With the rapid advancements in technology and education available in the field of orthopedics, there are many decisions to be made to pursue the best outcome for each patient. These decisions include types of surgical implants available, which non-surgical options to consider, and even where to make an incision—and all can vary from surgeon to surgeon and patient to patient. Fortunately, patients have access to more health information than ever before. With the click of a button, you can access physician reviews, dive into clinical outcomes data and be in a better position to weigh the pros and cons of whether surgery is right for you.
The flip side is that the volume of readily available information, coupled with anxiety about the prospect of surgery, can lead to feeling overwhelmed. Getting a second opinion from another specialist can help filter through some of the noise to help you feel confident in your healthcare decisions.
Surgery is a big decision that deserves careful consideration
Big decisions typically require big discussions in addition to independent research. Think about some of the bigger life decisions you have made in the past, such as marriage, home buying, retirement planning, changing careers and making large purchases. Before making these decisions, did you consult an expert or two? Of course! The decision to have surgery is no different – seeking expert advice is critical.
As an orthopedic surgeon who specializes in hip and knee replacement surgery and revision surgery, my job is not to simply replace your joint with a metal implant. Some say a robot could do that part. Really, my role is to understand your current health and lifestyle challenges as well as your future goals, answer questions, make better sense of research data points, and help you navigate the complexities of different treatment options so you can come to an informed decision.
Reasons to get a second opinion
There are many reasons a patient may want a second opinion from another surgeon. One reason is that they have a complex case with a wide range of options. Having another surgeon's point of view may provide additional clarity and reassurance on the best course of treatment. With joint replacement surgery, a patient may have received unsatisfactory results from a primary joint replacement that requires a revision. Or a patient may simply feel a lack of synergy with their current surgeon.
Regardless, many surgeons are happy to offer their expertise. And most of us are not the least bit offended if a patient decides to pursue a non-surgical option or choose another surgeon for their procedure. As a surgeon, we want what is best for you, the patient. In some cases, I have even encouraged my patients to seek a second opinion. Bottom line, never feel worried that you will offend your doctor if you decide to go for a second opinion.
When should I get a second opinion?
Getting a second opinion should be a consideration whenever you feel it is needed—whether you are having a first joint replacement and are unsure of your treatment options or previously had a joint replacement that is not functioning well. Discussing a second opinion with the surgeon who performed the surgery can also be helpful, as many joint replacements continue to improve up to a year after surgery.
Ultimately, the decision and timing of a second opinion is up to you!
What do I need to do before a second opinion visit?
Here are a few tips about how to plan for your second opinion visit.
Ask your surgeon if there's another specialist they might recommend for a second opinion. It may seem counterintuitive, but your surgeon knows many other surgeons in your area and can help you narrow down the list to providers who specialize in your particular joint health concern and who will be most likely to provide a fair and honest opinion.
Call your insurance company to see if they will cover a second opinion visit. Some insurances may, while others may not. Having that information in advance will help you when deciding which provider to call for an appointment.
Send all records and imaging for review prior to scheduling your appointment. This allows review of all relevant information and determination if further diagnostic testing or imaging is needed.
Think about your goals ahead of time so you can clearly articulate these goals to your surgeon. For example, a goal might be to feel strong enough to keep up with active kids and grandkids or a return to activities you enjoy, like pickleball and hiking.
Bring a list of questions to your appointment. Some questions to consider are:
- Have you treated my problem before?
- What surgical techniques do you use?
- Is surgery or revision surgery my only option?
- Are my goals realistic?
- What challenges can I expect during my recovery?
As joint replacement specialists, the orthopedic team at Brown University Health Orthopedics Institute care about the health of our patients and only want what is best for them. We want to work with our patients to build trust and help them make decisions that align with their overall goals for their health and lifestyle. If you're considering having or looking for a second opinion for joint replacement surgery, visit us online to learn more about our specialties.
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