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Monthly Archives: August 2011


And, Speaking of Professor Edzard Ernst:
If The Shoe Fits…

By |August 24, 2011|Editorial|

Double Standards Exist in Judging Traditional and Alternative Medicine

The Chiro.Org Blog

SOURCE:   British Medical Journal 1998 (Jun 6); 313: 1694

By Hilary Bower

This posting is dedicated to all those evidence-based nay-sayers out there, who love to criticize without contributing anything back except negativity.

Dr. Chalmers is the head of the Cochrane group in the UK. He speaks for the REAL evidence people.

Dr Iain Chalmers, the director of the UK Cochrane Centre and a vociferous proponent of systematic reviews, told delegates:

“Critics of complementary medicine often seem to operate a double standard, being far more assiduous in their attempts to outlaw unevaluated complementary medical practices than unevaluated orthodox practices.”

He also said:

“These double standards might be acceptable if orthodox medicine was based solely on practices which had been shown to do more good than harm, and if the mechanisms through which their beneficial elements had their effects were understood, but neither of these conditions applies.”


Manipulative Therapy: Just a Placebo?

By |August 24, 2011|Placebo, Spinal Manipulation|

Manipulative Therapy: Just a Placebo?

The Chiro.Org Blog

SOURCE:   Dynamic Chiropractic

By John J. Triano, DC, PhD

Excerpted from: Triano J:
Manipulative Therapy in the Management of Pain.
Clinical Pain Management: A Practical Approach 3rd Edition,
Lippincott, Williams & Wilkins Pub, November 2001.

Chiropractic care, particularly spinal manipulation or adjustment, is an increasingly frequent topic in medicine and health care policy circles. As evidence has accumulated to support use of these services, there is frequent reference to a presumption of placebo effect being the mechanism of favorable responses reported in the literature. These charges are easily refuted by specific data. In my experience, a professional head-on response silences these critiques and allows the discussion to refocus on a much more useful topic: appropriate use the paragraphs that follow were crafted as a part of a book chapter on the role of chiropractic manipulation in management of pain the basis often used to set the stage for a claim of a placebo effect. An effective rejoinder follows.

Discourse on manipulation usually raises the question of placebo effect. A frequent observation is that chiropractic patients are more satisfied by their treatment experience than when they are attended by other proaviders. [1, 2]

A number of elements contribute to this popular contentment, including physician-patient interaction. Manipulation treatment often requires several encounters involving physical contact and direct physician attention over a focused time interval. Can these factors be responsible for the perceived clinical benefits?

There are more articles like this @ our:

The Problem with Placebos/Shams Page


Edzard Ernst ruffles feathers in the UK

By |August 23, 2011|News|

Professor Edzard Ernst caused an uproar this week when he labelled Prince Charles a ‘snake oil salesman’ for his dandelion and artichoke detox remedy.

Source The Guardian

Edzard Ernst keeps a stack of hate mail as a souvenir. Two months after the world’s first professor of complementary medicine took early retirement from his post at Exeter university after 18 years, the letters are still coming. An email from a chiropractor denouncing him landed in his inbox a few days ago, while Conservative MP Jacob Rees-Mogg tweeted earlier this week that for his latest attack on Prince Charles he should be locked up in the Tower of London.

“I’ve got used to it,” Ernst says. “At first it was a bit depressing. At least the criticism is not racist – ‘that bloody German’, as it would be in France or Austria. I would find that hard to stomach but mostly I can find it amusing. It’s strangely hilarious because the people who attack me are so bonkers.” (more…)

Utilization, Cost, and Effects of Chiropractic Care on Medicare Program Costs

By |August 22, 2011|Medicare|

Utilization, Cost, and Effects of Chiropractic Care on Medicare Program Costs

The Chiro.Org Blog

An older study of Medicare cost data completed in June (2001 or 2002) by the well-known Washington, DC-based firm Muse & Associates helps demonstrate the cost-saving impact that chiropractic care has on the current Federal Medicare program.

The study, titled “Utilization, Costs, and Effects of Chiropractic Care on Medicare Program Costs“, was commissioned by the ACA and is the first study of its type to compare the global, per capita Medicare expenditures of chiropractic patients to those of non-chiropractic patients receiving care in the federal Medicare program. The study utilizes data obtained from Medicare’s Standard Analytical Files for 1999 — the most recent year that cost data was available for analysis.

The study’s executive summary states:

“The results strongly suggest that chiropractic care significantly reduces per beneficiary costs to the Medicare program. The results also suggest that Chiropractic services could play a role in reducing costs of Medicare reform and/or a new prescription drug benefit.”

The study specifically found that:

  • Beneficiaries who received chiropractic care had lower average Medicare payments for all Medicare services than those who did not ($4,426 vs. $8,103);
  • Beneficiaries who received chiropractic care averaged fewer Medicare claims per capita than those who did not; and
  • Beneficiaries who received chiropractic care had lower average Medicare payments per claim than those who did not.


Steroid Injections Offer Little Relief for Lower Back Pain

By |August 21, 2011|Low Back Pain|

Steroid Injections Offer Little Relief for Lower Back Pain

The Chiro.Org Blog

SOURCE:   Amer Acad Orthop Surgeons March 10-14 · San Francisco, CA

“Effects of Epidural Steroids in the Lumbar Spine: A Double Blind Randomized Control Trial”

Podium Presentation

By Andrew Skelly

SAN FRANCISCO – A randomized, controlled trial has shown an epidural or translaminar steroid injection is ineffective for the relief of lower back pain.

“I’m not saying that steroids don’t work. I’m just saying there’s definite reason to question whether they work or not,” Dr. Daniel Steinitz, an orthopedic surgeon at Belleville General Hospital in Ontario, said in an interview after his presentation at the American Academy of Orthopedic Surgeons meeting here.

Dr. Steinitz, who worked on the study during his residency at McGill University in Montreal, said steroid injections for lumbar pain are popular but research on their use over the past 40 years has produced conflicting results. Nor is the procedure benign, with dural puncture leading to headache being one of the more common complications. (more…)

The Evolution of Chiropractic — Science & Theory

By |August 20, 2011|Research|

The Evolution of Chiropractic — Science & Theory

The Chiro.Org Blog

By Scott Haldeman, D.C., M.D., Ph.D.

Keynote Presentation
International Conference on Spinal Manipulation

I have had the privilege of being associated with chiropractic and chiropractic ideas all of my life through my father and grandmother, both of whom were practicing chiropractors. I have also been lucky to have participated in one of the most exciting phases in the evolution of chiropractic over the past 35 years. I thought that it would be of interest to younger researchers and clinicians to present my views on how the profession has evolved to its current position in society and how this evolution has impacted our understanding of chiropractic. I plan to discuss how we can put the changes in the role of science over the past 100 years in perspective and how these changes are likely to impact our lives as researchers, chiropractors, and physicians studying and treating patients with spinal disorders. (more…)