Orthopaedic surgery can feel daunting. Yet, beneath the fear lie misconceptions that often delay life-changing treatment. In this post, I debunk the most common myths, clarify realistic recovery times, explain pain management strategies, and weigh the risks and benefits. Let’s get you the accurate information you need.

Myth 1: Surgery is always the first option

Fact: Most orthopaedic issues begin with non-surgical methods. Physiotherapy, pain relief medications, corticosteroid injections, and lifestyle changes are typically tried first. Surgery is recommended only when these measures don’t provide relief.

Myth 2: Orthopaedic surgery is only for athletes or the elderly

Fact: Musculoskeletal problems affect people of all ages – from sports injuries in teens to degenerative joints in older adults. Young adults with ACL tears, middle-aged individuals with rotator cuff issues, or desk workers with repetitive strain—all may benefit from orthopaedic evaluation.

Myth 3: Recovery always takes forever

Fact: Thanks to advances like minimally invasive techniques, fast‑track recovery protocols, and early mobilisation, patients often resume daily activities far sooner than expected. For example:

  • Knee replacement: walking with aids in a few days, functional recovery by ~12 weeks, and full activity around 10 months.
  • Rotator cuff repair: sling use ~1–6 weeks, functional strengthening at 4–6 months.
  • Arthroscopy: typically low-risk, with minor swelling resolving within 1–2 weeks.

Myth 4: Pain after surgery is unbearable

Fact: Pain management has improved significantly. Anesthesia, nerve blocks, multi‑modal pain relief (like NSAIDs, paracetamol, opioids), and targeted rehab all keep discomfort manageable. Most patients report that pain is more moderate and short-lived than they anticipated.

Myth 5: Joint replacements don’t last long

Fact: Modern implants are durable. Over 80% still function well at 25 years post-surgery. Proper rehab, maintaining a healthy weight, and avoiding smoking lengthen this lifespan.

Myth 6: Surgery is extremely risky

Fact: While all surgery carries some risk, serious complications are rare, especially when performed by experienced specialists in modern facilities. Common issues like infection occur in under 1%, and blood clots in a small proportion. Pre-op assessments, imaging, and refined techniques help minimise risk.

Myth 7: Braces or rest are always better than surgery

Fact: Rest can help initially, but prolonged immobilisation often does more harm—causing stiffness, muscle loss, and joint issues. Braces and supports are tools—not signs of weakness—and can be helpful temporarily. Combining them with physiotherapy usually yields better outcomes.

Myth 8: Pain is just ageing; nothing to do about it

Fact: Pain isn’t an inevitable part of getting older. If you're experiencing persistent discomfort, it's not just something you have to live with. Early assessment and treatment can restore function and quality of life.

Risks vs Benefits – What to Expect

Risks include:

  • Infection (<1%)
  • Blood clots (2–3% symptomatic deep vein thrombosis)
  • Nerve injury (1–2%)
  • Persistent stiffness or pain (8–23%)

Benefits include:

  • Significant pain reduction
  • Improved mobility and daily function
  • Enhanced quality of life

With experienced surgeons, complication rates remain low, and most patients see substantial gains.

Recovery & Rehabilitation

Recovery isn’t just about time—it’s about smart progress:

  1. Early mobilisation – helps reduce swelling and boost circulation.
  2. Pain control – effective, individualised strategies ease rehab.
  3. Physiotherapy – supports muscle strength, balance, flexibility.
  4. Lifestyle factors – smoking cessation and weight loss speed healing.

Rehabilitation aims to restore you to your best possible movement safely and efficiently.

Frequently Asked Questions (FAQs)

1. Will I need surgery for every joint problem?

Not always. Many conditions improve with physiotherapy, medications, or injections—surgery is considered only if these don’t help.

2. How long will I be in hospital?

Acute hospital stay is typically short—a few days for knee or hip replacement—then ongoing recovery continues at home with physiotherapy.

3. Does surgery always mean weeks of pain?

No. Pain is controlled proactively. Most patients describe a steady improvement over days and weeks, not an unmanageable ordeal.

4. Can younger people benefit too?

Absolutely. Young adults with sports injuries or trauma may require surgical repair and often recover more quickly than older patients.

5. Can I prevent needing surgery?

You can reduce risk with exercise, maintaining a healthy weight, using proper gear during sports, and treating injuries early.

Orthopaedic surgery isn’t something to fear—it’s a powerful tool for restoring function, relieving pain, and improving life quality. Surgery isn’t always first-line and rarely prolongs recovery times anymore. Pain can be managed well, complications are uncommon, and decision-making is patient-centred.

If you’re worried or in pain, don’t wait. Book a consult and learn your options. Often, the benefits far outweigh the risks.

Is Surgery Really Necessary? Looking for a Second Opinion?

Depending on the severity of your condition and your lifestyle, surgery may be inevitable. But it’s your decision.
Let’s find out if it’s time or if other options are available, together.