Do common musculoskeletal surgical procedures produce better pain relief than no surgery?
Sure, musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain — such as knee, shoulder, wrist, neck, or back pain — even patients with objective changes on imaging that scream out for intervention, will not, on average, have better long-term pain relief with surgery as compared with no surgery. Most of the studies were not masked and there should have been a placebo effect to bolster a difference in pain relief between surgery and no surgery. As with any intervention, some people will benefit from surgery, but, on average, patients won’t be better off.
- How do ibuprofen, ketorolac, and diclofenac compare for the treatment of acute, nonradicular low back pain in adults?
- Is there an association between gastric cancer and the use of proton pump inhibitors?
- Is leukocyte-rich plasma less effective than leukocyte-poor plasma when injected into the knees of adults with osteoarthritis?
- Is an intramuscular glucocorticoid injection noninferior to an intra-articular glucocorticoid injection in reducing knee pain in adults with knee osteoarthritis?
- Are postoperative opioids more effective than nonopioids in reducing pain after minor or moderate surgical procedures?
Leave A Comment