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A damaged knee
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Surgery or not?

Aus unserer Serie »English Lesson«: Summertime, time to get moving — yet for many people, knee problems take the joy out of sports and hiking. When are conservative treatments enough, and when is surgery needed?
AutorKontaktTranslated by Marta Campbell
Datum 18.05.2026  16:00 Uhr

Second opinion

If a specialist recommends surgery, obtaining a second opinion is always advisable. The Consumer Advice Centre informs that there is a legal right to a medical second opinion for certain plannable procedures or surgeries, and that health insurance covers the cost. Doctors who provide second opinions must be specially qualified and independent. Patients should be cautious if their own health insurer recommends a second-opinion doctor, the Consumer Advice Centre advises. In such cases, the specialists could tend to advise against surgery in order to save costs. Cost savings are also what Health Minister Nina Warken has in mind regarding the planned mandatory second opinion system.

This measure aims to prevent unnecessary surgeries as well as risky procedures, such as those involving the spine but also the knee. It is also expected to improve treatment quality by ensuring that all conservative options are exhausted first. Not least, the second opinion also gives patients more confidence in making the decision that best benefits their health. Whether knee problems improve also depends on patient behaviour: appropriate exercise, if possible, maintaining a healthy weight, an anti-inflammatory diet, and following all physiotherapy and medical treatments are good prerequisites for reducing or even eliminating persistent symptoms.

German English
Arthrose osteoarthritis
Einschränkung limitation / restriction
Entscheidung decision
Gelenk joint
Gelenkersatz joint replacement
Immobilität immobility
Instabilität instability
Knie knee
Knochen bone
Knorpel cartilage
Kreuzband cruciate ligament
Leidensdruck level of suffering / distress
Meniskus meniscus
Meniskusriss torn meniscus / meniscus tear
Muskelaufbau muscle strengthening
Physiotherapie physiotherapy
Schweregrad severity (level)
Verschleiß wear (and tear)
Wirbelsäule spine
Zweitmeinung second opinion
Vocabulary
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