One of the most common things that I see as a physical therapist in private practice is patients that were let down by the traditional medical system. In this post, I want to explain why surgery should never be the first option for pain. My patients say they’ve had injections and medications, some have even had surgery, and they don’t want more. I've had patients come to me and tell me that they have been offered surgery before ever being offered conservative care. This makes me the most frustrated. But more than frustrated it makes me sad for the people who don't know any different. People who don't know they have options. To me, conservative care is education, hands on exercise, etc. Conservative care is not injections, medications and especially not surgery. One of the problems is that in the medical community, conservative care means medication (frequently in the form of opioids). In my world, it means modifying your exercise, massage, yoga, even chiropractic ...