Exercise & FitnessYour MRI Findings Probably Don't Require Surgery — An Orthopedic Surgeon Explains Why
Dr. Howard Luks, an orthopedic surgeon with nearly three decades of clinical experience, argues that the language surrounding MRI findings — words like 'tear' and 'bone on bone' — causes more harm than the underlying pathology in most cases. Drawing on sham-surgery trials for meniscus tears, rotator cuff tears, and bone spur removal, he explains that structural findings on imaging rarely predict pain or function. Tendons heal with progressive loading, not rest. Metabolic health strongly influences both pain perception and surgical outcomes. Cortisone offers temporary relief; PRP and stem cells lack robust evidence. After 50, plyometrics, balance, and power training matter more than isolated strength work. Early movement beats immobilization for ankle sprains. The conversation is ultimately about preserving physical capacity across decades — a direct longevity and healthspan concern.
