Yes, a thread on osteopathy...
3 watchers
Jan 2013
11:07am, 15 Jan 2013
14,718 posts
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JohnnyO
Acupuncture works for some pain syndromes. I think. And to add to what Vrap says, the only evidence we have for physiotherapy on ICU is that it prolongs stay and delays recovery. We still spend thosuands (millions?) on it though. |
Jan 2013
11:14am, 15 Jan 2013
23,795 posts
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Nellers
Many studies on acupuncture show that practitioners can get exactly the same result as the sham acupuncture used as control. Conclusion generally is that it's all placebo with no actual therapeutic value beyond the patient/practitioner relationship.
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Jan 2013
11:17am, 15 Jan 2013
23,493 posts
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Velociraptor
The evidence for the effectiveness of acupuncture is similar in magnitude to the evidence for the effectiveness of glucosamine. And the biological plausibility of both modes of "treatment" is about the same too.
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Jan 2013
11:19am, 15 Jan 2013
23,797 posts
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Nellers
Agreed, V'Rap. I keep telling my arthritic mum to stop wasting her money on those tablets but she won't have it because a doctor once said they "might help". Bloody medical professionals.;-) |
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Jan 2013
11:22am, 15 Jan 2013
23,494 posts
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Velociraptor
Aye, I have a colleague who still tells patients to take the bloody stuff even though the PCT has blacklisted it for prescribing, and we've got a new orthopod on the patch whose standard advice - "lose weight and take glucosamine" - I have taken to challenging because there's no evidence that either of these actions will affect the patients' need for replacement joints, it's just pissing around wasting their time.
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Jan 2013
11:23am, 15 Jan 2013
23,495 posts
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Velociraptor
But that's nothing to do with the thread subject.
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Jan 2013
11:25am, 15 Jan 2013
23,798 posts
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Nellers
I agree with you there, too. Interesting, though.:-)
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Jan 2013
11:40am, 15 Jan 2013
1,419 posts
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Lyns
In my experience there is about as much difference between individual practitioners of osteo, chiro and physio as there is between the different disciplines. Sometimes my physio does something that's barely perceptible in my hip which immediately stops the pain that no amount of stretching and rollering i was doing could... and while some chiros are all cracky in the neck, others are far gentler and more like neck massage. I think that in western medicine / the nhs we don't spend enough time on manual manipulation, massage, stretching etc. which then sends people off to 'complementary' fields like osteo and chiro. In my experience if you go to a GP with a sore limb, neck, hip, you are generally given anti-inflammatory meds. I say this as somebody who had a year of rehab after an ankle ligament rupture mostly on the nhs, but had to go private to get anybody to actually touch it and manipulate it. My GP tried a range of pharmaceuitcals for my sore neck and headaches when actually shoulder and neck massage gets rid of them instantly... but then there's probably no double-blind test proving the efficacy of neck massage over placebo 
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Jan 2013
11:44am, 15 Jan 2013
721 posts
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Kenny_Boy (2013 GoFasterStripes)
This seems a great opportunity to post some Tim Minchin.... |
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Jan 2013
11:49am, 15 Jan 2013
23,499 posts
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Velociraptor
I very much agree, Lyns. The practical skill of the individual practitioner is more important than the underlying philosophy.
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