Pain and inflammation
The aim is to control pain and gradually resume movement. Prolonged complete rest is rarely the goal.
Orthopaedic treatment
Conservative treatment: a genuine therapeutic approach
Conservative treatment aims to reduce pain, restore function and manage the condition without surgery. It is not a one-size-fits-all solution, but a plan tailored to your diagnosis, the stage of the condition and your goals.
Clinical principle
What a conservative treatment plan may include
- guidance on the diagnosis, loading and movements that may be maintaining the symptoms;
- rehabilitation and progressive exercises with measurable goals;
- temporary changes to activity, footwear or ergonomics;
- pain-relieving or anti-inflammatory medication, only when safe and appropriate;
- braces, walking aids or orthotic insoles when they are likely to provide a meaningful benefit;
- selected injections, considered in light of the diagnosis and any contraindications.
How treatment is chosen
Treatment is tailored to the condition, not the other way round
Function and loading
Exercise, weight-bearing and activity are progressed according to tolerance, strength, stability and the stage of healing.
Monitoring
The response is reassessed. If progress is insufficient, the diagnosis and treatment options need to be reconsidered.
Limitations and safety
When conservative treatment should not simply be continued
Persistent pain does not automatically mean that surgery is needed, but neither does it justify repeating the same treatment indefinitely without reassessment. Mechanical locking, marked instability, progressive deformity, neurological deficit, infection, fracture or a rapid loss of function may require further investigation and a different strategy.
Medication and injections must be recommended individually. Do not stop long-term medication or start anti-inflammatory drugs without first considering the risks and possible interactions.
Appointment
Start with a clear plan, not a procedure
The consultation determines whether conservative treatment is appropriate, how long its effects should be monitored and when another option may be needed.
Medical emergency?
In an acute or life-threatening situation, call 112 or go to the nearest emergency department.