Why Your MRI Doesn't Mean You Need Surgery | Dr Howard Luks

Sep 28, 2026 · 1h 27m

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EP · The Proof with Simon Hill · Why Your MRI Doesn't Mean You Need Surgery | Dr Howard Luks1:26:34
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asr · 13,452 words · docs
0:04You're an orthopedic surgeon.
0:06What types of surgery do you normally focus on?
0:09So that's changed over my career.
0:10When I came out, I was sports medicine trained in terms of my fellowship, the training I did after residency.
0:18But my first job was as chief of sports medicine at an academic center, and we happened to be a level one trauma center.
0:26So we all took level one trauma call.
0:29So it was trauma-heavy.
0:30I didn't do small little rotator cuff tears.
0:34I did shoulder reconstructions of people who were hit by cars and threw and flew 30 feet.
0:40And so over the years, as I've stopped doing trauma, now I just focus on mostly knees and shoulders.
0:47From what I kind of gather from your writing online, you spend quite a lot of time today telling people that they might not actually need surgery.
0:57Is that an accurate reflection of the conversations that you're also having in clinic?
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