There is an increasing wave of scientific evidence to suggest that surgical and medical management of persistent pain is no more effective than weight loss and physical activity in managing a range of conditions that include shoulder impingement, osteoarthritis (OA) of the knee and hip, and lower back pain.
The Royal Australian College of General Practitioners (RACGP) recently released new guidelines that recommended non-pharmaceutical, non-surgical approaches in the management of hip and knee OA. Furthermore, they strongly recommended against the use of opioid medications, acknowledging the low quality of evidence that supports their use. They were also critical of an over-reliance on costly and unnecessary medical imaging, stating that it was often misinterpreted and lead to risky and harmful interventions. Similar approaches have also been recommended following studies into the most effective management of shoulder impingement and lower back pain.