Why We Shouldn't Routinely MRI Knees and Shoulders
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- เผยแพร่เมื่อ 15 ก.ย. 2018
- When should we MRI your shoulder or knee? Should we MRI everyone? Do you realize the almost no one over 40 has a "normal" MRI? If you find out something is "torn", but your knee pain or shoulder pain isn't severe then there is the potential for over-treatment (surgery recommended, but not needed). There is also the potential for "harm"... because you now know someone might be abnormal in your knee and shoulder, but you have little or no pain after physical therapy. Now, it's in the back of your mind that something is not normal and it could dramatically affect your activities.
What % of pain-free individuals are walking around with meniscus tears, rotator cuff tears, and disc abnormalities in their spine??
#DrHowardLuks
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Amen, brother! As a fellow (conservative) orthopedic surgeon, I feel like I am constantly talking patients OUT of getting an MRI (or explaining age related changes on their MRI that someone else ordered.) Feels like an uphill battle. I am afraid we will end up like the ER where ANY trauma gets a CT. Maybe I will just provide my patients with this link for your video!
You are my kind of person- a straight shooter. Thanks doc.
No angry comments here, Dr. Luks. Instead, I thank you for helping confirm what I hoped to be true.
Recently, I had a shoulder MRI and was told I have 3 tears between my shoulder blade and rotary cuff. (49 yrs old) When l asked the orthopedic dr to show me the MRI results she refused and claimed she didn't know how to read them herself and since there were 100's of images, it would be hard and confusing to understand. Although she didn't refer me to immediate surgery, she also claimed my injuries (unkown but lasting 2+ yr) wouldn't just heal on their own.
Now I am no doctor, but I beg to differ regarding that statement. Mind over Matter might sound like Madness to Most, but I truly believe we as humans have the capability of healing ourselves when we Believe it's possible!!
At first, I was a little upset when my dr wouldn't show me the MRI, but now I'm glad I didn't see them firsthand.
I also don't think a doctor has a right to give a patient an expiration date, even if they have stage 4 cancer. Miracles are possible! Anywho, let's save that conversation for another time...
Thanks again, Dr. Luks for keeping things real and offering honest advice that didn't benefit your pocketbook.
Very helpful Dr. Luks....thank you.
I had a meniscus tear (from tennis), had the surgery and was playing tennis again within a month. (The knee took a full 4 months to fully heal however post-surgery). Now about 8 years later (age 57) I'm having trouble with my right shoulder (from tennis again). I've had the discomfort for going on 3 yrs now..Not resolving. I'm sure it's from 45+ yrs of competitive tennis tournaments etc.and the wear and tear... BUT, I've given up tennis and I'm playing Pickleball which doesn't require the overhead tennis service motion which is so hard on the joint. But Pickleball is hard on the hips and knees I'm afraid so be careful if you're thinking about taking it up!
I forgot to mention, with this shoulder injury from decades of tennis (likely "wear and tear") I will likely NOT get an MRI. I'd love a quick fix but gotta face reality. Stretching and strengthening HAS helped.
We have the same kind of mentality in Bulgaria. People are always rushing to get the best possible tool or treatment to get better. In most of the time when you recommend a wait and see approach patients are thinking you can't help them or you don't know what to do.
Thank you for this video! Very informative! I feel reassured.
Fantastic video!
Grateful for this info, which really puts my mind at ease about a current knee issue and will help me to make more informed medical decisions in the future. Thank you!
Good information thanks doc
Thanks. Very helpful. I have a degenerative medial meniscus tear of the posterior horn with some mild arthritis and have put off surgery as I slowly get better with time and physiotherapy.
thank you so much!!!!!
I absolutely like the way you explain this. I had a partial rotator cuff repair due to an accident. I had the repair about one year after the accident. 2 weeks before the surgery, my other shoulder started being really painful. I talked about it to the physiotherapist that says it s likely due to overuse because it s been compensating for a year. I ll give it time and PT before asking for an MRI. It s been about 2 months now.I m 39.
Thank you very interesting have subscribed
Excellent .. very happy you found it interesting ! :-)
Thanks doc, my left knee starting "buckling" about once a week for 5 years, didn't think anything of it, recently buckled and was inflamed and haven't been able to straighten it while walking but can slowly climb stairs without pain. Sounding like a meniscus tear? I'll have an MRI soon but won't rush into an operation without trying less invasive therapies...
Doc, I am 60, female, diabetic and have had shoulder pain for 5 Mo this and mri has shown complex grade 3/4 slap tear. I wnent to 3 ortho surgeons and they have all recommended surgery. I didn’t go got it and I tried a whole bunch of alternate therapies including myofascial theatapy but pain persists. Should I get surgery?
great content, watching at 1.5 speed :)
Thanks :-) I do need to work on my pace :-)
Why We Shouldn't Routinely MRI Knees and Shoulders?? The real question is why you should stay away from surgeons. To a person with a hammer everything is a nail. Once you have had knee surgery youre fucked stay away from it. The surgeon know it, it just you the mark (patient) who does not know it