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Thursday, September 10, 2009

What You Should Know About Arthroscopy

By Dr. Richard Edelson

The Steps of An Orthopedic Knee Evaluation

First things first: See your M.D. for a referral to an orthopedic surgeon. Once you have done this, you will set an appointment for an evaluation of your knee problem. Your orthopedic surgeon will do three things at your initial appointment: Conduct a medical history, complete a physical examination, and order some tests.

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

Your physical examination will mostly be focused on your leg and knee. Your orthopedic surgeon will evaluate the overall alignment of your leg and determine the ROM (range of motion) of your knee as well as its muscle strength and its stability.

Once these steps are done, the orthopedic surgeon will send you for testing. You are likely to have some blood testing done. This will help detect the presence of arthritis. You will probably also have some x-rays as well as an MRI (magnetic resonance imaging). It is necessary to get both kinds of images because they provide different types of information. X-rays provide information about bones. The MRI (magnetic resonance imaging) provides information about soft tissues.

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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Your orthopedic surgeon will review any risks involved in the options available to you.

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

When you have made your final decision to proceed with arthroscopy, your orthopedic surgeon will probably refer you back to your family doctor for a complete physical examination. By doing this, you will be fully informed about your overall health before undergoing surgery. If there are any problems that may interfere, they will be found during this complete physical examination.

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 over-the-counter products such as medications or supplements, remember to let your doctor and your orthopedic surgeon know about it. If you need to discontinue any of these products before surgery, they will inform you. - 17268

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