Surgeon's Record February 11, 2025
A 55-year-old patient walks into an orthopedic clinic with knee pain. He’s overweight, has borderline diabetes, and struggles to stay active. He’s tried injections, physical therapy, and over-the-counter meds. Now he’s being told he needs a knee replacement.
Surgery goes well. Post-op x-rays look perfect. The patient recovers.
Yet months later, he’s still in pain and dissatisfied with his outcome.
This scenario isn’t rare, occurring in about 10% of patients.
In the past, musculoskeletal care has treated problems as if they exist in a vacuum — disconnected from other body systems. We wait until someone’s arthritis is bad enough for surgery, then we operate. We tell patients to lose weight, stop smoking, and improve their diets...
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