The Norman Transcript

Sports

March 19, 2013

Study suggests that surgery may not be the only option

NORMAN — You might not want to rush into knee surgery. Physical therapy can be just as good for a common injury and at far less cost and risk, the most rigorous study to compare these treatments concludes.

Therapy didn’t always help and some people wound up having surgery for the problem, called a torn meniscus. But those who stuck with therapy had improved as much six months and one year later as those who were given arthroscopic surgery right away, researchers found.

“Both are very good choices. It would be quite reasonable to try physical therapy first because the chances are quite good that you’ll do quite well,” said one study leader, Dr. Jeffrey Katz, a joint specialist at Brigham and Women’s Hospital and Harvard Medical School.

He was to discuss the study Tuesday at an American Academy of Orthopaedic Surgeons conference in Chicago. Results were published online by the New England Journal of Medicine.

A meniscus is one of the crescent-shaped cartilage discs that cushion the knee. About one-third of people over 50 have a tear in one, and arthritis makes this more likely. Usually the tear doesn’t cause symptoms but it can be painful.

When that happens, it’s tough to tell if the pain is from the tear or the arthritis — or whether surgery is needed or will help. Nearly half a million knee surgeries for a torn meniscus are done each year in the U.S.

The new federally funded study compared surgery with a less drastic option. Researchers at seven major universities and orthopedic surgery centers around the U.S. assigned 351 people with arthritis and meniscus tears to get either surgery or physical therapy. The therapy was nine sessions on average plus exercises to do at home, which experts say is key to success.

Text Only | Photo Reprints
Sports
  • NASCAR Brickyard 400 Auto Racing Jeff Gordon wins at Indianapolis for record fifth time

    INDIANAPOLIS — With a tinge of gray hair at his temples, his hat on backward and his two young children by his side, Jeff Gordon celebrated as if he was 23 years old again. Gordon won a NASCAR-record fifth Brickyard 400 on Sunday, eight ...

    July 28, 2014 1 Photo

  • Zac Selmon joins UNC as associate AD

    Zac Selmon, an associate director of athletic development with the Sooner Club since 2012, has been hired by North Carolina as an associate athletic director and special assistant to Tar Heel athletics director Bubba Cunningham....

    July 28, 2014

  • Italy’s Nibali cruises to Tour victory

    PARIS — Vincenzo Nibali put his lungs and legs to work one last time, marching up to the winner’s podium of the Tour de France and sighing deeply before the Italian anthem echoed over the Champs-Elysees....

    July 28, 2014

  • Scott says he will coach Lakers

    LOS ANGELES — The Los Angeles Lakers have waited nearly three months to hire a new coach, and they’re apparently making Byron Scott wait a few more days....

    July 28, 2014

  • BoSox snap Rays’ streak

    ST. PETERSBURG, Fla. — David Ortiz hit a three-run homer, and the Boston Red Sox beat Tampa Bay 3-2 Sunday to end a five-game losing streak and stop the Rays’ longest winning streak in 10 years at nine games....

    July 28, 2014

  • The Big Hurt and Joe Torre headline Hall of Fame class

    COOPERSTOWN, N.Y. — Frank Thomas choked back tears, Joe Torre apologized for leaving people out of his speech and Tony La Russa said he felt uneasy. Being enshrined in the Hall of Fame can have those effects, even on the greats....

    July 28, 2014

  • Telling The Boss, sorry

    COOPERSTOWN, N.Y. — Before he answered a question at the press conference following the Baseball Hall of Fame’s induction ceremony on Sunday, Joe Torre wanted to address someone he regrettably omitted from his speech....

    July 28, 2014

  • Wainwright bounces back to beat Cubs

    CHICAGO — When St. Louis Cardinals Mike Matheny visited the mound with two out and two on in the seventh inning on Sunday, he had no idea whether he was going to replace starter Adam Wainwright....

    July 28, 2014

  • A’s rout Rangers

    ARLINGTON, Texas — John Jaso drove in three runs, helping Scott Kazmir and the Oakland Athletics beat the Texas Rangers 9-3 Sunday night....

    July 28, 2014

  • Clark rallies in Montreal

    MONTREAL — Tim Clark rallied to win the Canadian Open on Sunday, birdieing five of the last eight holes for a one-stroke victory over Jim Furyk....

    July 28, 2014

Facebook