BJSM, October

This article proves useful and practical reading for alternatives to arthroscopy, it recommends not limiting treatment to one form of exercise therapy, looks at what will work best for the patient and explores combinations of different exercise therapies.

At least 10 randomised controlled trials and a systematic review attribute knee arthroscopy with a clinically insignificant benefit, and shows no benefit when compared with a cost-effective, supervised exercise therapy programme. The article covers information that practitioners need to know about their patient, weight management and what the patient should expect as part of their treatment.

A recent survey illustrated a lack of knowledge of current guidelines to recommend supervised exercise therapy and education. 44% of respondents were unaware of evidence against arthroscopy. The article recommends engaging with the evidence, attending courses to increase knowledge base and having confidence to provide appropriate exercise therapy. Key things to do now, to help patients, provides the summary of this very useful piece.

Read more at http://bjsm.bmj.com/content/early/2017/10/18/bjsports-2017-098166