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> However, common therapies such as surgery and steroid injections intended to address physical origins of back pain have not been clearly proven to work in ran
by Ozzie_osman 5y ago
> However, common therapies such as surgery and steroid injections intended to address physical origins of back pain have not been clearly proven to work in randomized clinical trials.
This is a terrifying statement.
- jjtheblunt 5y agoIs it just that "randomized clinical trials" can not exist for definitive actions like surgery or steroids, as there's nothing that can play the role of placebo?
- pseudalopex 5y agoSham surgery for some procedures. Saline for injections.
- mrestko 5y agoNo, there have been sham controlled trials of surgical interventions before, they're just rare. One example is kyphoplasty.
- cpncrunch 5y agoThere have been a few: https://en.wikipedia.org/wiki/Sham_surgery#Examples https://en.wikipedia.org/wiki/Sham_surgery#Examples
- helge9210 5y agoBloodletting was still a thing a hundred years ago. Medical science went far since then, but not too far.
- generalenvelope 5y agoYou should check out this article: https://startingstrength.com/article/aches-and-pains https://startingstrength.com/article/aches-and-pains many conventional methods of treatment don't have the efficacy you might expect. As an aside - strength training when combined with knowledge of the biopsychosocial model, self efficacy, not-catastrophizing (the things Dr's Baraki and Feigenbaum preach) has changed my life.
- ranger_danger 5y agoI had back surgery and it only helped for 1 year. I can't explain that one either...