Surgery Avoidance for Lumbar & Rotator Cuff Injuries: What the Evidence Actually Shows
When a worker injures their back or shoulder, the path of least resistance runs straight to the operating room. An MRI looks alarming, and surgery feels definitive. But the clinical evidence tells a different story: for most lumbar and rotator cuff injuries, structured conservative care delivered early works as well as surgery, and in the workers’ comp setting, where surgical outcomes are worse and costs are high, the case for a conservative-first pathway is overwhelming. Here is what the research actually shows.
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