Category: Acupuncture

Curse Removal from the Annals. More Acupuncture Nonsense.

A short post this week. Last weekend was a busy call weekend and as I type this I am heading for Palm Springs for a long weekend of hiking in the desert. If there is no entry in 14 days, look for my bleached bones somewhere in Joshua Tree. Some observations about a recent article in the once-respected Annals of Internal Medicine,...

/ February 5, 2016

Pseudoscience sneaks into Ohio guidelines for non-drug pain treatment

Ohio recently issued Acute Pain Prescribing Guidelines as part of an effort to reduce the epidemic of opioid abuse and death from overdose. They were drafted under the auspices of the Governor’s Cabinet Opiate Action Team (GCOAT), assisted by medical organizations and other groups. The guidelines include recommendations for non-pharmacologic treatment, a typical feature of pain treatment guidelines and a worthy effort...

/ February 4, 2016

Is “harnessing the power of placebo” worthwhile to treat anything?

We frequently write about placebo effects here on Science-Based Medicine. The reason is simple. They are an important topic in medicine and, at least as importantly, understanding placebo effects is critical to understanding the exaggerated claims of advocates of “complementary and alternative medicine” (CAM), now more frequently called “integrative medicine” (i.e., integrating pseudoscience with science). Over the years, I (and, of course,...

/ January 11, 2016

Legislative Alchemy 2015: Another losing season for CAM practitioners

One of the main, but perhaps underappreciated, reasons quackery thrives in the United States is that the states legalize it by licensing practitioners of pseudoscience as health care providers. These practitioners are placed under the regulatory jurisdiction of, well, themselves. I call the whole deplorable process Legislative Alchemy, and you can see all posts on the topic here. It gives practitioners an...

/ January 7, 2016

Australian review finds no benefit to 17 natural therapies

A review by the Australian government has assessed the evidence for a variety of natural products covered by private health insurance. Their conclusion was that most lacked clear evidence of clinical efficacy. Hopefully this will end insurance coverage of seventeen different pseudosciences.

/ November 19, 2015

Acupuncture/TCPM Crapfest

As I get older I get more grumpy. Issues that at one time I was rather sanguine about, now irritate the hell out of me. It is not like it was when I started practice. Information was hard to come by. Going through the Index Medicus, with the world’s tiniest font, wandering the stacks looking for papers, sending off for reprints, getting...

/ November 13, 2015

NPR and the False Choice of Alternative Medicine

A recent segment on NPR is an excellent representation of some of the mischief that promotion of unscientific medical treatments can create. The title is a good summary of the problem: “To Curb Pain Without Opioids, Oregon Looks To Alternative Treatments.” The entire segment is premised around a false dichotomy, between excess use of opioids and unproven alternative treatments. It is clear...

/ September 23, 2015

Massage Therapy rubs me the wrong way

Back in my days of practicing law, one of my escapes from reality was a good massage. It was a great treat, exchanging the high-octane atmosphere of the law office for the soothing music, subdued voices and pastel tones of the treatment room. I could have stayed on that table for hours. Little did I know just how much an escape from...

/ September 17, 2015

An Industry of Worthless Acupuncture Studies

Even more interesting to me than the question of whether or not acupuncture is effective for any particular symptom is the meta-question of how acupuncture proponents have managed to promote a treatment with systematically terrible scientific data. A new study provides a fresh example of this, which I will discuss below. I think the behavior of acupuncturists reflects the fact that there...

/ August 26, 2015