MD, PhD, FMedSci, FSB, FRCP, FRCPEd

charlatan

I am sure you always wanted to know what animal chiropractic is all about!

This website explains it quite well:

START OF QUOTES

…Animal chiropractic (veterinary spinal manipulative therapy) focuses on the preservation and health/wellness of the neuro-musculo-skeletal system. Chiropractic is the science that is centered around the relationship between the spine and the nervous system. The spine is your body’s foundation and the nervous system, including your brain, spinal cord and nerves, controls your entire body. They must work together harmoniously to improve one’s general health and their ability heal. If the systems are not functioning to their highest potential you may experience changes in digestion, heart and lung function, reproduction and most evidently musculature. When adjacent joints are in an abnormal position, called a subluxation, the nervous system and all that it controls will be negatively impacted. If these subluxations are not corrected, they can result in prolonged inappropriate stimulation of nerves. This could result in reduced function internally, musculo-skeletal dysfunction and pain.

Spinal manipulation is the art of restoring full and pain free range of motion to joints and can greatly benefit an animal after they have experienced subluxations. The veterinarian will use their hands to palpate joints both statically and in motion. By doing this, they can determine where the animal is experiencing decreased motion or misaligned joints. Once identified, an adjustment can be performed. An adjustment or spinal manipulation is a gentle, specific, quick and low force thrust that will be applied at an angle specific to the different areas of motion in the spine and extremities. Only a certified animal chiropractor will understand the complexity involved in adjustments and can best assess if an animal can benefit from chiropractic care.

Many animals can benefit from this alternative therapy. If you notice that your animal has a particularly sensitive spot somewhere on their body, is walking or trotting differently and or not performing to the same ability they have previously, they may be a candidate for a chiropractic assessment. However, an animal does not need to be sick or injured to benefit from chiropractic care. Animals in good health or ones used for sporting activities are also prime candidates for chiropractic care. By maintaining your pet’s proper spinal alignment and mobility they will attain optimal function of muscles, nerves and tissues that support the joints. When the body can move freely your pet will experience improved mobility, stance and flexibility, which can evolve into improved agility, endurance and overall performance. Finally, many people have never considered that chiropractic care can also benefit their animal by boosting their immune response. It can aid in providing a healthier metabolism and a vibrant nervous system which all facilitate your animal’s natural ability to heal themselves from within. Chiropractic care can enhance the quality of your pet’s life ensuring many active and healthy years to come.

…during veterinary school I began the process of researching how to become an animal chiropractor or veterinary spinal manipulative therapist. As I researched further, I noticed that this specialized profession has grown. It became apparent that one should be certified by either the College of Animal Chiropractors or American Veterinary Chiropractic Association to practice on animals…  It was surprising to find out that there are only four programs in the USA and Canada that are approved by both organizations. The courses consisted of over 200 hours of intensive study and hands on learning followed by certification testing…

END OF QUOTE

Yes, I did shorten the quote a bit but, rest assured, I did not cut out a single word about the efficacy of animal chiropractic. Even if I had wanted to, I couldn’t: there is no mention of it in the article.

I wonder why!

Looking into Medline, I found several reports related to the subject:

  • One study suggested an association between chiropractic findings in the lumbar vertebrae and urinary incontinence and retention in dogs.
  • A case report highlighted the potential benefits of combining traditional medical management with chiropractic treatment and physical therapy techniques for management of severe acute-onset torticollis in a giraffe.
  • A review explained that there is limited evidence supporting the effectiveness of spinal mobilization and manipulation in animals.
  • An observational study suggested that chiropractic manipulations elicit slight but significant changes in thoracolumbar and pelvic kinematics.
  • A comparative study measured the spinal mechanical nociceptive thresholds in 38 horses, and showed that they increased by 27, 12 and 8% in the chiropractic, massage and phenylbutazone groups, respectively.

… and that was basically it. Not a single study to suggest that chiropractic is effective for specific conditions of animals.

Frustrated, I went on the site of the ‘College of Animal Chiropractic’; surely there I would find the evidence I was looking for. They offer lots of platitudes and this largely nonsensical statement:

“When a joint become restricted in its range of motion(hypomobile or ‘locked-up’), through trauma, repetitive injury, degenerative changes, or structural stresses, the surrounding tissues are affected. This, in turn, further affects the joints ability to move freely and sensitive structures are activated causing the area to be sensitive or painful. Nerves are the communication links between all tissues in the body to the brain and spinal cord; when joint dysfunction is present, messages to other areas are also affected, which can lead to pain, weakness, reduced function, and compensatory changes. Animal chiropractic focuses on the restoration of movement and the promotion of heath by restoring normal joint mechanics and soft-tissue function, thus, normalizing neurological patterns that facilitate healing . The main tool an animal chiropractor uses to restore joint motion is called an “adjustment”, or veterinary spinal manipulation. This gentle, specialized, manual skill, involves the application of a quick, low-force maneuver that is directed to a specific area of a joint at a specific angle. A certified animal chiropractor understands these joint angles intimately and can best asses if an animal can benefit from chiropractic care, and, is the only professional who is qualified to adjust your pet.”

But no evidence!

By now I was desperate. My last hope was the ‘American Veterinary Chiropractic Association’. All I found there, however, was this: the “American Veterinary Chiropractic Association (AVCA) is a professional membership group promoting animal chiropractic to professionals and the public, and acting as the certifying agency for doctors who have undergone post-graduate animal chiropractic training.”

Not a jot of evidence!

The assumption that animal chiropractic is effective seems to rely on the evidence from human studies…

… and we all know how solid that body of evidence is!

My conclusion from all this: chiropractors treating animals and those treating humans have one important characteristic in common.

THEY HAPPILY PROMOTE BOGUS TREATMENTS.

Alternative medicine is deeply rooted in the notion of ‘detox’. This website is one of thousands and displays some of the issues in an exemplary fashion:

START OF QUOTES

…There are more than 80,000 chemicals used in the industrialized world. Accumulate enough of these toxins and you might suffer, at the very least, fatigue, headaches, muscle soreness, bloating, depression and, at the worst, chronic disease and cancer… This is why regular detoxification is so important in our modern world. It helps your body eliminate toxic waste stored in your tissues. Plus you’ll get:

  • More energy
  • Stronger immunity
  • Faster fat burning
  • Fewer allergies
  • Fewer aches and pains
  • Healthier skin, hair and nails

You’ll find plenty of detoxification kits – or “detox in a box” – at pharmacies and health-food stores. But there is little if any scientific evidence that any of these quick fixes work. Instead, you’re better off using natural detoxification methods that are safe and reliable. Here’s what I recommend:

Step 1: Live without Toxins

There are many natural ways to rid yourself of toxins to look and feel your best:

  • Limit your exposure to hormones. If you eat grain-fed meat, eat only lean cuts and trim off the fat. If you eat grass-fed beef, it’s okay to eat the fat – it’s good for you.
  • Reduce your intake of caffeine, grains, carbohydrates and sugar. They make it harder for your body to fully process estrogen.
  • Stretch and massage your limbs. This will release acids and toxins stored in your own tissues so your body can eliminate them.
  • Hit the sauna. Perspiring in the heat releases toxins through your skin.

Step 2: Eat Purifying Foods

Did you know there are everyday foods that act as detoxifiers to help your body discard built-up toxins? Foods rich in vitamin C like fruits, berries and fresh vegetables will help do the trick, along with fiber-rich nuts, seeds and grains.

Signs You Need to Detox

  • You have unexplained headaches or back pain
  • You have joint pain or arthritis
  • Your memory is failing
  • You’re depressed or lack energy
  • You have brittle nails and hair
  • You’re suffering from psoriasis
  • You have abnormal body odor, a coated tongue or bad breath
  • You’ve experienced an unexplained weight gain
  • You have frequent allergies

Grapefruit is another food that binds to toxins and helps flush them from your body. It contains a flavonoid called naringenin, a potent antioxidant that decreases your body’s insulin resistance to help prevent diabetes, and reprogram your liver to melt excess fat, instead of storing it.

Why is this important to detoxification? Because toxins tend to collect in the fat around your tissues, like your liver, and eating grapefruit will help you stop this process.

Another food that can help clean out your body is garlic. Garlic increases phagocytosis. This boosts the ability of your white blood cells to fight the effects of toxins in your body.

Eating three cloves of fresh garlic per day will help you detox. If you don’t like the smell of garlic, you can get odorless aged garlic supplements at any health food store.

There’s also chlorella. You can find in most health-food stores, and C. Pyreneidosa is the form with the best metal-absorbing properties.

Most people can tolerate high doses of it with great success. Take 1 gram with breakfast, lunch, and dinner. You can increase the dose to up to 3 grams 3 to 4 times a day.

Another option is fresh cilantro, one of the best detoxifiers for your central nervous system. It mobilizes so much mercury, it can’t always carry it out of the body fast enough. So use it in combination with chlorella.

Eat organic cilantro, make a pesto or tea, or buy a tincture. Take 2 drops 2 times a day before meals or 30 minutes after taking chlorella. Increase your dose to up to 10 drops three times a day.

Step 3: Cleanse Your Internal Organs

Herbs can help clear toxins from your bloodstream, restore liver function and help flush out your kidneys. Detoxifying your liver a couple of times a year can also lower your cholesterol.

Here’s a list of herbal products that work well:

Milk thistle – I recommend 200 mg in capsule form twice a day. Look for dried extract with a minimum of 80 percent silymarin – the liver-cleaning active ingredient.

Alfalfa – This herb has been known to lower cholesterol by 25 percent in lab animals. It’s a good source of protein, vitamins A, D, E, B-6 and K, calcium, magnesium, iron, potassium, trace minerals and digestive enzymes.

Dandelion – This root stimulates bile and acts as a diuretic for excess water. Asians use it to treat hepatitis, jaundice, swelling of the liver, and deficient bile secretion. Use 4-10 grams of the dried leaf or 4 to 10 milliliters (1:1) of fluid extract.

Sarsaparilla – This is one of my favorite teas. It tastes great and acts as an effective blood detox. Native Americans have used it as a restorative tonic for centuries. Use 1-4 grams of the dried root, or 8-12 milliliters (2 to 3 teaspoons) (1:1) liquid extract, or 250 milligrams (4:1) of solid extract.

Burdock Root – This ancient remedy is a diuretic and a diaphoretic. It increases urine and perspiration production by exercising and strengthening these natural purging systems.

Step 4: Cleanse Your Colon

For an effective, natural way to flush out your colon, find and take the following herbs in combination:

  • Cascara Sagrada bark
  • Aloe leaf
  • Marshmallow root
  • Flax seed
  • Rhubarb root
  • Slippery Elm bark

Take them all at once, but be careful not to take too much because you could get some gurgling and it could loosen up your stool. They’re pretty powerful when you use them in this combination.

Step 5: Rid Your Tissues of Heavy Metals

These two compounds will remove chemicals and keep your body clean and pure like it’s supposed to be.

DMSA – This is a compound that removes heavy metal toxins (its real name is meso-2, 3-dimercaptosuccinic acid, but forget that tongue twister… it’s known simply as DMSA).

DMSA has receptor sites that the toxins bind to. The toxins reside inside the cells of the body and DMSA cannot enter the cells. Instead glutathione (your body’s natural toxin remover) residing in the cell pushes the metals out of the cell, where they’re picked up by DMSA and excreted.

DMSA should be taken in on-again/off-again cycles – ideally, three days on and 11 days off because your body needs 11 days to regenerate its glutathione levels.

Activated Charcoal – This is a form of carbon that’s been processed into a fine, black powder. It’s odorless, tasteless, safe to consume and very potent.

In fact, you can take a small amount of charcoal and wipe out decades of toxic heavy metals like arsenic, copper, mercury and lead that have been building up in your body.

You can find activated charcoal in any health-food store. It’s relatively inexpensive and easy to take. Because it’s a powder, you can take it just like you would your favorite protein drink, mixed into a liquid.

Take 20-30 grams a day of powdered activated charcoal (in divided doses) mixed with water over a period of 1-2 weeks.

Step 6: Detoxify Naturally with Citrus Pectin

Modified citrus pectin is made from the inner peel of citrus fruits and is one of the most powerful detoxifying substances I’ve found in the world. It’s also been proven to work in human clinical studies.

In one U.S.D.A. study, scientists gave modified citrus pectin to people for six days and measured the amount of toxins excreted in their urine before taking it and 24 hours after taking it. Here’s what they found:

  • The amount of deadly arsenic excreted increased by 130 percent
  • Toxic mercury excreted increased by 150 percent
  • Cadmium excreted increased by 230 percent
  • Toxic lead excreted increased by 560 percent4

What’s great about modified citrus pectin is that while it eliminates toxic metals and pesticides, it doesn’t deplete your body of zinc, calcium or magnesium. However, consult your physician before taking modified citrus pectin capsules and caplets to make sure they are the kind used in clinical studies and the proper dosage.

END OF QUOTES

This text is so full of unproven notions, disproven theories, implausible assumptions and misunderstood science that I cannot possible address them all here (almost as bad as Prince Charles’ famous ‘detox tincture’). I will therefore only focus on the author’s final CITRUS PECTIN recommendation which apparently is even supported by real evidence. The study cited might have been this one:

This clinical study was performed to determine if the oral administration of modified citrus pectin (MCP) is effective at lowering lead toxicity in the blood of children between the ages of 5 and 12 years. Hospitalized children with a blood serum level greater than 20 microg/dL, as measured by graphite furnace atomic absorption spectrometry (GFAAS), who had not received any form of chelating and/or detoxification medication for 3 months prior were given 15 g of MCP (PectaSol) in 3 divided dosages a day. Blood serum and 24-hour urine excretion collection GFAAS analysis were performed on day 0, day 14, day 21, and day 28.  This study showed a dramatic decrease in blood serum levels of lead (P = .0016; 161% average change) and a dramatic increase in 24-hour urine collection (P = .0007; 132% average change). The need for a gentle, safe heavy metal-chelating agent, especially for children with high environmental chronic exposure, is great. The dramatic results and no observed adverse effects in this pilot study along with previous reports of the safe and effective use of MCP in adults indicate that MCP could be such an agent. Further studies to confirm its benefits are justified.

Apart from the fact that it was published in one of the most notorious altmed journals ever, one ought to mention that it has been rightly criticised for its many and fatal flaws:

• Although the trial was conducted at a university hospital, there is no mention of the study’s approval by an institutional review board  

• The study’s criteria for inclusion and exclusion were not noted.  Although the authors state the MCP product was used for other children not in the study, their results were not included because they did not fit the inclusion criteria. 

• The study had no control/placebo group, although the article states the study was conducted at a hospital that works with lead-poisoned individuals where it is reasonable to assume a group control would be available. 

• Aside from baseline blood levels, only discharge levels were reported.  Presumably, weekly measurements were taken in order to monitor progress and determine when to discharge, but that data was not reported.

There are one or two other human studies on this subject but all of them are of a similar calibre as the one above.

I think this story provides several important lessons:

  • the detox notion is hugely popular in alternative medicine;
  • it is alarmist and takes advantage of our fear to get poisoned by modern life;
  • it is packaged into sciency language in order to appear plausible to lay people;
  • one hardly needs to scratch the surface to find that the ‘science’ is, in fact, pseudoscience of the worst kind;
  • alternative detox thus turns out to be little more than a cunning but dishonest and unethical sales pitch.

If your life-style is unhealthy, don’t think that detox will help, but change your ways.

If the air that you breathe or the water that you drink are polluted, don’t think that detox is the solution, but punish the government that is responsible for these disasters and vote for someone more responsible.

Detox, as used in alternative medicine, is stupid, unethical nonsense promoted by charlatans of the worst kind; don’t fall for it!!!

It has been pointed out that many of the discussions we have on this blog are like pigeon chess. The term comes from a comment made by Scott D. Weitzenhoffer about Evolution vs. Creationism: An introduction: “Debating creationists on the topic of evolution is rather like trying to play chess with a pigeon — it knocks the pieces over, craps on the board, and flies back to its flock to claim victory.”

Debating a fan of alternative medicine is frequently just like that: ignorant of the basics of science and logic, he nevertheless insists on playing with you, knocks over the pieces, defecates on the board, flies back to his flock to boast of victory, only to come back a little later to start over again.

The sequence of events is comically stereotypical: in order to start this game, the evangelist of alternative medicine does his best to appear rational and interested in the subject. Once a discussion has commenced, he begins to make more and more irrational claims. When asked to provide evidence for them, he evades the challenge. Instead, he issues all sorts of accusations to you. Some of the favourites include:

  • being not competent to discuss the issue at hand,
  • having a closed mind,
  • being paid by BIG PHARMA,

As the accusations continue, it can be almost impossible to remain polite. Your reminders to produce evidence for the evangelist’s irrational claims become more and more pressing. He then decides to focus on a triviality and pesters you with questions about it which are too silly to answer. Consequently, the temperature of the exchange rises until his accusations become offensive or turn into overt insults (in the past I have sometimes deleted insulting comments and I intend to continue doing this on hopefully rare occasions). The aims of the evangelist are 1) to arrive at a point where you lose your temper and 2) to distract from the fact that he is unable to provide any evidence for his outlandish claims. Eventually your patience is exhausted and you finally start paying him back in the same coinage as he dispensed.

At this stage, the evangelist indignantly shouts:

  • YOU HAVE INSULTED ME!!!
  • YOU HAVE INSULTED ANYONE WHO DISAGREES WITH YOU!!!
  • THIS SHOWS WHAT A BAD, BAD PERSON YOU ARE!!!

Consequently, you give him a real piece of your mind and tell him what you really think of people who are belligerent,  ignorant on their chosen subject, provocatively irrational and unable or unwilling to learn. The reaction of the evangelist is predictable: he says THAT’S IT, I AM NOT TALKING TO YOU ANYMORE, announces that he is the winner of the argument, and flies off triumphantly promising never to return.

Finally!

We all give a sigh of relief. The evangelist has now returned to his fellow conspiracy theorists where he defames you the best he can. Eventually he disappoints your hope of peace and rationality by returning to the table. He pretends nothing has happened and starts over again.

So, what is the solution?

I am not sure there is an ideal way out.

Personally I intend to do the following in future (and I invite others to follow my example): before I reach the point where I lose my temper completely and regrettably, I will refer the evangelist to this blog post entitled ‘A method of ending discussions with belligerent twits’. At the same time, I will inform him (rarely it is a ‘her’) that I am about to break off the discussion with him because I fear that otherwise I might be openly rude, and perhaps even tell him: YOU ARE A FLAMING IDIOT WHO POSTS FAR TO MUCH NONSENSE TO BE TAKEN SERIOUSLY.

This, I hope will get my message across without actually ever tempting me to post a rude word again.

Failing this, I will block him completely, a measure to which so far I only needed rarely to resort.

I know, many of you think that proponents of alternative therapies are a bit daft, intellectually challenges or naïve. This may be true for some of them, but others are very much on the ball and manage things that seemed almost impossible. Who, for instance, would have thought it possible to combine all of the following features, concepts and principles in one single alternative approach:

  • healing,
  • creativity,
  • simplicity,
  • balance,
  • alkalizing,
  • maintenance,
  • going green,
  • tradition,
  • holism,
  • synergism,
  • beauty,
  • the deepest level,
  • new way of living,
  • goodness,
  • medicinal food,
  • adaptogen,
  • vitality,
  • immunity,
  • live food,
  • etheric potion,
  • cosmic beam,
  • wellness,
  • longevity,
  • alchemizing,
  • elixir,
  • superior states of clarity.

You may think it impossible, but Amanda Chantal Bacon has skilfully combined all of them. A true feast, I hope you agree. Amanda believes that “food is as much about pleasure as healing; creativity as sustenance; and simplicity as the exquisite.” Amanda has several cards up her sleeve; one trump card is to alkalize. Alkaline foods, she claims, “balance your pH, making your body an inhospitable environment for disease. Disease can only exist in acidic states, so keeping an alkaline climate in your body is the ultimate form of protection. Existing in an alkaline state is a key to maintaining a calm and joyful life. Alkalinity will promote not only peace within but also an overall glow with radiant skin and sparkling eyes. A simple tip to remember: just go green when in doubt. Our favorite daily alkalizers are green juice, almonds, lemon and apple cider vinegar.”

Amanda is as creative as she is productive. She invented several formulas for the good of her customers: “When I compose a recipe, I draw inspiration from both my far flung travels and my local farmers markets; the traditional pairings of my culinary training and the chefs I have worked with; holistic remedies and artisanal producers. When I create a juice or a milk or a cookie I want it not only to taste extraordinary, but also to work synergistically to heal and enhance your beauty, brain, body and spirit at the deepest level.”

In her pursuit of good health, well being, holism and deeper levels, Amanda created a firm called ‘Moon Juice’ which is “for people interested in a new way of living. Not a way where you have to erase your past, but a way fueled by excitement to help yourself live better. Our only intention is to add goodness and beauty to your life.”

“In 2006” Amanda explains, “I began studying the power of raw, medicinal foods to heal the hypothyroid condition I had had since I was a teen, in addition to my severe allergies to wheat, sugar, and cow dairy. Although I was still working as a chef in fine dining, at this juncture my whole diet changed. I ate primarily vegetables and legumes from the farmers market, and foods that would serve as hormonal adaptogens. Within a few months, I noticed a radical shift. My next round of blood work revealed that my thyroid hormone levels were back to normal. Working in fine dining was amazing, but my own transformative experience – backed up by extensive blood tests, the scrutiny of several physicians, renewed feelings of vitality, and a shift in my personality, immunity, appearance, and thought – inspired me to create Moon Juice. These live, medicinal foods changed me from the inside out. That is what Moon Juice is – not just our products – but rather a healing force, an etheric potion, a cosmic beacon for those seeking out beauty, wellness, and longevity. There is nothing I want more than to share this experience and education with as many people as I can.”

Well?

Perhaps there is something that Amanda might want even more: your money?

Amanda is not selfish; no, she wants everyone to benefit from her inventions. Therefore, she sells her products; the one I liked best was Brain Dust™ . This is “an enlightening edible formula alchemized to align you with the mighty cosmic flow needed for great achievement. An adaptogenic elixir to maintain healthy systems for superior states of clarity, memory, creativity, alertness and a capacity to handle stress.” The ingredients of Brain Dust are Organic Astragalus, Shilajit, Maca, Lion’s Mane, Rhodiola, Ginkgo and Organic Stevia. Of course, such an exquisite product has to come at a price: you can purchase one jar (14 servings) of Brain Dust for US$ 30.

As I said, not all of them are daft!

We have discussed this notorious problem before: numerous charities (such as one that treats HIV and malaria with homeopathy in Botswana, or the one claiming that homeopathy can reverse cancer) are a clear danger to public health. I have previously chosen the example of ‘YES TO LIFE’ and explained that they promote unproven and disproven alternative therapies as cures for cancer (and if you want to get really sickened, look who act as their supporters and advisors). It is clear to me that such behaviour can hasten the death of many vulnerable patients.

Yet, many such charities get tax and reputational benefits by being registered charities in the UK. The question is CAN THIS SITUATION BE JUSTIFIED?

Currently, the UK Charity commission want to answer it. Specifically, they are asking you the following question:

  • Question 1: What level and nature of evidence should the Commission require to establish the beneficial impact of CAM therapies?
  • Question 2: Can the benefit of the use or promotion of CAM therapies be established by general acceptance or recognition, without the need for further evidence of beneficial impact? If so, what level of recognition, and by whom, should the Commission consider as evidence?
  • Question 3: How should the Commission consider conflicting or inconsistent evidence of beneficial impact regarding CAM therapies?
  • Question 4: How, if at all, should the Commission’s approach be different in respect of CAM organisations which only use or promote therapies which are complementary, rather than alternative, to conventional treatments?
  • Question 5: Is it appropriate to require a lesser degree of evidence of beneficial impact for CAM therapies which are claimed to relieve symptoms rather than to cure or diagnose conditions?
  • Question 6: Do you have any other comments about the Commission’s approach to registering CAM organisations as charities?

I am sure that most readers of this blog have something to say about these questions. So, please carefully study the full document, go on the commission’s website, and email your response to: legalcharitablestatus@charitycommission.gsi.gov.uk . Don’t delay it; do it now!

THANK YOU!

THE CHRONICLE OF CHIROPRACTIC is not a publication I usually read, I have to admit. But perhaps I should, because this article from its latest edition is truly fascinating. Here are the crucial excerpts:

“A so called “debate” on vertebral subluxation was held at the recent chiropractic educational conference held by the controlling factions of the Chiropractic Cartel: The World Federation of Chiropractic, the Association of Chiropractic Colleges and the American Chiropractic Association. Every few years this faction of the profession makes an attempt to disparage vertebral subluxation and those who practice in a subluxation model by trotting out its long list of Subluxation Deniers.

This year was no different.

David Newell, who is a Senior Lecturer at the Anglo European College of Chiropractic, made a number of unsubstantiated claims and engaged in logical fallacies that would shock even the casual observer. As an example, Newell made the statement:

“The subluxation as vitalistic concept, an impediment in and of itself to health and well being, impeding the expression of higher intelligence is not only entirely bereft of any evidence whatsoever but is a complete non starter even as a scientific question.”

…Newell claimed that what is dangerous about the use of vertebral subluxation are concepts and behavior associated with its use. Newell stated that subluxations are used by some in the profession to “scare or misinform patients” and gave the following examples of claims he has issues with:

  • You cannot be healthy with them
  • They will lead to serious disease
  • Chiropractors are the only ones that can help
  • A chiropractic manipulation is unique
  • You need to come back for the rest of your life
  • You need to bring your children otherwise they will not develop properly

Newell claimed that such statements are “confusing, un-evidenced and detrimental to our standing as a profession in the outside world” and that “at worse, sometimes used to justify approaches to care and practice models that are unacceptable both inside and outside of the profession.”

Newell … continued his tirade against his perceived threat to public health stating vertebral subluxation and the concepts attached to it are: “. . . used to generate dependancy through fear or coercion. Here, use of such words and concepts essentially as smoke screens for a model of care dominated by a coercive business ethic are strongly reputationally damaging and are not OK.” …Newell further claimed that the concept of ” . . . subluxation as an impediment to innate intelligence is bereft of science and evidence” and that “. . . this approach will be inadmissible to characterise a modern healthcare profession. Describing the profession in such language will further isolate and marginalise.”…”The irony” he states “. . . is of course that there are much better explanations, concepts and terms. Much of what is seen in practice can be explained by sound science and scientific language and so a subluxation model isn’t even needed.”

He went on to engage in further expressions of logical fallacies by stating: “Even on a simple level, science has yet to answer questions as to what a subluxation is as a defined entity, can it be validly and reliably identified, can it be validly and reliably shown to have gone post manipulation and is such disappearance associated with meaningful clinical change in patients.”

In reality, there is a rich evidence base that demonstrates the validity and reliability of numerous methods of measurements focused on the various components of vertebral subluxation as well as evidence demonstrating reduction or correction of it with resulting positive health outcomes.

Unfortunately, most simply go along with statements such as Newell’s either out of ignorance, simple aquiesence or collegiality.

Imagine the plight of students in a chiropractic program being exposed to Newell’s dogma, scientism and denial of even the existence of vertebral subluxation. That he is even given a stage and an audience is a failure of leadership within the ranks of those who purport to embrace the vitalistic concept of vertebral subluxation.

We laugh and mock those who contend the Earth is flat, yet Subluxation Deniers are given voice by schools and political organizations along with a role in determining the subluxation research agenda. And its the leadership on the traditional, conservative side of the profession that does this – as evidenced by his even being entertained at an educational conference billed as the largest and most important gathering of chiropractic educators and researchers.

Not a single objection to his, or any other Deniers, participation by the leadership in the vitalistic faction. In fact, quite the opposite – he was given the opportunity to spew his Flat Earth nonsense to a wide audience who educate the future of this profession.

Imagine a meeting at NASA where a Flat Earther is given a voice and a vote on the Mars Mission.

This was and is a failure of leadership within the vitalistic, conservative, traditional faction of the chiropractic profession.”

END OF EXCERTS

On this blog, we have heard again and again that the chiropractic profession is in the middle of a fundamental reform, that it has given up the idiotic concepts of its founders, that it has joined the 21st century, that it is becoming evidence-based, that progress is being made etc. etc. However, sceptics have always doubted these claims and pointed out that chiropractic minus its traditional concepts would merely become a limited type of physiotherapy.

From the above article, I get the impression that the notion of reform might be a bit optimistic. The old guard seems to be as alive and powerful as ever, fighting as fiercely as always to preserve chiropractic’s nonsensical cult.

Some will, of course, claim that the above article shows exactly the opposite of what I just stated. They will try to persuade us that it is evidence for the struggle of the new generation of chiropractors instilling reason into their brain-dead peers. It is evidence, they will claim, for the fact that there is a healthy discussion within the profession.

Yet this is simply not true: The maligned Mr Newell is NOT a chiropractor!

To me, the above article suggests that, for the foreseeable future, chiropractic will remain where it always has been: firmly anchored in the realm of quackery.

It was a BBC journalist who alerted me to this website (and later did an interview to be broadcast today, I think). Castle Treatments seem to have been going already for 12 years; they specialise in treating drug and alcohol dependency. And they are very proud of what they have achieved:

“We are the U.K.’s leading experts in advanced treatments to help clients to stop drinking, stop cocaine use and stop drug use. Over the last 12 years we have helped over 9,000 private clients stop using: alcohol, cocaine, crack, nicotine, heroin, opiates, cannabis, spice, legal highs and other medications…

All other treatment methods to help people stop drinking or stop using drugs have a high margin for error and so achieve very low success rates as they use ‘slow and out-dated methods’ such as talking therapies (hypnosis, counselling, rehab, 12 steps, CBT etc) or daily medications (pharma meds, sprays, opiates, subutex etc) which don’t work for most people or most of the time.

This is because none of these methods can remove the ’cause’ of the problem which is the ‘frequency of the substance’ itself. The phase signal of the substance maintains the craving or desire for that substance, once neutralised the craving/desire has either gone or is greatly diminished therefore making it much easier to stop drinking or using drugs as per the client feedback.
When compared to any other method there is no doubt our treatments produce the best results. Over the last 12 years we have helped over 9,000 clients the stop drinking, stop cocaine use or stop using drugs with excellent results as each client receives exactly the same treatment program tailored to their substance(s) which means our success rates are consistently high, making our advanced treatment the logical and natural choice when you want help.

Our technicians took basic principles in physics and applied them to new areas to help with addiction and dependency issues. Our treatment method uses specific phase signals (frequency) to help:

  • neutralise any substance and reduce physical dependency
  • improve and restore physical & mental health

When the substance is neutralised, the physical urge or craving has ‘gone or is greatly diminished’ therefore making it much easier to stop drinking or using drugs. The body can also absorb beneficial input frequencies so physically and mentally our clients feel much better and so find it much easier to ‘stop and regain control’…

The body (muscle, tissue, bones, cells etc) radiate imbalances including disease, physical, emotional and psychological conditions which have their own unique frequencies that respond to various ‘beneficial input frequencies’ (Hz) or ‘electroceuticals’ which can help to improve physical and mental health hence why our clients feel so much better during/after treatment…”

END OF QUOTE

Sounds interesting?

Not really!

To me this sounds like nonsense on stilts.

Bioresonance is, as far as I can see, complete baloney. It originates from Germany and uses an instrument that is not dissimilar to the e-meter of scientology (its inventor had links to this cult). This instrument is supposed to pick up unhealthy frequencies from the body, inverses them and thus treats the root cause of the problem.

There are two seemingly rigorous positive studies of bioresonance. One suggested that it is effective for treating GI symptoms. This trial was, however, tiny. The other study suggested that it works for smoking cessation. Both of these articles appeared in a CAM journal and have not been independently replicated. A further trial published in a conventional journal reported negative results. In 2004, I published an article in which I used the example of bioresonance therapy to demonstrate how pseudo-scientific language can be used to cloud important issues. I concluded that it is an attempt to present nonsense as science. Because this misleads patients and can thus endanger their health, we should find ways of minimizing this problem (I remember being amazed that a CAM journal published this critique). More worthwhile stuff on bioresonance and related topics can be found here, here and here.

There is no good evidence that bioresonance is effective for drug or alcohol dependency (and even thousands of testimonials do not amount to evidence: THE PLURAL OF ANECDOTE IS ANECDOTES, NOT EVIDENCE!!!). Claiming otherwise is, in my view, highly irresponsible. If I then consider the fees Castle Treatments charge (Alcohol Support: Detox 1: £2,655.00, Detox 2: £3,245.00, Detox 3: £3,835.00) I feel disgusted and angry.

I hope that publishing this post somehow leads to the closure of Castle Treatments and similar clinics.

On their website, ‘CBC News’ just published an article that is relevant to much what we have been discussing here. I therefore take the liberty of showing you a few excerpts:

START OF QUOTES

…A CBC News analysis of company websites and Facebook pages of every registered chiropractor in Manitoba found several dozen examples of statements, claims and social media content at odds with many public health policies or medical research.

Examples include:

  • Offers of treatments for autism, Tourette’s syndrome, Alzheimer’s disease, colic, infections and cancer.
  • Anti-vaccination literature and recently published letters to the editor from chiropractors that discourage vaccination.
  • An article claiming vaccines have caused a 200 to 600 per cent increase in autism rates.
  • A statement that claims the education and training of a chiropractor is “virtually identical” to that of a medical doctor.
  • Discouraging people from getting diagnostic tests such as CT scans, colonoscopies and mammograms.
  • An informational video discouraging the use of sunscreen.

…”It misleads the public in two areas. Firstly, those who choose to go for chiropractic care, particularly for things like infection and autism and things that we know they’re not going to be beneficial for, it misleads those individuals and gives them false hope for treatment that will not be effective,” he [Dr. Alan Katz, director of the Manitoba Centre for Health Policy] said. “Putting these things up on their website also puts the doubt in the minds of others about what we do know works, and as a result those people may not seek the right type of care for conditions that could deteriorate if they don’t seek that care.”

The Manitoba Chiropractors Association declined an interview request but did say it would review the content.

health-care-lies

This image disparaging medical treatments and physicians appeared on a chiropractor’s clinic Facebook page.

…The Manitoba Chiropractors Association has previously addressed certain issues with its membership through an internal communication. “In Manitoba, the administration of ‘vaccination and immunization’ currently falls outside the scope of chiropractic practice,” the communication said. It also cautioned members that:

  • “Chiropractors may be liable for opinions they provide to patients/public in circumstances where it would be reasonably foreseeable that the individual receiving the opinion would rely on it.
  • “Providing professional opinions on the issue of vaccination and immunization would likely be found by a court to be outside the scope of practice of a chiropractor.”

The association also said, “The degree to which a chiropractor can or cannot discuss ‘vaccination and immunization’ or other health-care procedures that are outside the scope of practice with a patient is currently being reviewed by the board of directors.”…

fluoride-hitler

A local chiropractor shared this message on their company Facebook page. Health Canada says fluoride concentrations in drinking water do not pose a risk to human health and are endorsed by over 90 national and international professional health organizations. (Facebook)

The fact that members of a regulated health profession are actively disseminating questionable medical information while benefiting from public funds is cause for concern, Katz said. “Should we as a society be paying for the services of professionals, and I use that word loosely, that are advocating care that is contrary to the official public policy?”

 

fever-baby-ad

Information on fevers posted online by a Manitoba chiropractor. The College of Family Physicians of Canada says that if a infant has a temperature of 100.4°F (38°C) or higher to call the doctor or immediately go to an emergency room.

…A letter by Winnipeg chiropractor Henri Marcoux was published last February in Manitoba’s francophone weekly newspaper La Liberté, in response to an article in which a regional health authority expert was interviewed about influenza immunizations.

Marcoux wrote that he does not recommend flu vaccines, calling them “toxic.” He further stated that the flu virus actually “purifies our systems” and said that he believes flu vaccines are “driven by a vast operation orchestrated by pharmaceutical companies.” People should instead focus on general wellness — which includes chiropractic treatment — to stave off the flu, he wrote.

treating-chiro…Now-retired chiropractor and long-time anti-vaccination advocate Gérald Bohémier wrote a later letter in support of Marcoux that also appeared in La Liberté.

Letters then poured in from members of the community, including a resident and two physicians who took exception to these statements. Marcoux told the CBC’s French service, Radio-Canada, that he does not believe his views are at odds with public health. He stands by his letter, he said, adding if society as a whole took health and wellness more seriously — rather than trying to treat symptoms — the need for vaccines would dissipate or never would have existed in the first place…

END OF QUOTES

Some chiropractors will respond that this is Canada and that elsewhere the situation is much better. I fear that this is not necessarily true – and if it is better in the UK, it is not because of the efforts of chiropractors or their professional organisations. In the UK, the situation has improved because of the work of organisations such as the Nightingale Collaboration and The Good Thinking Society. Likewise, in other countries, progress is being generated not by chiropractors but by critical thinkers and critics of quackery.

THE HINKLEY TIMES is quickly becoming my favourite newspaper. Yesterday they published an article about my old friend Tredinnick. I cannot resist showing you a few excerpts from it:

START OF EXCERPTS

Alternative therapy advocate, David Tredinnick has called for greater self reliance as a way of reducing pressures on the NHS. Speaking on the BBC’s regional Sunday Politics Show he suggested people should take more responsibility for their own health, rather than relying on struggling services. He highlighted homeopathy as a way of treating ailments at home and said self-help could cut unnecessary trips to the GP. He also said people could avoid illness by not being overweight and taking exercise…During debate on the show about the current ‘crisis’ in health and social care he said: “There are systems such as homeopathic remedies. Try it yourself before going to the doctor.”

Mr Tredinnick has always stood by his personal preferences for traditional therapies despite others disparaging his views. His recent remarks have sparked a response from Lib Dem Parliamentary spokesman Michael Mullaney. He said in the wake of the NHS facing cuts and closures, Mr Tredinnick was yet again showing he was out of touch. He added: “It’s dangerous for Mr Tredinnick, who is not properly medically trained, to use his platform as an MP to tell ill people to treat themselves with homeopathy, a treatment for which there is no medical proof that it works. He should stop talking about his quack theories and do his job representing the people of Hinckley and Bosworth, or otherwise he should resign as MP for he is totally failing to do his job of representing local people.”

END OF EXCERPTS

Yes, there is no doubt in my mind: if the public would ever take Tredinnick seriously when he talks about quackery, our health would be in danger. Therefore, it must be seen as most fortunate that hardly anyone does take him seriously. And here are a few reasons why this is so:

David Tredinnick: not again! Alternative medicine saves lives?!?

Tory MP David Tredinnick: “perhaps the worst example of scientific illiteracy in government.” But is he also a liar?

David Tredinnick: perhaps the worst example of scientific illiteracy in government?

Personally, I would very much regret if he resigned – there would be so much less to laugh about in the realm of alternative medicine!

On 13 March, the UK Charity Commission published the following announcement:

This consultation is about the Commission’s approach to deciding whether an organisation which uses or promotes CAM therapies is a charity. For an organisation to be charitable, its purposes must be exclusively charitable. Some purposes relate to health and to relieve the needs of the elderly and disabled.

We are seeking views on:

  • the level and nature of evidence to support CAM
  • conflicting and inconsistent evidence
  • alternative therapies and the risk of harm
  • palliative alternative therapy

Last year, lawyers wrote to the Charity Commission on behalf of the Good Thinking Society suggesting that, if the commission refused to revoke the charitable status of organisations that promote homeopathy, it could be subject to a judicial review. The commission responded by announcing their review which will be completed by 1 July 2017.

Charities must meet a “public benefit test”. This means that they must be able to provide evidence that the work they do benefits the public as a whole. Therefore the consultation will have to determine what nature of evidence is required to demonstrate that a CAM-promoting charity provides this benefit.

In a press release, the Charity Commission stated that it will consider what to do in the face of “conflicting or inconsistent” evidence of a treatment’s effectiveness, and whether it should approach “complementary” treatments, intended to work alongside conventional medicine, differently from “alternative” treatments intended to replace it. In my view, however, this distinction is problematic and often impossible. Depending on the clinical situation, almost any given alternative therapy can be used both as a complementary and as an alternative treatment. Some advocates seem to cleverly promote their therapy as complementary (because this is seen as more acceptable), but clearly employ it as an alternative. The dividing line is often far too blurred for this distinction to be practical, and I have therefore long given up making it.

John Maton, the commission’s head of charitable status, said “Our consultation is not about whether complementary and alternative therapies and medicines are ‘good’ or ‘bad’, but about what level of evidence we should require when making assessments about an organisation’s charitable status.” Personally, I am not sure what this means. It sounds suspiciously soft and opens all sorts of escape routes for even the most outright quackery, I fear.

Michael Marshall of the Good Thinking Society said “We are pleased to see the Charity Commission making progress on their review. Too often we have seen little effective action to protect the public from charities whose very purpose is the promotion of potentially dangerous quackery. However, the real progress will come when the commission considers the clear evidence that complementary and alternative medicine organisations currently afforded charitable status often offer therapies that are completely ineffective or even potentially harm the public. We hope that this review leads to a policy to remove such misleading charities from the register.”

On this blog, I have occasionally reported about charities promoting quackery (for instance here, here and here) and pointed out that such activities cannot ever benefit the public. On the contrary, they are a danger to public health and bring many good charities into disrepute. I would therefore encourage everyone to use this unique occasion to write to the Charity Commission and make their views felt.

 

Gravityscan Badge

Recent Comments

Note that comments can be edited for up to five minutes after they are first submitted.


Click here for a comprehensive list of recent comments.

Categories