiropractic philosophy recommends conservative care before such drastic measures.

In 1995, one hundred and eighty patients with obdurate knee pain that would not respond to six months of medical treatment, were operated on by one highly experienced orthopaedic doctor - the US National Basketball Association surgeon. Patients were divided into three groups.





  1. The lavage group was treated with 10 litres of fluid with minimal debridement.

  2. The debridement group had all loose debris removed and the remaining meniscus was shaved, following by lavage.

  3. A placebo group was treated with a sham operation in which the usual incisions were made.

All three groups were treated with the exact same post-operative care, and were followed for a two year period.

RESULTS

The placebo group did better or, as well as, the lavage and debridement groups, both in terms of improved function and pain relief.

At several times during the two year follow-up period, the debridement group did significantly worse than the placebo group.

Reference: Arthrosocopic Surgery for Osteoarthritis of the knee, NEJM 374.


LATERAL KNEE PAIN

A friction rub pain syndrome of the ITB is a fairly frequent cause of non-traumatic lateral knee pain. ie first rule out torn ligaments or a torn meniscus. More here about the Iliotibial Band stretch exercise. ILIOTIBIAL BAND STRETCH ...

Knee-cap pain. PATELLO FEMORAL PAIN SYNDROME PFPS ...

Knee-cap pain is a common complaint in the practice. Usually it comes on after a fall onto the knee or after much stair or mountain climbing.

The cartilage on the undersurface of the patella as it is called is prone wear and tear. Calcium crystals collect causing a grinding sound.

The diagnosis for PFPS is Clarkes Test. It must be done very gently, because when positive... OUCH! PFPS is very treatable with chiropractic care.


PATELLO FEMORAL PAIN SYNDROME ...

CLARKES TEST...



IATROGENIC ILLNESS (doctor-caused disease)

Whilst no chiropractor could even contemplate s/he could supplant the excellent orthopaedic surgeon, there is enough research to suggest that before considering surgery for the knee, a consultation with your chiropractor may be the sensible thing to do. IATROGENIC ILLNESS …


USEFUL LINKS

  • ALZHEIMERS AND EXERCISE.

  • HIP ARTHRITIS often causes knee pain.

  • FOOT PAIN.

    Return from Arthroscopy knee surgery to PATELLO FEMORAL PAIN SYNDROME

    Go from Arthroscopy knee surgery to CHIROPRACTIC HELP home page …

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