100%, orthopedics are intense. They use pneumatic drills and saws so the auto shop analogy isn't far off. In the med device industry ortho docs are often described as mechanics and they often have a lot of physical issues themselves ad they age because it's such hard physical work.

Not long ago I designed a set of bone taps and drills along with a bunch of related instruments and they were designed and made not much differently than high end tools for metal or woodworking.