Unnecessary SurgeryNovember 15, 2017
Researchers are advising doctors that they must carefully examine and look for hip joint deterioration before giving a recommendation for back and knee surgery.
Why? Doctors may be performing unnecessary surgery.
A study published in the medical journal Modern Rheumatology, discussed the complexity of hip pain and its far-reaching influence into other areas of the body.
In this study, distribution of pain originating in the hip was:
- 89 % of patients had groin pain that could be misinterpreted
- 38% of patients had buttock pain that could be misinterpreted
- 33 % of patients had pain in front of thigh buttock pain that could be misinterpreted
- 29 % of patients had knee pain that could be misinterpreted
- 27 % of patients had greater trochanter pain that could be misinterpreted
- 17 % of patients had low back pain that could be misinterpreted
- and 8 % of patients had lower leg pain that could be misinterpreted. 1
The possibilities in this study for surgical error, performing surgery on what is not causing pain, was significant.
Here is another interesting study out of the United Kingdom. Writing in the medical journal International Orthopaedics, researchers sought to explain why “up to 20% (of total knee replacement patients) complain of persisting pain.”
At Lister General Hospital in the United Kingdom, doctors looked at Forty-five consecutive patients with painful total knee replacement. Of the 45 patients, one-third, 15 patients had degenerative hip and lumbar spine disease. Nine patients had unexplained pain.
The doctors concluded: “Patients may still be undergoing knee arthroplasty for degenerative lumbar spine and hip osteoarthritis. We suggest heightened awareness at pre- and post-operative assessment and thorough history and examination with the use of diagnostic injections to identify the cause of pain if there is doubt.” 2
In a 2017 study published in the journal Clinical Orthopedic Surgery, doctors made this remarkable discovery:
In patients with pain after knee replacement, where problems in the replaced knee were ruled out, 25.6% of the patients in the study were found to have nerve entrapment in the spine, 15.4% were found to have hip osteoarthritis or femoral head avascular necrosis. 3
At the Magaziner Center for Wellness we understand that the term “referred pain.” Referred pain is defined as pain perceived at a location other than the site of the painful stimulus. For instance, a nerve or ligament problem in the spine which is causing pain in the lower extremities. This is why a thorough physical examination is necessary to determine the patient’s true cause of pain.
Before surgery, please consider an appointment to help make sure the true source of your pain is identified.
Why have surgery if surgery is not actually needed?
Contact us today at drmagaziner.com for a consultation and/or more information.
1. Nakamura J, Oinuma K, Ohtori S, et al. Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip. Mod Rheumatol. 2012 Apr 11. [Epub ahead of print]
2. Al-Hadithy N, Rozati H, Sewell MD, Dodds AL, Brooks P, Chatoo M. Causes of a painful total knee arthroplasty. Are patients still receiving total knee arthroplasty for extrinsic pathologies? Int Orthop. 2012 Jan 11. [Epub ahead of print]
3. Lim, H.-A., Song, E.-K., Seon, J.-K., Park, K.-S., Shin, Y.-J., & Yang, H.-Y. (2017). Causes of Aseptic Persistent Pain after Total Knee Arthroplasty. Clinics in Orthopedic Surgery, 9(1), 50–56. http://doi.org/10.4055/cios.2017.9.1.50