Why Physical Therapy Is Better Than Surgery

Why Physical Therapy Is Better Than Surgery

For those suffering from physical limitations or recurring pain, the treatment choices available can be overwhelming. Expert opinions tend to look at the evidence.

The Evolution of Physical Therapy

In the medical field, there is an understandable tendency to be maximum participation and the fullest life experiences possible.

Physical therapy can be a better option than surgery for many due to daily life activities and therefore better quality of life. All therapy is designed and implemented with the aim of full participation in the family, social, work and community life.

A Scientific Review of Physical Therapy Outcomes

A review of the physiotherapy intervention outcomes of patients with spinal cord injuries (SCI) leads the reviewers to in the title of the article as participation, includes an individual’s roles in their family, the community, and larger society and is an important rehabilitation benchmark.

The authors searched six major medical databases using specific keywords, looking for studies that conformed to specific criteria. The search terms were tailored for the individual databases and the search results were analyzed for the methodological quality of the studies using the Physiotherapy Evidence Database scale. Five studies were identified as meeting the inclusion criteria. Among the studies the mean age of participants was 43.8 years and 70.6% were men.

Physical Therapy Shown to Improve Participation Outcomes

Results from the five studies reviewed revealed a correlation between physical therapy and improved social participation. Statistically significant results were found that indicated that exercise programs and body weight assisted treadmill training positively affected the participant’s quality of life and their perceived social integration. The majority of the studies attributed the improved social participation and quality of life to a decrease in pain.

As the selection of physical therapy modalities and determining a course of treatment becomes more and more reliant upon published research, the authors call for more peer-reviewed studies to the best participation outcomes.

Physical Therapy Essential to Full Recovery

While many choose to the full experience and enjoyment of life.

NYDN Rehab Clinic Provides Answers

The New York Dynamic Neuromuscular Rehabilitation & Physical Therapy Clinic is committed to its solution.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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