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Five Common Tests, Procedures Orthopedic Patients Should Question

The American Academy of Orthopaedic Surgeons has provided its list of “Five Things Physicians and Patients Should Question” for the ABIM Foundation’s Choosing Wisely campaign.

The Choosing Wisely campaign encourages medical organizations from all specialties to submit information about medical tests and procedures that may be unnecessary or might even cause harm. These lists are based on evidence-based medicine. Patients and their doctors should look at these lists as recommendations or basic guidelines, but not hard-and-fast rules.

The list for orthopedic patients is:

1
Avoid performing routine post-operative deep vein thrombosis ultrasound screening in patients who have hip or knee total joint replacement. If there is no change in the patient’s clinical status, routine post-operative screening for deep vein thrombosis after hip or knee total joint replacement does not change outcomes or clinical management.

2
Don’t use needle lavage to treat patients with knee osteoarthritis for long-term symptom relief. Among patients with symptomatic knee osteoarthritis, needle lavage has not been shown to improve pain, function, 50-foot walking time, stiffness, tenderness or swelling.

3
Don’t use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee, because the supplements have not been shown to help these patients.

4
Don’t use lateral wedge insoles to treat patients with knee osteoarthritis because the insoles have not been found to improve these patients’ pain or function.

5
Don’t use long-term wrist splinting after carpal tunnel release surgery because it shows no benefit.

For more about what physical therapy can do to relieve symptoms and improve function among people with knee osteoarthritis, hip and knee pain and after total joint replacement surgery, contact A Physical Therapist, Inc.

A Physical Therapist, Inc., is a one-on-one physical therapy clinic in Delray Beach, Fla., and Harrisburg, Penn. For patients in Palm Beach County, A Physical Therapist, Inc., is easily accessible from Boca Raton or Boynton Beach. For patients in Dauphin County, A Physical Therapist, Inc., is easily accessible from Hershey and Marysville.

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