I don't know enough to say, "don't have knee (or foot) surgery", but my limited anecdotal experience really makes me want to see data on such surgeries and how many people feel they are better of because surgery than they would have been with a lifestyle change that avoided a lot of stress on the knee (or foot).
Surgery is a huge cash cow in the US. The ones that are my only option, but am terrified to have given the past, and dont have the stability or money for would cost something like 25,000usd minimum per foot in this country and take 6 months to a year each to recover from with high complication/failure rates AND are likely to exacerbate the RSD. I am guessing based on previous experience it would be maybe 10-15% of that in Poland where I lived before and got excellent care...and that is paying full cash private prices there. I dont want more surgery at all but I can't live like this either. This is what they did to me and the lack of options they left me with.
*@astura has linked some in this thread
Basically, an elaborate ritual.
https://fivethirtyeight.com/features/surgery-is-one-hell-of-...
>A 2014 review of 53 trials that compared elective surgical procedures to placebos found that sham surgeries provided some benefit in 74 percent of the trials and worked as well as the real deal in about half.1 Consider the middle-aged guy going in for surgery to treat his knee pain. Arthroscopic knee surgery has been a common orthopedic procedure in the United States, with about 692,000 of them performed in 2010,2 but the procedure has proven no better than a sham when done to address degenerative wear and tear, particularly on the meniscus.3
>Meniscus repair is only one commonly performed orthopedic surgery that has failed to produce better results than a sham surgery. A back operation called vertebroplasty (done to treat compression fractures in the spine) and something called intradiscal electrothermal therapy, a “minimally invasive” treatment for herniated disks and low back pain, have also produced study results that suggest they may be no more effective than a sham at reducing pain in the long term.
There's even the question of is the pain even caused by the thing we are trying to fix?
>And then there’s what Thorlund calls “car repair” logic — something looks broken, so you try to fix it. A patient comes in with knee pain, and an X-ray or MRI exam shows a tear in the meniscus. The tendency is to assume that the torn meniscus is the cause of the pain and so should be fixed. However, studies show that MRIs can find all kinds of “abnormalities,” such as cartilage damage, even among people without knee pain. One such study looked at the MRI scans of more than 300 knees and found no direct link between meniscus damage and pain. “You can have a meniscal tear without having any problems,” Thorlund said.
>Back pain follows a similar pattern. Studies that examined MRIs of people’s backs show that things like slipped, bulging or herniated disks correlate very poorly with pain. Herniated disks and other supposed abnormalities are also common in people without back pain, and it’s telling that studies find that spinal fusion, another popular back surgery used to address disk problems, does not produce better results than nonsurgical interventions.
[1] - http://www.nejm.org/doi/full/10.1056/NEJM200105243442106 [2] - https://www.ncbi.nlm.nih.gov/pubmed/15257721 [3] - https://www.ncbi.nlm.nih.gov/pubmed/20091554
Unfortunately, the burden is on the patient to make informed decisions at the time of suffering.
As an anecdote, my friend was given a handful of painkillers just before a procedure. I repeatedly told that he were not used to painkillers and perhaps decrease the amount. They did not even consider the smaller size of the patient. Within 20 mins he suffered seizures with just painkillers. Of course, later they apologized. Just got lucky that no permanent damage was done.
Anyone going for surgery should strongly consider whether or not being placed under a medically induced coma, cut open poked around in, and sewn back together, along with the possible complications of all of the above, are worth the procedure happening. (That's not to say don't do it, but there's no such thing as risk free surgery).
[0] The piles of forms that they stuff in front of you are filled to the brim with this information. You are normally handed them at an incredibly inconvenient time, and told not to worry about them.
The same family and people who preached about "trusting the professionals" then turned to victim blaming (which is all too common I have learned) when things went bad and said "Why did you trust them? Take responsibility for your choices!" This was not a time when it was as easy to research doctors reputations online either and frankly it wouldn't matter because they are like Amazon reviews. People tend to look back in time and put it on the patient and say they should have been smarter, known better etc.
https://www.newyorker.com/magazine/2002/04/08/a-knife-in-the...
I simply feel that the world is way less deliberately malign that we picture it to be (especially when we're its victim).