The lecture discusses the question of whether surgery is worth it for those with joint problems, specifically focusing on joint replacement surgery. The speaker argues that joint replacement surgery is not a solution to the underlying problems, but rather a way to replace old problems with new ones.
The main reasons why surgery may not be the best option are:
1. The destruction of joints is often a consequence of a dystrophic process, which is a result of poor muscle condition and poor blood circulation.
2. Joint replacement surgery does not address the underlying problems, but rather puts a new joint into an old, unprepared body.
3. The new joint may not integrate well with the surrounding bone and tissue, leading to problems such as prolonged pain, persistent edema, and limited function.
4. The operation can lead to an increased load on other joints, which can accelerate the destruction of those joints.
5. The operated leg or arm may weaken after the operation, leading to an increased load on other joints and the spine.
The speaker emphasizes the importance of preparation before surgery, including exercises to prepare the muscles, bones, and blood vessels. They recommend a minimum of one month of preparation, but ideally three to six months.
The lecture also discusses the degree of arthrosis and how it affects the decision to have surgery. The speaker notes that the first degree of arthrosis can be managed with regular exercise, but the second degree requires more serious attention. The third degree is a gross pathology that requires surgery, and the fourth degree is a high-risk condition that requires immediate attention.
Finally, the speaker mentions the phenomenon of overdiagnosis, where a person is given a diagnosis that they do not have, or a degree of disease that is not accurate. They emphasize the importance of correct diagnosis and will discuss this topic further in the next part of the lecture.
Here are the key facts extracted from the text:
1. Hyaline cartilage damage and loss of competitiveness can lead to joint destruction.
2. Joint destruction is an irreversible process.
3. Constant inflammation in the joint can lead to constant pain.
4. Mechanical damage to the joint can lead to limited mobility.
5. The range of motion in the joint can be lost due to joint damage.
6. Flexing and unbending the joint can become difficult due to joint damage.
7. Joint damage can cause discomfort in everyday life.
8. Chondroprotectors cannot restore a destroyed joint.
9. Exercise alone cannot restore a destroyed joint.
10. Joint replacement surgery is called total endoprosthetics.
11. The new joint is made of titanium.
12. Joint replacement surgery requires preparation.
13. Preparation for joint replacement surgery should take at least one month.
14. Adequate preparation for joint replacement surgery takes three months.
15. High-quality preparation for joint replacement surgery takes six months.
16. The majority of people who have joint replacement surgery are not prepared for the operation.
17. People who have joint replacement surgery may experience problems with bone resorption.
18. Joint replacement surgery can lead to increased load on other joints.
19. The load on other joints can lead to the destruction of those joints.
20. People who have joint replacement surgery may experience back pain.
21. Back pain can worsen after joint replacement surgery.
22. The condition of the spine can worsen after joint replacement surgery.
23. The risk of osteochondrosis can increase after joint replacement surgery.
24. The risk of cardiovascular disease can increase after joint replacement surgery.
25. The majority of people who have joint replacement surgery do not understand what to do after the operation.
26. Most people who have joint replacement surgery do not understand the importance of preparation for the operation.
27. The degree of arthrosis determines the time frame for when to have joint replacement surgery.
28. The first degree of arthrosis can be managed with exercise and lifestyle changes.
29. The second degree of arthrosis requires more aggressive management.
30. The third degree of arthrosis requires surgery.
31. The fourth degree of arthrosis requires immediate surgery.
32. Avascular necrosis requires immediate surgery.
33. Overdiagnosis is a phenomenon where a person is given a diagnosis that they do not have.
34. Overdiagnosis can lead to unnecessary treatment and surgery.
35. Correct diagnosis is important to determine the best course of treatment.