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Avoid surgery and personalize treatment

While surgery is a surgeon's raison d'être...I think it's important to reserve it for when there is no other option. It is clear that many injuries and pathologies can only be solved through surgery, however many others can be saved from going to the operating room with non-surgical methods...or at least try to. 

In many cases we can solve injuries through non-surgical techniques such as infiltrations, splints, rehabilitation etc...

A very common example is arthrosis of the base of the thumb or rhizarthrosis, a very prevalent pathology especially in women over the age of 50. Well, in 80% of patients a significant improvement in symptoms can be achieved for months or up to a year with a simple infiltration guided by ultrasound. 

There are many surgical techniques to treat rhizarthrosis. We reserve them for those patients whose symptoms do not improve with non-surgical treatment and which represent more or less 20% of patients in our experience. 

When prescribing a treatment, it is necessary to personalize as much as possible, that is to say, choose the most "tailored" treatment for each patient. For this it is necessary to take into account many factors that depend on the patient himself and his circumstances. It is not the same injury in the hand of a manual worker who requires vigorous activity for many hours a day or in the hand of a person who does non-manual work. Nor is it the same hand as that of a retired person who spends his time reading or walking or who takes furniture restoration courses or enjoys DIY. 
It is important to collect in the patient's history not only what was done to him and how it was done to him... you need to know what he is dedicated to, what he likes to do, who he lives with, if he has dependents in his care (drinkers, people elders or dependents...) what is their employment short, all those details that make our lives and our needs very different.

After all... if we are all different, the treatments cannot be the same for everyone.

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