Posts Tagged ‘Chiropractic’

A little chiropractic news

August 4th, 2010

I was interested to note, via SkepDic:

On May 25, 2010, The General Chiropractic Council (GCC), a UK-wide statutory body with regulatory powers, issued the following statement:

The chiropractic vertebral subluxation complex is an historical concept but it remains a theoretical model. It is not supported by any clinical research evidence that would allow claims to be made that it is the cause of disease or health concerns.

Subluxations were, and for many if not most chiropractors still are, the centrepiece of chiropractic thinking. These supposed disruptions to the flow of a magical  energy unknown to science were meant to be the cause of illness and disease. Some people who practice under the name “chiropractor” know it’s all crap, and are essentially just doing massage and physiotherapy. At the other end, many still believe the subluxation BS. There are some who fall between the two extremes.

Want to learn what chiropractic really is? Head to the Skeptic’s Dictionary’s chiropractic page.

Chiropractic is having a deservedly bad year in the UK, thanks in large part to Simon Singh. One can only hope it gets worse and spreads.

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Post dedicated to Donald Petersen of Dynamic Chiropractic, an article about whom led me to SkepDic tonight

Ooh… An “institute”

June 6th, 2010

So, Cairns now has an Institute providing supposedly complementary and alternative medicine (SCAM). Their flyer appeared in my mailbox on Friday along with that for another SCAM merchant. Of course the word institute can be used willy nilly by anyone setting up a business, even  a snake oil merchant. Some quack just wants to make themselves more believable, so they name their business as an Institute. This purveyor of modern snake oils offer a wide range of SCAMs, including homeopathy, ear candling, iridology, applied kinesiology, acupuncture and chiropractic . One SCAM is never enough. I’m sure they sincerely believe in the crap they sell, but they’re deluded.

I dropped into their website and noticed they misrepresented homeopathy. They claimed it was a “system of complimentary (sic) medicine in which disease is treated by minute doses of natural substances”. This is a common misrepresentation of homeopathy – it actually dilutes its original substances to the point there is none of it at all in the final solution given to the patient. It contains nothing but dilutant (usually distilled water). Homeopaths believe that the water remembers what was once in it (the memory effect) and that this memory is the thing that does the healing. Homeopathy is the ultimate example of the placebo in alternative medicine. It is, however, generally very safe – a mass suicide using homeopathic sleeping pills failed dismally earlier this year. The true beliefs of homeopaths are hard to sell, so this could be an example of a deliberately dishonest statement on their website to get around that problem.

Ear candling is a rather laughable “therapy” in which a candle is supposed to create pressure to draw toxins out of the ear (even if that was possible at all). The candle doesn’t generate enough pressure to draw ear wax out let alone toxins. The residue the therapists display at the end is actually just from the candle itself, which can be demonstrated by burning one while it sits in a jar. Benefits are entirely due to the placebo effect, and there is the risk of perforated ear drums as well as the obvious dangers of hot wax in the ear.

Acupunture can have some mild analgesic effects, but it doesn’t matter where the needles go in. There is no chi, and there are no meridians along which it flows. Acupuncture can produce a strong placebo effect due to its elaborate nature and the use of needles (needles are a better placebo than pills). There are some dangers, and they likely outweigh any possible benefits.

Chiropractic is another SCAM which a lot of people don’t understand. There’s a bit of a schism amongst chiropractors, with traditional and “scientific” wings. The “scientific” wing way have some benefit, though it’sreally just massage and physiotherapy. It may be of some benefit in skeletal and muscular problems. Traditional chiropractic claims that an energy unknown to science, called the innate intelligence or energy, flows through the body and that disruptions to that flow cause disease. Claims are made about treating all sorts of problems, including cancer, asthma, colic, etc. It is, of course, complete bollocks. Note that manipulation of the neck, popular with chiropractors of both wings, can be dangerous and indeed fatal. Get a massage instead – it’s more enjoyable, just as effective, and it’s safer and cheaper. Personally I would seek a professional with the name Inga, Helga or similar.

Many of their other listed therapies are also bullshit. A couple (such as counselling or breast thermography) may have some benefit, though I would suggest finding a more credible provider. And if the Institute doesn’t offer your particular favourite snake oil, I’m sure they’ll add it to their list. I doubt anything could be too stupid and out of touch with reality.

I should also note that whoever wrote the Institute’s brochure seems not to understand the proper use  of apostrophes. Among the list they have Cupping’s, Kinesiology’s Treatments, Reflexologies’, and Chiropractor’s.

Trick or Treatment

July 11th, 2009

This morning I dropped in to Collins Books at Smithfield, like I do most Saturdays, to see if there were any new titles on the shelves I might like to read. I’ve found that they tend to have the best selection of science and philosophy/religion books in town. I was pleasantly surprised to find Simon Singh and Edzard Ernst’s Trick or Treatment, which I’ve been planning to order for a couple of weeks, and grabbed a copy.

Singh is in the news at the moment as he is being sued by the British Chiropractic Association over an article he wrote for the Guardian in which he criticised chiropractic treatment of childhood illnesses such as colic. The case has attracted a lot of publicity, with Singh even being interviewed on ABC’s Lateline here in Australia. I’m pretty sure that the BCA case is the reason the book is starting to appear on the shelves.

As many organisations have learned in the past, the worst way to silence a critic is to sue them in the digital age. It just gets your critic publicity, and the backlash can be quite stunning. The BCA and chiropractors in general are now feeling this effect, with light being cast upon the shadow they dwell in, and complaints being lodged with health standards organisations. The criticism is well deserved.

Trick or Treatment consists of dedicated chapters on how science tests treatments, acupuncture, homeopathy, chiropractic and herbal medicine. It closes with a “rapid guide to alternative therapies” which briefly covers many other claimed therapies. Collins Smithfield still had one copy in stock after my visit. I hope they’ll need to order more.

UK Chiropractors in a spin

June 11th, 2009

There’s a growing backlash against the British Chiropractic Association for its libel suit against Simon Singh, and some chiropractors are starting to panic. The McTimoney Chiropractic Association is reported to have released a warning to its members saying:

Because of what we consider to be a witch hunt against chiropractors, we are now issuing the following advice:

The target of the campaigners is now any claims for treatment that cannot be substantiated with chiropractic research.  The safest thing for everyone to do is as follows.

  1. If you have a website, take it down NOW.

When you have done that, please let us know preferably by email or by phone. This will save our valuable time chasing you to see whether it has been done.

  1. REMOVE all the blue MCA patient information leaflets, or any patient information leaflets of your own that state you treat whiplash, colic or other childhood problems in your clinic or at any other site where they might be displayed with your contact details on them.  DO NOT USE them until further notice. The MCA are working on an interim replacement leaflet which will be sent to you shortly.

Essentially they’re saying “Quick! Hide the evidence!”. They realise that many of their members have acted in a way that could potentially get them into legal trouble.

Oh, they also said:

Finally, we strongly suggest you do NOT discuss this with others, especially patients, Firstly it would not be ethical to burden patients with this, though if they ask we hope you now have information with which you can respond.

Most importantly, this email and all correspondence from the MCA is confidential advice to MCA members alone, and should not be shared with anyone else.

There’s a bit of a schism in chiropractic, with one side holding to the traditional view of subluxations (misalignments of the spine) interfering with the flow of some mysterious Inner Intelligence of the body, resulting in illness. The other side has moved away from subluxations and towards a more physiotherapy oriented treatment of skeletomuscular problems. This latter group may have some scientific support for their claims, however the former is pure quack medicine. Some chiropractors fall in between.

The MCA email seems to have been leaked by a pro-subluxation chiropractor on a pro-Chiropractic website in a post titled The McTimoney Chiropractic Association would seem to believe that chiropractic is “bogus”.

What about here in Cairns? Chiropractic Works in Cairns Central and In Form Chiropractic on Mulgrave Road have websites that talk about subluxations of the spine. The former includes a long list of diseases and conditions they apparently think spinal realignment can treat, including some cases of deafness and blindness, asthma, and haemorrhoids!

More information on the British Chiropractic Association vs Simon Singh can be found on the Sense About Science website. New Scientist’s What you should know about chiropractic is also good reading.

Chiropractic’s bogus claims (both legal and scientific)

June 7th, 2009

The British Chiropractic Association is suing science journalist Simon Singh after he criticised chiropractic in an article, Beware the Spinal Trap, which he wrote for the Guardian. It’s a fairly blatant attempt to silence criticism by the force of law rather than by sound argument. Unfortunately, a judge made a rather bizarre ruling that Singh referred to “bogus” therapies, and that this meant Singh said chiropractors were knowingly being dishonest, rather than being sincere but deluded and misinformed. This ruling, left unchallenged, would hamper Singh’s chances in the libel case. This week Singh announced that he is appealing the judge’s ruling, and has released an update on the situation.

Scientists and journalists have come out in support of Singh (1, 2, 3, 4, 5, 6). Among many articles on the subject, New Scientist has released What you should know about chiropractic by Edzard Ernst.

After weighing all the evidence, our conclusions were not flattering: “Warning: this treatment carries the risk of stroke and death if spinal manipulation is applied to the neck. Elsewhere on the spine, therapy is relatively safe. It has shown some evidence of benefit in the treatment of back pain, but conventional treatments are usually equally effective and much cheaper. In the treatment of all other conditions chiropractic therapy is ineffective except that it might act as a placebo.”

Below is a brief video, filmed before Singh announced the appeal, in which he talks about the case.

The original Guardian article, Beware the Spinal Trap, can be viewed on a Russian mirror of the Guardian page. An excerpt:

Laurie Mathiason was a 20-year-old Canadian waitress who visited a chiropractor 21 times between 1997 and 1998 to relieve her low-back pain. On her penultimate visit she complained of stiffness in her neck. That evening she began dropping plates at the restaurant, so she returned to the chiropractor. As the chiropractor manipulated her neck, Mathiason began to cry, her eyes started to roll, she foamed at the mouth and her body began to convulse. She was rushed to hospital, slipped into a coma and died three days later. At the inquest, the coroner declared: “Laurie died of a ruptured vertebral artery, which occurred in association with a chiropractic manipulation of the neck.”

This case is not unique. In Canada alone there have been several other women who have died after receiving chiropractic therapy, and Professor Ernst has identified about 700 cases of serious complications among the medical literature. This should be a major concern for health officials, particularly as under-reporting will mean that the actual number of cases is much higher.

Bearing all of this in mind, I will leave you with one message for Chiropractic Awareness Week – if spinal manipulation were a drug with such serious adverse effects and so little demonstrable benefit, then it would almost certainly have been taken off the market.

Check out Sense About Science to learn more about the Singh vs BCA case. Hopefully the appeal will succeed and British libel laws will be reformed to protect good science and journalism from legal attacks from quack medicine like chiropractic.

Edzard Ernst and Simon Singh have cowritten a book, Trick or Treatment, that discusses alternative medicine. I haven’t had the chance to read it yet, but I’ll be adding it to my “to be read” pile soon.