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April 12 2008
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Surgery Does Little for Arthritic Knees

knee scanTrimming damaged tissue through arthroscopic knee surgery does not relive pain and swelling in arthritic knees any better than simply flushing loose debris from the joint, according to new research.

The findings are based on three randomized studies, one of which found the treatments produced similar results in pain and physical function after two years. The other two studies produced low-quality evidence, according to researchers.

Potential side effects of arthroscopic surgery include a risk of infection and blood clots. Further, the surgery does not stop the progression of osteoarthritis, and symptoms are likely to return over time.

Osteoarthritis is a progressive disease that affects your hands, hips, shoulders and knees, especially in older people. The condition causes joint cartilage to break down, and loose bits of tissue can then cause pain, swelling and poor joint function.

Dr. MercolaDr. Mercola's Comments:

Arthroscopic knee surgery is one of the most unnecessary and useless surgeries out there. It works no better than a placebo surgery, and the proof of this was published in one of the most well-respected medical journals on the planet.

Despite this monumental finding, and numerous studies like the one above, 650,000 people in the United States undergo arthroscopic knee surgery every year. And with a cost of about $5,000 per procedure, that adds up to over $3 billion every year spent on a needless and non beneficial surgery.

What is Osteoarthritis?

Often, what prompts people to receive arthroscopic surgery is osteoarthritis, a degenerative joint disease in which the cartilage that covers the ends of the bones in your joint deteriorates, causing bone to rub against bone, and leading to pain and loss of movement.

This is the most common form of arthritis in the United States, and usually occurs in the older age group. It is more frequent in women than in men. The disease results from structural changes in the articular cartilage in the joints, usually those that are weight-bearing such as your spine and knees.

Potential contributing factors to this condition include:

  • Obesity
  • Nutritional deficiencies
  • Continuous physical stress
  • Glandular insufficiency
  • Shortage of hydrochloric acid

Natural Options for Treating Osteoarthritis

Surgery is the absolute LAST option to consider if you’re feeling pain and stiffness in your joints due to osteoarthritis. Again, please carefully review the major study that found arthroscopic surgery to work no better than placebo.

The patients truly believed that this expensive, invasive procedure would fix their problem, and superficially it appeared to do just that. But the same thing happened with those who received the placebo -- a placebo unknown to them, of course.

What really healed their bodies were their own minds.

This is amazing testimony to the power your brain has at inducing healing changes in your body. Remember that whatever you focus your conscious attention on in the real world will typically be achieved. That is precisely what happened with this study.

So here you have a real world study, published in a respected journal, providing the theoretical underpinnings of why the Emotional Freedom Technique (EFT), and the principles of The New Biology, work. So in dealing with pain, don’t underestimate the power of your mind -- check out my EFT page to find out how you can begin to harness its power.

Also, for a good look at how EFT can help arthritis see 22 Years of Pain from Degenerative Arthritis Gone after Persistent EFT.

And, to help with the structural issues that can contribute to osteoarthritis, here are my top recommendations:


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Community Comments ( 36 )
Comment on this Article
  
  
Dekalb
[ Joined on 06/06 ] [ Posted on March 20, 2008 ]
17 Points        
   
 
Savvy User
The surgery won't help your arthritis, but it sure pads alot of bank accounts.
 [ Reply ]
  
  
bassmanpete
[ Joined on 12/06 ] [ Posted on April 12, 2008 ]
7 Points        
   
 
Novice User

Four years ago I damaged a cartilage in my right knee. After several months of limping around, unable to run at all and trying glucosamine, ultrasound, etc I opted for arthroscopic surgery. For two days after the surgery the pain, even with pain killers, was horrendous. Soon though my knee felt as good as ever. Now I can walk for hours at a time and even run again and haven't had a twinge in the knee for over 3 years. Admittedly I didn't have any arthritis, just a torn cartilage.

Regarding the blood clots mentioned in another post, here in Australia the surgeon is required by law to warn you of any possible complications, and the odds of them, before the operation commences.

 [ Reply ]
Mercola
  
Maurine1
[ Joined on 11/06 ]  [ Posted on April 12, 2008]
3 Points        
   
Novice User
  Mercola

I think there is definitely a place for surgery to repair something like a torn cartilage if there is no way it can heal properly on its own. I have had "bum knees" since my teens (they misalign when I kneel) but rather than tamper with them I just don't kneel without a soft pillow. I wouldn't dream of lifting things from bended knee position. (My son may have inherited the knee problem, as he had to use pillows to kneel at the altar when he got married!) I know many women who have had knee surgery and a surprising lot of them are suffering from endless infections as a result. Overweight seems a strong factor in knee pain developing.

Mercola
  
mrose
[ Joined on 09/06 ]  [ Posted on April 13, 2008]
       
   
Novice User
  Mercola

See - I tried to post on the last message board about not all drugs being aweful, but it wasn't allowed.  Here's a good example - Some surgeries do help - they are not all unnecessary, with results that create other problems.  Certainly, I would research and avoid any surgery if at all possible, particularly if something natural would work.   I broke my leg last year and the surgeons first reaction was to put a rod in my leg.  Fortunately my husband was lucid enough (I was under the influence of heavy meds) to ask a few good questions and determined the breaks were clean and could be easy to set easily (non-invasively).  The surgeon was not pleased with his (my husband's) choice, but did as requested.  I have little problems, no rod in my leg and no second surgery pending to remove a rod....

  
  
JFB
[ Joined on 11/07 ] [ Posted on April 12, 2008 ]
3 Points        
   
 
This user is BELOW novice level and all their comments need to be reviewed with great caution.

Mercola's right about athroscopic surgery, and joint replacement surgery is reserved only for the severest of cases.

Does Mercola really think EFT cures osteoarthritis? He can't be serious.

 [ Reply ]
Mercola
  
marisa-sunlight
[ Joined on 06/07 ]  [ Posted on April 16, 2008]
       
   
This user is BELOW novice level and all their comments need to be reviewed with great caution.
  Mercola

JFB,

There is science behind the EFT. Most physical ill health comes from emotional ill health. If you knew more about how stress affects the hormones on the adrenals, which in turn affects digestion, which in turn produces toxins, which in turn leak into the bloodstream and go to joints and degenerate them, you would not be so dismissive of regaining health through getting control over damaging biochemical thoughts. Chech out the new science of psycho-neuro-imunology. Mind and body ARE related, they are not separate. Kind regards

  
  
Alexis
[ Joined on 11/07 ] [ Posted on April 11, 2008 ]
3 Points        
   
 
This user is BELOW novice level and all their comments need to be reviewed with great caution.

This makes me think of a mother I'm familiar with who has a young, obese child. She insists on feeding this prematurely developed girl milk, milk, cheese, milk and meat. There are no salads, no fresh fruits, very little vegetables. THere is the laughable whole-wheat wrappers to encase the chunks of meat in. Now she is babbling about how her poor little lamb needs surgery on her arthritic knees.  I would give my right eye to be able to punch this abusive woman in the head.  She obviously relishes the attention she gets from whining. Proper fresh diet first, and exercise. I guess that it just too hard to deal with. As far as expense goes, she has the money for a fanatical religous school, so she can trot out to buy this kid proper food.

 [ Reply ]
Mercola
  
mrose
[ Joined on 09/06 ]  [ Posted on April 13, 2008]
       
   
Novice User
  Mercola

I'm with you Alexis - but you have to let go - when the student is ready the teacher will come.  While it's difficult to watch, it is the law of allowing.  At some point this mother and child will be ready to understand.   It can be muchmore difficult when you watch it happen within your own family - those that you are very closely involved with......

  
  
New to Natural
[ Joined on 11/07 ] [ Posted on March 21, 2008 ]
3 Points        
   
 
Savvy User
Arthroscopic surgery may provide some short term relief, but in the long run, the patient will inevitably be subjected to multiple "scopes."

A reduction in sugar in the diet can help patients with the pain and swelling of the joints. 
 [ Reply ]
  
  
mmc88121
[ Joined on 11/06 ] [ Posted on March 20, 2008 ]
3 Points        
   
 
Moderator User
The comment about weight, seemed to be an afterthought.  I think lifestyle changes would be the most effective in making changes in your health over the long term.

Mary
 [ Reply ]
Mercola
  
qualitygeek
[ Joined on 10/07 ]  [ Posted on March 21, 2008]
7 Points        
   
Savvy User
  Mercola
But lifestyle changes take more effort than drugs/surgery and insurance won't pay for you to eat better or for a gym membership.
Mercola
  
LadyPam
[ Joined on 02/08 ]  [ Posted on April 12, 2008]
       
   
Apprentice User
  Mercola

Qualitygeek, some insurance companies do offer discounts for those with gym memberships, or taking other steps to a healthier lifestyle. At least, here in Europe - not in the US?

Mercola
  
Gazer
[ Joined on 03/08 ]  [ Posted on April 12, 2008]
       
   
Novice User
  Mercola

Lifestyle changes may take more time, effort, and research to get it right, but the end result is still cheaper for you and society as a whole than drugs and surgery.  Just think how much cheaper health insurance premiums would be if people made preventative lifestlye changes.

  
  
Delaware
[ Joined on 02/08 ] [ Posted on April 14, 2008 ]
1 Points        
   
 
Novice User

I'm glad to see many others speaking up for the value of nutritional supplements.  I second the vote

for New Chapter's Tumeric Force, as well as my personal favorite Zyflamend, as it contains many other

herbal anti-inflammatory ingredients in a great combination formula.

Aside from that another way to help knee problems is to use bodywork therapies, like Active Isolated Stretching techniques along with Myofascial Release work or Structural Integration.  Therapies like that are incredibly effective for freeing up muscle & joint restriction.

 [ Reply ]
  
  
Seattlegirl
[ Joined on 09/06 ] [ Posted on April 14, 2008 ]
1 Points        
   
 
Novice User

I take one turmeric supplement daily (I prefer Turmeric Force by New Chapter).  It has really helped my knee and lower backaches.

 [ Reply ]
  
  
Dr Rik
[ Joined on 11/06 ] [ Posted on April 12, 2008 ]
1 Points        
   
 
Savvy User

An Arthroscope is a TOOL not a PROCEDURE. Where is the critical thinking? pulease.

Arthroscopic surgery to graft a replacement for my ACL and remove damaged meniscus took me off the disabled list. I wouldn't expect it to provide a solution for degenerative changes.

The results depend on the appropriateness of the SOLUTION. Does it take care of the PROBLEM?

It's not that hard; you have to THINK (oh that's right, that's hard)

 [ Reply ]
Mercola
  
mrose
[ Joined on 09/06 ]  [ Posted on April 13, 2008]
       
   
Novice User
  Mercola

Calm down Dr. Rik - this is an education process for those of us who are not doctors.   Correct us when necessary.  All of us are getting our information from many sources, and I would bet some of those sources are not always correct.  We (or at least I do) rely on people such as you to guide us.  Thanks for all you input. I and many others are making big decisions about our health based on lots of peoples'information - some that is considered proven and some that is not.  

  
  
leatherlady
[ Joined on 04/08 ] [ Posted on April 24, 2008 ]
       
   
 
Novice User

I had arthroscopic surgery on my left knee in 1995.  I have had absolutely no problems since then. So where do you get your info?

 [ Reply ]
  
  
ochaye