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Topic Date User

Complete rupture of A2 pulley 30-May-2011 At 11:17:44 AM davepalethorpe

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On 30/05/2011 kieranl wrote:

>You miss my point. I am not arguing for surgical intervention, in fact
>my personal experience has been with conservative treatment. The point
>is that noone raised the question of evidence over many posts of people
>advising conservative treatment but as soon as surgery is mentioned, the
>issue comes up.
>It is one thing to say "this has been my personal experience", it is another
>thing to suggest a course a treatment. If a treatment is going to be suggested,
>especially over the internet, then I would suggest that some clinical references
>for that treatment are required. Evidence is required whether the treatment
>is surgical or not as the consequences of inappropriate treatment can be
>severe.
>I think people let things through that reinforce their own prejudices
>and question ideas that aren't.

Nope, I didn't really miss your point. Conservative treatment is appropriate for this type of injury, so all the posts above saying don't crimp, take a few weeks off then start climbing gently, tape it etc. etc. are roughly on the right track, and its helpful to hear peoples own (anecdotal) experiences. In reality, with most conservative treatments a week or twos rest, followed by gradual re-introduction to sport will do the trick, and depending on the severity of the injury you will be back to normal in 6 weeks to 6 months (of course there are exceptions, and if you are not sure, you should consult an expert!). I agree that evidence is required for all treatment rationale, but someone saying "you need surgery" is not on the right track, which is why I questioned their post asking for evidence on their point-of-view. If someone wants medical evidence on my point-of-view I can happily provide it :)