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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.
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The lavage group was treated with 10 litres of fluid with minimal debridement.
The debridement group had all loose debris removed and the remaining meniscus was shaved, following by lavage.
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 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 ...
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 …
CHIROPRACTIC COALFACE
Mr S, an 79-year old man consulted me yesterday after having had arthroscopy knee surgery after an unfortunate accident. His car hit a cow on the road in the dark, and his knee met the dashboard by accident. There was no immediate pain, but a week later it swelled up alarmingly.
A month later he went under the knife by one of the region's top orthopaedic surgeons, but to no avail. There was absolutely no improvement. He walks with a severe limp and a cane... having had no knee problems prior to the accident.
Yesterday, he had a severe show of black blood in the stool... a haemorrhage from the stomach of blood caused by the anti inflammatory drugs.
ANTI INFLAMMATORY DRUGS ...
We'll see how he fares with Chiropractic care.
UPDATE: The initial response was excellent, about 60% less pain in two weeks. Then he went on holiday and I never saw him again until recently at a wedding. He's battling again.
I obviously never impressed on him the need for an occasional regular treatment. Otherwise, most severe and chronic conditions gradually relapse again. My fault! Plus he lives 130km away.
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I'm not looking here for funny stories. That we'll find a place for elsewhere, and you can find an abundance of them in my books at Bernard-Preston.com. James Herriott genre books.
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You see, we Chiropractors can learn from your feedback, both positive and negative.