The Knee Decision: Surgery or Rehab
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The Knee Decision: Surgery or Rehab
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Most people assume that when your MRI shows a meniscus tear, surgery is the only answer. But here’s the surprising truth: the most common surgery for meniscus tears can actually speed up arthritis.
In this episode, Dr. Fred Bagares unpacks the real decision point: not whether the meniscus is torn, but whether surgery is the right choice for you. Through two real patient stories, the latest research, and practical frameworks, he breaks down the long-term trade-offs between surgery, repair, and structured rehabilitation.
If you’ve ever stared at your MRI report and thought, “When’s my surgery?”—this conversation will change how you see your options.
🕰 Timestamps + Key Themes
[00:00] The Counterintuitive Truth
Why the most common meniscus surgery may actually accelerate arthritis.
[02:00] The Patient Mindset
How MRIs and fear drive people to assume surgery is inevitable.
[03:00] Two Case Studies: Mark & Sarah
Same tear, different choices—how their paths diverged.
[05:00] The Numbers Behind Arthritis Progression
What studies reveal about meniscectomy, repair, and non-operative care.
[07:00] Recovery Timelines Explained
Surgery, repair, and rehab—what each path really looks like.
[08:00] Short Runway vs. Long Horizon
How your goals, timeline, and risk tolerance shape the right choice.
[09:00] The Three Critical Questions
Mechanical symptoms, real rehab, and your honest timeline.
[10:00] Metaphors That Make It Clear
Your knee as a house foundation, or a shoe midsole—why mechanics matter.
[11:30] The Reframe: Surgery as a Tool, Not a Default
When it makes sense—and when it doesn’t.
[13:00] Three Questions for You
A self-reflection framework to guide your decision.
[14:00] Closing Takeaway
Don’t let urgency or an MRI dictate your path—clarity comes from asking what outcome you value most.
👉 If this episode challenged the way you think about recovery, hit subscribe and share it with someone facing a knee decision. For same-day clarity on your own MRI or knee pain, visit fredbagares.com.
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