Detailed guides to painful problems, treatments & more

Knee replacements are not evidence-based

 •  • by Paul Ingraham
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Weekly nuggets of pain science news and insight, usually 100-300 words, with the occasional longer post. The blog is the “director’s commentary” on the core content of a library of major articles and books about common painful problems and popular treatments. See the blog archives or updates for the whole site.

Back in 2019 year I wrote a simple new article presenting a few key concerns about the efficacy of knee replacement: perfectly good information, but super basic. Yesterday I put a bunch more editorial effort into it, and it’s a much better page now. It’s particularly more shareable. The idea was always to make it a great link to send to someone considering knee replacement, and I think it’s much more ready for that duty now.

Basically the concern about knee replacement is that there are still no placebo-controlled trials … for one of the most profitable and popular surgical procedures in the history of medicine. “Only you and your surgeon can decide if it’s a good idea for you, but I hope some of these points will contribute to that conversation.” See (and share):

Knee Replacement Surgery Doubts: Is it legit? Knee replacement is extremely popular, but it (still) isn’t evidence-based medicine