Editor’s note: This article combines elements of several articles about pseudoscience published in 2012 and 2013. It’s been revised to include some newer information and split into several parts to improve readability. See Part 1 here.
This is part 2 of the Pseudoscience and science series.
Pseudoscience and science – the former is bullshit. And the latter is fact based on robust, unbiased evidence. Mostly pseudoscience can be ignored, even if it smells bad.
Pseudoscience is enticing because it’s easy to understand. It’s not nuanced, and it general speaks in black and white terms, often false dichotomies. That view is most prevalent in medicine.
Real doctors will say “this treatment for XYZ cancer is going to be difficult. You’ll lose your hair. You’ll feel sick all the time. You might be in pain. But it gives a 73% chance of putting the cancer into remission, and you have a reasonable chance of living at least five years.”
The pseudo-medicine pusher will say, “drink this juice and have a coffee enema. No side effects. And I guarantee that the cancer will disappear.”
The second choice is so enticing. So easy. But most of us know that treating most cancers is hard. We try to find another way, and hope for the best. Maybe you can choose the junk medicine approach, and get lucky with a spontaneous remission. Or maybe the real medicine worked well enough to cause the remission.
Of course, pseudoscience can make broad claims without the rigorous research required to make those claims. The charlatans who push junk medicine get to say whatever they want, with no consequences usually.
Alternative medicine is bullshit – it is firmly grounded in pseudoscience.
Basically, chiropractic is the belief in the “vertebral subluxation processes” that purportedly can be used to treat and cure a vast range of diseases which have no scientifically verified connection to vertebral anatomy. It’s based on the same general type of pseudoscientific mysticism that one finds with acupuncture.
Of course, modern chiropractic has tried to divorce itself from the vertebral subluxation, and attempted to evolve into the slightly more mainstream chiropractic treatment technique that involves manual therapy, including manipulation of the spine, other joints, and soft tissues. Chiropractic treatment also includes exercises and health and lifestyle counseling. Barely anything more than a good masseuse would provide to an individual.
Despite this evolution of chiropractic to the point that some health insurance companies actually pay for the procedures, chiropractic is a typical pseudoscience–make outlandish claims, minimize or ignore the risks, and make money off of those who think, or want to believe, that it works.
It’s appalling that some people, many who think that vaccines are dangerous (they’re not), believe that a chiropractor, who has very little real medical training, should manipulate the neck of a baby to treat some imaginary, or even real, condition. It boggles the mind.
There are a lot of antivaccination websites and blogs out in the interwebs and blogosphere. To address them all would be a full-time job, and since I have a low-level position in a Big Pharma company polishing gold bars and mopping the floors of the giant vaults of cash, I’m compelled to ignore most of what’s written out there, picking and choosing only the most egregious ones to deconstruct and critique. Most of the antivaccination sites vary between stating lies, passing along lies or myths, or providing a total misinterpretation of real science–it really is not worth my time to critique. Because I’ve got to focus on keeping the Big Pharma cash piles nice and neat.
However, every once in a while, there is a vaccine denying post that far exceeds the stupidity and ignorance of even the worst misinformation about vaccines. In this case, a chiropractor wrote a 5000 word screed about vaccines, which had few, if any, accurate comments about vaccines, immunity, clinical trials, or medicine. Seriously, this article sets the standard of ignorance and anti-science idiocy. Continue reading “Shocking news–antivaccine chiropractor ignores science”
I usually don’t dwell too much on chiropractic, because so many other bloggers deal with it so well. Basically, it is the belief in the “vertebral subluxation processes” that is used to treat and cure a purported vast range of diseases that no scientifically verified connection to vertebrate anatomy. Modern chiropractic has tried to divorce itself from the vertebral subluxation, and evolved to the the main chiropractic treatment technique that involves manual therapy, including manipulation of the spine, other joints, and soft tissues. Chiropractic treatment also includes exercises and health and lifestyle counseling.
So, what does real science say about chiropractic? Not much.
One of the areas that has always had some clinical evidence, and lots of anecdotal evidence of success with chiropractic has been lower back pain. However, a recent publication in the Cochrane Reviews even eliminates that last bastion. According to the article, Spinal manipulative therapy for acute low-back pain, which reviewed 20 randomized clinical trials (with a total of 2674 participants), spinal manipulative therapy is no more effective in participants with acute low-back pain than inert interventions. In other words, chiropractic is no more effective than any other recommended therapy for lower back pain, like taking a non-steroidal anti-inflammatory drug.
Basically, chiropractic evidence is barely more than placebo. Which means that it has barely any clinical significance.