When shoulder impingement needs a specialist assessmentArthroscopic shouldersurgeryproduces no clinically meaningful benefit over physiotherapy, according to landmark trials—yet one-third of patients proceed tosurgerywithout attempting conservative care first.Arthroscopic shoulder surgery produces no clinically meaningful benefit over physiotherapy, according to landmark trials—yet one-third of patients proceed to surgery without attempting conservative care first.
OATS or OCA for knee cartilage repairrepairs, but prior failedsurgeryor subchondral bone lossrepairs, but prior failed surgery or subchondral bone loss
Who to see first for back pain and sciaticaUp to 90% of sciatica cases resolve withoutsurgerywithin weeks to months, and the evidence points to starting with physiotherapy, not a pain consultant or surgeon.Up to 90% of sciatica cases resolve without surgery within weeks to months, and the evidence points to starting with physiotherapy, not a pain consultant or surgeon.
Physiotherapist or surgeon first for a meniscus tearFor most meniscus tears, physiotherapy is the evidence-supported first step;surgeryis reserved for locked knees, persistent instability, or severe acute injuries that fail to settle.For most meniscus tears, physiotherapy is the evidence-supported first step; surgery is reserved for locked knees, persistent instability, or severe acute injuries that fail to settle.
Who treats rotator cuff tears on the NHSRotator cuffsurgeryis done by aRotator cuff surgery is done by a
Which specialist to see first for sudden wrist painThe right specialist for wrist pain depends on symptom type: inflammatory symptoms point to rheumatology, mechanical symptoms to orthopaedicsurgery, overuse symptoms to physiotherapy.The right specialist for wrist pain depends on symptom type: inflammatory symptoms point to rheumatology, mechanical symptoms to orthopaedic surgery, overuse symptoms to physiotherapy.
Which specialist to see for a meniscus teartears, recent evidence showssurgeryoffers no advantage overtears, recent evidence shows surgery offers no advantage over
Single-stage or two-stage cartilage repair1.5–2 cm² suit single-stagesurgery, those of 2–4 cm²1.5–2 cm² suit single-stage surgery, those of 2–4 cm²
When and How to Safely Start Stretching After Achilles Tendon Repairof the ankle. Whilesurgeryis effective in restoringof the ankle. While surgery is effective in restoring
When Knee Alignment Must Come Before Cartilage Repairexpert guidance mandates combinedsurgeryabove 3° varus andexpert guidance mandates combined surgery above 3° varus and
Who treats shoulder impingement syndrome in the UKthrough corticosteroid injections, thensurgeryonly for those unresponsivethrough corticosteroid injections, then surgery only for those unresponsive
ACL Repair Procedures Recovery and Expert CareACL repairsurgery, led by experts likeACL repair surgery, led by experts like