Beware the Spinal Trap

From Ben Goldacre’s Guardian column today:

Today the Australian magazine Cosmos, along with a vast number of other blogs and publications, reprinted an article by Simon Singh, in slightly tweaked form, in an act of solidarity. The British Chiropractic Association has been suing Singh personally for the past 15 months, over a piece in the Guardian where he criticised the BCA for claiming that its members could treat children for colic, ear infections, asthma, prolonged crying, and sleeping and feeding conditions by manipulating their spines.

The piece in question is reprinted below, although much like Orac, I think it important that the original text stays in to provide context.  The portions edited out of the “sanitized” version that most sites are running today are noted in bold:

Some practitioners claim it is a cure-all but research suggests chiropractic therapy can be lethal

Simon Singh
The Guardian, Saturday April 19 2008

This is Chiropractic Awareness Week. So let’s be aware. How about some awareness that may prevent harm and help you make truly informed choices? First, you might be surprised to know that the founder of chiropractic therapy, Daniel David Palmer, wrote that, “99% of all diseases are caused by displaced vertebrae”. In the 1860s, Palmer began to develop his theory that the spine was involved in almost every illness because the spinal cord connects the brain to the rest of the body. Therefore any misalignment could cause a problem in distant parts of the body. In fact, Palmer’s first chiropractic intervention supposedly cured a man who had been profoundly deaf for 17 years. His second treatment was equally strange, because he claimed that he treated a patient with heart trouble by correcting a displaced vertebra.

You might think that modern chiropractors restrict themselves to treating back problems, but in fact they still possess some quite wacky ideas. The fundamentalists argue that they can cure anything. And even the more moderate chiropractors have ideas above their station. The British Chiropractic Association claims that their members can help treat children with colic, sleeping and feeding problems, frequent ear infections, asthma and prolonged crying, even though there is not a jot of evidence. This organisation is the respectable face of the chiropractic profession and yet it happily promotes bogus treatments.

I can confidently label these treatments as bogus [altered to “utter nonsense” in the “sanitized” version] because I have co-authored a book about alternative medicine with the world’s first professor of complementary medicine, Edzard Ernst. He learned chiropractic techniques himself and used them as a doctor. This is when he began to see the need for some critical evaluation. Among other projects, he examined the evidence from 70 trials exploring the benefits of chiropractic therapy in conditions unrelated to the back. He found no evidence to suggest that chiropractors could treat any such conditions.

But what about chiropractic in the context of treating back problems? Manipulating the spine can cure some problems, but results are mixed. To be fair, conventional approaches, such as physiotherapy, also struggle to treat back problems with any consistency. Nevertheless, conventional therapy is still preferable because of the serious dangers associated with chiropractic.

In 2001, a systematic review of five studies revealed that roughly half of all chiropractic patients experience temporary adverse effects, such as pain, numbness, stiffness, dizziness and headaches. These are relatively minor effects, but the frequency is very high, and this has to be weighed against the limited benefit offered by chiropractors.

More worryingly, the hallmark technique of the chiropractor, known as high-velocity, low-amplitude thrust, carries much more significant risks. This involves pushing joints beyond their natural range of motion by applying a short, sharp force. Although this is a safe procedure for most patients, others can suffer dislocations and fractures.

Worse still, manipulation of the neck can damage the vertebral arteries, which supply blood to the brain. So-called vertebral dissection can ultimately cut off the blood supply, which in turn can lead to a stroke and even death. Because there is usually a delay between the vertebral dissection and the blockage of blood to the brain, the link between chiropractic and strokes went unnoticed for many years. Recently, however, it has been possible to identify cases where spinal manipulation has certainly been the cause of vertebral dissection.

Laurie Mathiason was a 20-year-old Canadian waitress who visited a chiropractor 21 times between 1997 and 1998 to relieve her low-back pain. On her penultimate visit she complained of stiffness in her neck. That evening she began dropping plates at the restaurant, so she returned to the chiropractor. As the chiropractor manipulated her neck, Mathiason began to cry, her eyes started to roll, she foamed at the mouth and her body began to convulse. She was rushed to hospital, slipped into a coma and died three days later. At the inquest, the coroner declared: “Laurie died of a ruptured vertebral artery, which occurred in association with a chiropractic manipulation of the neck.”

This case is not unique. In Canada alone there have been several other women who have died after receiving chiropractic therapy, and Professor Ernst has identified about 700 cases of serious complications among the medical literature. This should be a major concern for health officials, particularly as under-reporting will mean that the actual number of cases is much higher.

Bearing all of this in mind, I will leave you with one message for Chiropractic Awareness Week – if spinal manipulation were a drug with such serious adverse effects and so little demonstrable benefit, then it would almost certainly have been taken off the market.

· Simon Singh is the co-author of Trick or Treatment? Alternative Medicine on Trial

The reason why Simon has been sued by the BCA is because of his use of the word “bogus” to describe chiropractic, which in the bizarre world of UK libel law has been judged to mean something different than what he clearly wrote in the article – namely, that he was purporting that the BCA was being “deliberately dishonest” when promoting these claims. As directly stated in the piece, Simon was referring to chiropractic treatments, and not to the chiropractors administering them, which is decidedly not libel.

The history of this issue, the awesome response by the online scientific community, and the positive results of said response are well documented in Ben’s article. Suffice it to say that despite the BCA’s attempts to silence a fair critique of their fantasy-based profession by suing the author of said critique, Simon has refused to back down (despite personal legal fees of now over six figures, owed out of his own pocket), and the worldwide science blogging community has been successful in forcing the BCA to face reality, despite a flawed legal system and pathetic mass-media coverage… and the BCA has responded in ways that demonstrate their awareness that they have no scientific leg to stand on. Which, of course, they do not.

For further info, and to keep tabs on future developments, I point you to Sense About Science:

Sense About Science

the Bad Doctor is in the house – The Secret Lair #25

The Secret Lair

There exists, in the northern hinterlands of Ohio, a nefarious fortress. This indomitable structure is the home of two mad Overlords who plan to rule this miserable rock with fists of iron, and bend its population to even their most minor of whims… that is, if they are able to stop being distracted by philosophizing on geeky subjects, which I doubt will happen anytime soon. I am, naturally, referring to The Secret Lair.

The Secret Lair is an audio podcast that is comprised of the in-depth, witty analytical discussion all of us long to have about various geeky subjects. And by “all of us,” I do specifically mean you. Come on, you know it. I’ve found you out, and there’s no use denying it to yourself and others any longer.

As of episode #25, I have become the Chief Medical Officer of The Secret Lair, and so am obligated to furnish regular reports on my activities, the first one of which is contained herein. Other excellence in this edition include an interesting and occasionally surprising discussion of superheroes and other topics of intrigue by Overlords Johnson and Miller, as well as the visiting Kingfish.

Go here and listen, else when the Overlords’ time comes, you will be the first into servitude.

i can be heard – Escape Pod #206, Rogue Farm

Escape Pod logo from EscapePod.org

Balticon this past Memorial Day was a hectic blast, as usual. One of the highlights of this year’s con for me was participating in the first ever live full cast recording of Escape Pod, the podcast that singlehandedly established the donation-based professional paying market for audio science fiction short stories. If you don’t listen each week for some unfathomable reason, you truly must get over that reason and do so.

Balticon’s guest of honor this year was Charlie Stross, and Steve Eley was able to secure his story Rogue Farm for the live recording. While he couldn’t stay for the whole panel due to a schedule conflict, Charlie was able to stop by at the beginning to to make introductions and give his blessing to the whole affair. Rogue Farm is an excellent story, and without any sort of prior rehearsal, the performance went off exceedingly well. Many thanks to both Steve Eley and Paul Fischer for making this a rousing success.

And what is the tale about, you ask? I’ll let this exerpted bit from Escape Pod’s site say it all:

“Buggerit, I don’t have time for this,” Joe muttered. The stable waiting for the small herd of cloned spidercows cluttering up the north paddock was still knee-deep in manure, and the tractor seat wasn’t getting any warmer while he shivered out here waiting for Maddie to come and sort this thing out. It wasn’t a big herd, but it was as big as his land and his labour could manage – the big biofabricator in the shed could assemble mammalian livestock faster than he could feed them up and sell them with an honest HAND-RAISED NOT VAT-GROWN label.

“What do you want with us?” he yelled up at the gently buzzing farm.

“Brains, fresh brains for baby Jesus,” crooned the farm in a warm contralto, startling Joe half out of his skin. “Buy my brains!” Half a dozen disturbing cauliflower shapes poked suggestively out of the farms’ back then retracted again, coyly.

“Don’t want no brains around here,” Joe said stubbornly, his fingers whitening on the stock of the shotgun. “Don’t want your kind round here, neither. Go away.”

Go there now and listen to the live performance of Rogue Farm, and subscribe to the feed if you haven’t already.

Still not convinced? I voice an elderly boy-toy to Laura‘s even-more-elderly bio-rocket scientist. Seriously. This obligates you to listen.