HIP PAIN
Severe arthrosis can be treated with endoprosthesis and results are generally good if you don't get a complication. Otherwise treatment is about exercise and weigh control. Hip joint pain is usually felt in the groin and increases with rotating pain. Buttock pain can be radiculating from the back.
Fracture treatment is mainly operative and urgent.
Nostr Surgeon
nostrsurgeon@snort.social
npub1ns00...tdz6
Two decades as a orthopaedics/trauma consultant. Post me your case and I'll tell you if surgery is indicated. Low time preference surgical opinions. A medical advice, but from a nym..
Knee:
Non traumatic problems beginning with normal movement should mainly be treated conservatively.
Arthrosis and meniscal degeneration is to be treated by you!
Low time preference option. Loose weight, exercise. Cycling helps by stimulating the tissues and cartilage widely.
Cleansing operations with arthroscopy. Might give short help, but wont last more than months and there’s evidence it might make it worse.
Only in severe arthrosis can a surgeon help. With extreme KL class III or more artrosis long time help is possible with endoprosthesis, but risky.
True traumatic meniscal or ligament problems with instability need surgical consideration.
Fracture treatment is mainly operative. Seek advice if you get a fracture.
SHOULDER surgery in a nutshell
Shoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough.
Low time preference: Exercise, physical therapy. Have patience to wait until it gets better.
Trauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time.
Instability surgery gives good results in anterior instability.
AC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option.
Fracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly.
#docchain
I'll post few short surgical educated opinions irregularly.
Happy to find disagreeing and fight.
BACK PAIN
Dealing with back pain can be challenging, and surgery isn't the best solution. In most cases, surgery does not offer the relief you're hoping for and could even lead to future complications. It's generally recommended for severe deformities, leg pain(radicular pain) or muscle weakness (paresis), stemming from nerve compression.
For most other situations, regular exercise and avoiding smoking can be more beneficial.
If you're experiencing radicular pain or have urgent concerns like paresis, it's a good idea to consult a surgeon for advice. As for fractures, they're usually treated with non-surgical methods, but a surgical evaluation is necessary in most cases.
Call to arms!
Freedom inclined medical professionals need to create nostr profiles for medical consultation. Lets build a way to get educated non fiat induced health advice. We all need it.
Get your specialty mentioned in that profile.
Low time preference surgical treatment
Man’s Impatience In Health and Opportunity to Invest In It.
High time preference and incentive models have failed society and permeates medical treatment. Health responsibility is externalized. We want immediate help without own contribution. Impatience makes you feel something needs to be done, even if it results in more suffering in the long run.
Non scientific approach appeals to many. Age is medicalized. Industry and doctors are incentivized to treat it, but uncomfortable truth remains. We degenerate and reversing age processes is not yet possible though you can slow it down. We can only replace aging tissues in very limited cases with simple mechanical devices. There also exists some old low time preference knowledge, but it’s hard to measure with scientific methods, and has to be distinguished from snake oils and easy to sell remedies.
Signal:
Self responsibility. You are the best health provider for yourself. Exercise diligently, eat enough, but not too much. If you get problems nature is mostly the best healer. Get proper exercise advice in specific problems. Sometimes chronic pain exists but there’s no better option, and you’ll have to accept suffering. Most problems get better with time.
Surgical and medical treatment is indicated and helps in certain conditions. Seek proper advice to be able to recognize those.