chronic pain
oracknows | May 21, 2017Last week, I wrote about acupuncture, specifically how acupuncturists are unhappy that the UK National Institute for Health and Care Excellence (NICE), which provides guidelines for recommended treatments for diseases and conditions, does not recommend acupuncture for the treatment of knee osteoarthritis but does recommend arthroscopic washouts and debridement, for which the evidence is weak. My retort was simple: If this is true, the answer is not for NICE to start recommending quackery like acupuncture, but rather for it to stop recommending conventional medical and surgical treatments with…
oracknows | December 15, 2016I don’t know if other bloggers out there have experienced anything like this, but I’ve experienced this a few times since starting this blog. Last night I started writing about an article that—or so I thought— was the perfect distillation of the message of the NCCIH and its desire to co-opt nonpharmacological treatments for pain as being “integrative,” “complementary” or “alternative.” As I sometimes do when I’m tired and, no matter how hard I try, can’t motivate myself to finish it before dozing off, I chugged through about half of what I saw as the ultimate length, meaning to get up in the…
oracknows | November 4, 2016That I’m not a fan of the National Center for Complementary and Integrative Health (NCCIH, formerly known as the National Center for Complementary and Alternative Medicine, or NCCAM) should come as no surprise to anyone. Basically, from its very inception as the Office of Alternative Medicine in the early 1990s to its growth to large center with a yearly budget of $120+ million, NCCIH has served one purpose: The promotion and attempted legitimization of quackery and magical thinking in medicine, the better to “integrate” pseudoscientific medicine with science-based medicine. Certainly, the…
oracknows | September 11, 2016I’ve been critical of the National Center for Complementary and Integrative Health (NCCIH), which was until relatively recently known as the National Center for Complementary and Alternative Medicine (NCCAM) ever since I first discovered that it existed, lo, these many years ago. When I first discovered NCCIH, what struck me is how much pseudoscience it funded, including fellowships and educational programs in “complementary and alternative medicine” (CAM), which has rapidly morphed into “integrative medicine” (i.e., “integrating” quackery into real medicine). There were many NCCAM-funded…
dr. dolittle | March 18, 2014Here I thought snails were just cute little creatures that liked to dine in my vegetable garden. You can imagine my surprise to learn there are also carnivorous snails....with venom. New research shows that conotoxin, isolated from cone snail venom, can numb pain. Conotoxin is also reportedly 100 times more potent than morphine at treating chronic nerve pain. The added benefit is that it does not appear to be addictive.
The snail to the rescue is the marine carnivorous cone snail common to the Indian Ocean and western Pacific. It hunts by stabbing prey and injecting a venom that paralyzes…
lborkowski | November 16, 2012This is the second in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. (The first post is here.) The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story looks at clinical efforts to reduce the risk of opioid abuse and overdose while still caring for patients; the next story will explore the role of public health officials in curbing opioid abuse.
by Kim Krisberg
Since…
oracknows | September 11, 2012I sense a disturbance in the skeptical blogosphere. It is something that I half-expected, but, even so, it nonetheless somewhat surprised me when it arrived in the form of comments on my blog and e-mails from readers, fellow supporters of science-based medicine, and others asking me what I thought. In a way, it makes me glad that I didn't blog about this back on Monday, when the study that is the focus of this disturbance was published. Had I written about it then, all I would have had as fodder was the study itself. However, waiting a couple of days has allowed me to see the reaction of the…