What is a common unnecessary operation

Second opinion: prevent unnecessary surgery on the back and joints

Status: 14.09.2020 5:56 p.m.
If the pain is severe, many people have high hopes for an operation.

Far too often in Germany, vertebrae are stiffened, artificial knee joints and hip prostheses are used, and joints are mirrored. The operations do not always lead to the desired result: the healing process after the operation often takes a long time and the side effects from the anesthesia and the procedure are serious.

Those who constantly suffer from pain accept the risks of an operation if the doctor advises them to do so. But in many cases it makes sense to get a second opinion before an operation. Many health insurance companies arrange appointments in a pain center for this.

VIDEO: Second opinion: prevent unnecessary surgery on the back and joints (5 min)

Many operations are not required

A long-term study shows: 80 percent of people who were supposed to get a joint replacement and asked for a second opinion in a specialized center did not have to undergo an operation. In people who were recommended to have a back operation, the figure is as high as 92 percent.

If the doctor recommends surgery on the joints or back, those affected should first try other measures to alleviate the symptoms. You shouldn't be scared by the X-ray of a broken joint, experts say: It is important that those affected get along well in everyday life and are not in pain. Then the doctor should also decide whether an operation is necessary.

Alternatives to the OP

At a disc prolapse Painkillers, relaxation therapy, and physical therapy can often help alleviate the symptoms and avoid surgery.

The use of a Knee prosthesis can often be prevented with injections, painkillers and subsequent physiotherapy.

At a Hip osteoarthritis typically radiate pain to the groin area. Before hip surgery, it should be ensured that the symptoms do not originate in the muscles. Because then an operation would be superfluous. In the case of osteoarthritis, targeted physiotherapy can stop the inflammation and stabilize the hip joint. Many exercises can even be done at home if instructed to do so. If the pain persists, the osteoarthritis may have progressed too far and a joint replacement is inevitable.

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Experts on the subject

Dr. Edzard Schröter,
Center for Pain Medicine Hannover
Aegidientorplatz 2b
30159 Hanover
(0511) 850365-0
pain medicine-hannover.de

Dr. Stefan Schröter, neurosurgeon
Neurosurgical practice at the Red Tower
Lobdergraben 28
07743 Jena

Dr. Steffen Oehme, chief physician
Joint center
Orthopedics and trauma surgery
imland Klinik Eckernförde
Schleswiger Strasse 114-116
24340 Eckernförde

Prof. Dr. Dipl.-Psych. Hartmut Göbel, specialist in neurology, special pain therapy, psychotherapy
Pain Clinic Kiel
Heikendorfer Weg 9-27
24149 Kiel
(0431) 200 99-0

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Visit | 09/15/2020 | 8:15 pm