Surgery is never a single-factor decision. Age, activity level, and demand matter as much as the MRI. What’s right for an Olympic athlete is not what’s right for someone sedentary — and pretending otherwise is how people get the wrong operation.
Imaging influences the decision a lot. It does not make the decision alone. An MRI can’t tell us if surgery is right for you. Some findings will clearly improve; some will clearly not. When the clinical picture and the imaging line up, we review non-surgical options next.
Non-surgical care is worth taking seriously when it can realistically help. Sometimes it isn’t a realistic option — and it’s worth skipping. We’ll say which is which, not put you through theater.
For knees specifically: a repairable meniscus in a high-demand athlete is a different problem than bone-on-bone arthritis in someone who wants pain-free walking. Same joint. Different decision.