conservative orthopedic and sports medicine treatment expert care second opinion g2

Should I Get A Second Opinion?

Patients sometimes do feel comfortable getting a second opinion for an injury or when they don’t understand the treatment options. Patients may be concerned that their first doctor will find out and be upset with them. Most physicians feel that patients should be well informed about their diagnosis and treatment options. No one should proceed with treatment and especially surgery if they don’t feel completely comfortable. If there are any concerns, it is always ok to get a second opinion before knee or shoulder surgery.

Common reasons for getting a second opinion include:

  • A doctor is suggesting surgery as the only option, without explaining why non-surgical treatments won’t work.
  • The doctor cannot explain the rationale for surgery or how it will benefit the patient.
  • A patient who has already had surgery, the surgery did not work and the doctor is recommending additional surgeries.
  • When a patient feels uncomfortable with the surgeon’s diagnosis.

What To Ask When You Get A Second Opinion Before Knee or Shoulder Surgery

second opinion

Make a list of questions to ask the doctor.

  • Find a specialist who can explain your treatment options.
  • Make a list of questions or concerns you have about the recommended surgery and discuss them with the specialist.
  • Ask is about the diagnosis and why surgery is needed.
  • Also discuss if there are any alternatives to surgery.
  • Ask the surgeon about their experience with your specific injury and the expected results.

What If The Second Doctor Also Recommends Surgery?

In some cases, surgery can’t be avoided. Even if a second doctor recommends surgery, taking the time to get a second opinion isn’t a waste. In some cases the second doctor may provide a less-invasive option or more information that gives you with greater comfort before surgery.

Second Opinion for Rotator Cuff Tears

Patients often consult Dr. Goradia for a second opinion regarding rotator cuff tears, especially when they have been told their tear can’t be repaired at all or can’t be repaired arthroscopically.  In many of these cases Dr. Goradia can repair the torn rotator cuff with arthroscopic surgery.
Over the last several years Dr. Goradia developed a new surgical technique for massive rotator cuff tears that have poor tissue quality or are severely retracted and scarred. With this technique, he can reinforce the rotator repair with donor tissue. Although use of these tissues has existed for many years with open surgery, Dr. Goradia’s technique allows him to place the tissue into the shoulder arthroscopically.
For many patients who have come to his office seeking a second opinion, he was able to provide a better outcome using minimally invasive surgery vs. the originally recommended open surgery.

Second Opinion for ACL Surgery

Dr. Goradia offers the latest advances in ACL surgery, including ACL Preserve Surgery and all-inside ACL reconstruction. These techniques can reduce pain and swelling after surgery. The ACL Preserver Surgery was developed by Dr. Goradia. Approximately 20-30% of ACL tears are eligible to receive this treatment where the patients’ own torn ACL is repaired instead of it being replaced with a graft.

Second Opinion for Knee Arthritis and Knee Replacement Surgery

Dr. Goradia sees patients seeking a second opinion when total knee replacement surgery is recommended.  In a recent knee pain seminar, Dr. Goradia noted research indicating that 43% of patients who had a total knee replacement may have been candidates for a partial knee replacement.
If a total replacement is needed, our surgeons are trained to offer computer guided and robotic assisted surgery.

Alternatives to Orthopedic Surgery

For other patients with less severe arthritis, small rotator cuff tears, or other orthopedic conditions Dr. Goradia may be able to offer alternatives to surgery.
If you are experiencing joint pain, call our office at (804) 678-9000 or book an appointment online.  We don’t believe in a one-size fits all approach to treating pain and will offer the least invasive treatment possible.