Why Your MRI Doesn't Mean You Need Surgery | Dr Howard Luks

Orthopaedic surgery often prioritizes surgical intervention, yet clinical evidence frequently supports conservative management for common conditions like meniscus and rotator cuff tears. Many findings on imaging, such as labral fraying or joint space narrowing, represent age-appropriate changes rather than acute pathology requiring surgery. Surgeons must distinguish between structural damage and the actual source of patient pain, as surgery is not always superior to physical therapy or exercise. Metabolic health, including inflammation levels and blood sugar control, significantly influences healing outcomes, making prehab and lifestyle modifications essential components of recovery. Furthermore, the over-reliance on terms like "bone-on-bone" can unnecessarily discourage patients from maintaining physical activity, which is vital for long-term joint health. Ultimately, effective orthopaedic care requires a patient-centric approach that integrates clinical history, physical examination, and evidence-based decision-making rather than relying solely on diagnostic imaging.