Orthopedic surgery vs sports medicine
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Which one of these "specialties" is better for climbing-related injuries? |
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Absolutely, go talk to a sports medicine doc, ideally one who is physically active. They tend to get it more than somebody whose idea of physical fitness is the ability to sit at your computer all day. I don't know where you are, but if you're in or near Boulder, you are surrounded by competent folks. |
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Uh, sounds like a misconception, it's not either/or... or you just went to the wrong doc. |
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See a good physical therapist. Many injuries, including those with clear trauma to tissues, can be resolved non-operatively. Half of my referrals come from 'sports medicine docs,' anyways, so skip the middle man if you can and go straight to your physical therapist. |
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I personally had an olympic orthopedic surgeon fix rotary cuff, labrum and ac joint repair almost fully torn from car accident, the best way for significant damage is surgery with religious physical therapy and a pain threshold high enough to not puss out. |
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Jake Jones wrote:no ortho worth a damn will make a diagnosis on an xray alone. I agree with the "wrong doc" assessment. If you have decent insurance, switch docs and get an MRI first.Orthopedists can certainly make a diagnosis without MRI. There are certain indications during the exam that he/she looks for that would justify the need for imaging, but many presentations of knee pain simply do not justify imaging. Part of the decision making has to also take into account the very high prevalence of MRI findings in patients with no symptoms, and the equally high prevalence of patients presenting with knee pain that have no findings on MRI. It's a complex issue that ultimately costs the health care system a lot of money. Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: population based observational study |
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Jake, unfortunately OCD is rare and presents identical to more common and benign injuries so your opinion is certainly justified. Best of luck with your rehab. |
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1. Second opinion from knee-specialist ortho doc |
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No, I did not get an MRI, only xrays. Seems like the consensus is it's worth getting a second opinion. |
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In my (biased) opinion, a good PT should be where everyone starts for musculoskeletal issues or pain. They will do more than just ultrasound you, ESTIM you, and hand you some exercises. They should also be more than capable of determining if referral to another provider is necessary. You don't need imaging first thing, and it may even lead to over treatment (like unnecessary and expensive injections or surgery.) |
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Jawon wrote: Not looking forward to rehab... I know from past exp I'm too lazy for that.You reap what you sow. If you need rehab and don't do the work, seems the first doc was right. May as well live with it. |
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Disregard the idea of a "sports medicine doc." And contrary to a few of the above opinions I believe that you need to diagnose an injury (MRI) before you can rehab it (PT). |
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I was lucky in NC. My primary care provider was a sports medicine doc. Wake Forest houses the sports med in the family practice offices. |
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I agree with Zirkel - you should get the MRI done first so you can receive your diagnosis, then get the appropriate PT done. |