Your health questions answered
Can you tell me what an arthroscopy is? I've torn the cartilage in my knee and was referred to an orthopaedic surgeon, who said I needed one done. I didn't ask him what it involved, so can you fill me in?
It often amazes me that people don't ask their doctors to explain terms they don't understand. Doctors tend to use technical medical terminology to describe procedures, and although they're not trying to confuse patients, they often do. If you don't ask, your doctor will quite naturally presume you know what he's talking about.
As a consumer, you have a vested interest in all decisions concerning your health, so don't be afraid to ask for explanations.
But back to your query. An arthroscopy is an internal examination of a joint, in this case your knee. A small incision is made over the joint, allowing your surgeon to insert a small telescope equipped with its own light source.
Not only will this enable him or her to examine the cartilage, ligaments and internal workings of the joint but he will also be able to carry out minor repairs. The small incision site is usually closed with paper stitches. Although the knee is the most common site for this type of procedure, the shoulder, elbow, wrist, hip and ankle can also be examined in this way.
Something else I didn't ask was how long I'll be in hospital?
Oh dear, this sounds like it was a very one-sided consultation! Although many arthroscopies are now performed as day cases, even when a minor repair is included, you should check directly with your doctor to see if he plans to do it as a day case or will want to admit you overnight.
Does this mean that if he does it as a day case, I won't have to take time off work?
Afraid not. As some pain will persist for a number of days, you will need to take some time to rest following the procedure. You will have to wear a bandage and follow an exercise programme but should be able to walk on the joint without fear of injury once your knee feels comfortable. It's not a good idea to drive too early after an arthroscopy.