Initial healthcare provider and opioid use in LBP?

Stimulated by Kazis et al 2019.[1] Photo by Aiony Haust on Unsplash.This photo was chosen to represent opioids being used on back pain because the first naturally occurring opioids were discovered in a flower. Yes, it is a shame (for my purposes here) that this artistic photographer did not use poppies :-). I am sure … Continue reading Initial healthcare provider and opioid use in LBP?

Do sham devices impede real acupuncture?

Stimulated by Kim et al 2019.[1] Photo by Iai_man_nung on Unsplash. I have been waiting for this network meta-analysis to be published since reviewing it 18 months ago. It introduces data to support an idea that I have had in my head for some time but never thought to actually try to quantify. This paper … Continue reading Do sham devices impede real acupuncture?

Post-acupuncture pneumothorax incidence

Stimulated by Lin et al 2019.[1] Photo by Robina on Unsplash. Not more adverse event reports I hear you cry! No, this paper is very different, and again unexpected, despite actually being rather similar to the previous one I highlighted (sorry to be cryptic). It was just last week that I was musing at the … Continue reading Post-acupuncture pneumothorax incidence

Can acupuncture prevent neck surgery?

Stimulated by Han et al 2019.[1] Photo by Hisu Lee on Unsplash.Chosen because this Korean woman will certainly get neck painif she reads like this for any significant length of time 😉 I was very pleased to see this huge (n>100 000) retrospective cohort study publish online yesterday in Acupuncture in Medicine. I have commented … Continue reading Can acupuncture prevent neck surgery?

Depression stroke risk and acupuncture

Inspired by Chen et al J Affect Disord 2019.[1] Photo by Milada Vigerova on Unsplash. The massive Taiwanese National Health Database strikes again! This time it was used to find new cases of depression between 1997 and 2010. The team found just over 55k cases. Of these, 13 823 received acupuncture treatment, and they were … Continue reading Depression stroke risk and acupuncture

Immortal time bias

Inspired by Shih C-C et al QJM 2019.[1] Immortal Bridge, Mount Tai, ChinaPhoto by https://en.wikipedia.org/wiki/User:PfctdayeliseSky edit by MC – sky from sunset over South Island New Zealand This paper struck me as interesting because of its size, its overlap with previous topics on the blog (VCIND, CHD in RA), but most of all because it … Continue reading Immortal time bias

The problem with sham

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

CHD incidence in RA and acupuncture

Inspired by Wu et al. BMC Complement Altern Med 2018.[1] The title of this paper is rather eye-catching for the Western medic: Acupuncture decreased the risk of coronary heart disease in patients with rheumatoid arthritis in Taiwan… Really? Are you suggesting that acupuncture is the next statin? Surely not! Well, let me start by saying … Continue reading CHD incidence in RA and acupuncture

Aromatase inhibitors, joint pain and acupuncture 2018

This blog was first published on 2nd August 2018 on a BMJ blog, and re-posted here when the former post was expunged ;-). Effect of Acupuncture on Joint Pain Related to Aromatase Inhibitors Among Women With Early-Stage Breast Cancer - Hershman et al JAMA 2018 A large rigorous and statistically positive trial published in a prestigious … Continue reading Aromatase inhibitors, joint pain and acupuncture 2018

Acupuncture and IVF

– no clear effect on live birth rate This blog was first published on 18th June 2018 on https://blogs.bmj.com/aim/ Acupuncture has become very popular within the field of assisted reproduction, and particularly as an intervention within IVF (In-Vitro Fertilisation). In an editorial from 2015 in Acupuncture in Medicine, David Carr lists 12 meta-analyses on the subject … Continue reading Acupuncture and IVF