Knives Out: The Finale-Session Presentation

Video Transcription

Video Summary

The final session of the series on musculoskeletal care focuses on case presentations and the decision of whether to opt for surgery or non-surgical management. Four experts present different cases, including a 60-year-old tennis player with a rotator cuff tear and a 35-year-old female with hip pain. The importance of understanding the patient's functional goals and considering the potential outcomes and risks of surgery is emphasized. Conservative approaches such as physical therapy and injection therapies are also discussed. The management of pain is highlighted, with a focus on understanding the patient's neurologic exam and intervening based on the severity of symptoms. Factors such as the impact of pain on sleep and weakness development over time are considered. The importance of open discussions with patients about their comfort level and the impact of delaying surgery is emphasized. The decision to proceed with epidural steroid injections is based on the effectiveness of oral medications and the patient's ability to tolerate physical therapy. The timing of injections and the goal of finding a position of comfort for the patient are also discussed. In the case of an ACL tear, the decision to proceed with surgical repair depends on the individual's goals and activity level, with non-operative rehabilitation also producing satisfactory outcomes. The decision should be based on the patient's preferences and desired activity level. In conclusion, the choice between surgical and non-surgical options depends on the patient's goals and understanding that both can lead to similar long-term outcomes.

Keywords

musculoskeletal care

surgery

non-surgical management

rotator cuff tear

hip pain

conservative approaches

pain management

patient preferences

physical therapy

injection therapies

ACL tear