Inspired by observation and inequity… and a question from a patient in my clinic yesterday. In 1996 Sackett et al wrote an editorial in the BMJ titled: Evidence based medicine: what it is and what it isn’t. The subtitle ran thus: It's about integrating individual clinical expertise and the best external evidence. Note that individual … Continue reading Too Earnest about Evidence
Inspired by an invitation to present on the topic to politicians in Madrid who apparently want to stop the practice of acupuncture by doctors in Spain - 18 January 2019. I have been lecturing on the scientific perspectives of acupuncture around the globe for over two decades. I have numerous PowerPoint slides to call upon, … Continue reading The problem with sham
Inspired by Ronel et al Mil Med 2018. My first blog of 2019 and I have been struggling to find inspiration. That is what comes from setting yourself an arbitrary target rather than just waiting for something divine. The former is driven by the modern requirements of a social media presence, and the latter is … Continue reading 20000 needles…
The following story was reported to me by a colleague from general practice. The details are altered somewhat to preserve anonymity, including the name of the teller, but regular readers will recognise some characteristic use of language and style. Safe angulation for needling quadratus lumborum near lower lateral attachment to the iliac crest. Dear Mike … Continue reading A Tale of two Fridays
This blog was first published on 27th July 2017 on https://blogs.bmj.com/aim/ I subsequently attended the Spanish Pain Society conference (#SEDPalma2018) and there was a whole session devoted to this paper and why it did not apply to the way these specialists used the technique :-/. This piece has also been stimulated by a publication in JAMA, … Continue reading Burning nerves with needles in back pain – stop the burning, just use the needles!