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Saturday, August 29, 2009

Arthroscopy and You

By Dr. Richard Edelson

The Steps of An Orthopedic Knee Evaluation

Initially, you will see your family doctor about your knee problems. He or she will probably give you a referral to an orthopedic surgeon. When you see the orthopedic surgeon, three steps will be taken. You will give your medical history. You will receive a physical examination. Some tests will be ordered.

Your medical history will involve questions about your knee problems as well as questions about your general health and lifestyle.

The main focus of your physical examination will be your knee and your leg. The orthopedic surgeon will examine your knee to evaluate its stability, strength, and ROM (range of motion). He or she will also look at the alignment of your leg.

The tests that will be ordered for you will probably include blood tests that will help determine the presence of arthritis. Additionally, your orthopedic surgeon will order x-rays and perhaps an MRI (magnetic resonance imaging). The latter will provide more in-depth information about the soft tissues of your knee. The type of images taken by the MRI (magnetic resonance imaging) differ from x-rays in that they are gathered using sound waves.

The orthopedic surgeon will discuss the results of your testing with you and help you to decide what route to take in dealing with your knee problems. He or she will explain your options. They will probably include medication as well as several types of surgery. Arthroscopy will probably be one of your options.

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Any risks that may be involved in the procedures available to you will be explained at this time.

Arthroscopy is very likely to be recommended to you. It is the technique of choice under a number of circumstances, including: Exhaustion of options. If you have tried knee supports, medications, physical therapy, and a number of other things without relief, surgery with arthroscopy is a good choice. Additionally, if you are simply afraid to do the things you need to do because your knee hurts constantly, is swollen, gives out on you, catches, and is just generally undependable and painful, arthroscopy could certainly be your answer.

Indeed, it is the answer to a lot of knee problems in a lot of patients. It is usually used on people in the broad range of twenty to sixty years old, but it has been used on very young children and very old seniors with tremendous success as well.

Preparing Yourself for Arthroscopy

Once your decision is made, your orthopedic surgeon will send you back to your physician for a complete physical. By doing this, you will be sure that everything is in good working order, and you will know about anything that may cause complications before your surgery.

Your doctor may do more tests at the request of the orthopedic surgeon. Sometimes a cardiogram is done. Sometimes more blood work is called for. In general, anything that will clarify your general condition so that your treatment can be exactly right for you, will be done.

If you are taking any medications or nutritional supplements, be sure to inform your doctor and your orthopedic surgeon so that they can instruct you properly as to what you must discontinue before your procedure. - 17268

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