Guide | July 21, 2020

Is there still too much surgery?

This is a highly complex issue that is the subject of wide-ranging debate. Whether we perform too many surgeries or not is a question that will never be fully resolved. There are simply too many factors at play. 

First things first: in the following text, we will focus exclusively on surgeries involving the musculoskeletal system—that is, orthopedic surgeries on the spine, shoulders, knees, and hips that are not the result of an accident.

In Germany, approximately 510,000 patients undergo spinal surgery each year; just under 240,000 receive a new hip, 200,000 undergo meniscus surgery, and approximately 190,500 receive a new knee joint!

Surgery is like anything else. It's good that it exists, but is it really always necessary?

Whether or not surgery is performed depends on several factors. Surgeries generally pay better than outpatient care. 

If there is time pressure, a quick solution may need to be "conjured up"; or, if conservative treatments have been exhausted, surgical intervention is often recommended. 

But when is surgery medically justified? 

To put it simply: When nothing else works! 

On the one hand, if you are experiencing neurological deficits (abnormal sensations)—that is, if you can no longer move your legs, arms, etc., or if you can no longer stand or walk—in order to prevent further structural damage. 

And last but not least, when all conservative measures have been exhausted and the situation still isn't improving. 

Given the wide variety of conditions, patients, perspectives, and doctors, you should always trust your instincts. 

If you're unsure or feel things are moving too fast, don't hesitate to seek a second opinion. This in no way reflects poorly on the doctor; rather, in the best-case scenario, it will help you feel more confident in your decision and give you peace of mind. 

Ultimately, it's all about your health—and nothing else. 

Your ROC Aschheim

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