Considering the crisis our country is in regarding the cost of health care, strong consideration needs to be taken regarding the current ways of practicing medicine. All too often aggressive means of handling problems are recommended before considering more conservative measures that may be just as successful. Consider the following:
A study in the New England Journal of Medicine concluded that there was no difference in patient-reported pain, stiffness, and function between a group that had knee surgery and physical therapy versus a group that just had physical therapy & medical management for knee arthritis at a 2 year follow up period.1
1. Kirkley A, Birmingham TB, Litchfield RB, et al. A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee. N Engl J Med. 2008; 359:1097-1107.