This is an excellent and cogent discussion topic. It is extremely important to clearly delineate to patients and colleagues the correct indications for orthopaedic intervention. Good patient selection will lead to fewer complications and greater functional outcomes. As such, how can clinicians counsel patients that surgical intervention is not always the right answer? For example, patients with chronic pain who have conditions such as discogenic back or neck pain without radiculopathy may not benefit from surgical intervention. Similarly, surgical intervention for lateral epicondylitis may not readily improve pain or functional outcomes. How can non-surgical treatment be championed for these conditions?
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