Careful analysis of symptoms, signs, and diagnostic modalities to build a complete clinical picture.

Assimilation of all evidence to formulate an accurate diagnosis that guides the path forward.

Communicate and discuss the pathology with the patient clearly and honestly, ensuring full understanding.

Consider both non-operative and operative treatment strategies with a view to achieving the best possible outcome.

Agree with the patient on the best option to return the desired level of function and quality of life.