This turned up in my Facebook feed, so I had to respond.
Luckily I kept a screen shot as within five minutes of calling them out, they deleted my post.
The two links I posted were to two systematic reviews of all the evidence, one in adults and one in kids that contradicted the claims they made.
This caught my eye on Twitter and was also posted on Podiatry Arena.
Such a great day speaking at the Hants #socap meeting. We changed a ladies foot function by mobilising her wrist… #IntergratedSystem
— Anthony Fletcher (@aka_Fletch) October 19, 2013
Snake oil is a remedy that is sold for a condition that does not work any better than a placebo. How many remedies that are ‘sold’ for plantar fasciitis don’t work better than a placebo? There is probably a lot.
The biggest problem with plantar fasciitis is that the natural history of it is to generally get better on its own. Just look at the placebo groups in the clinical trials to see how many do get better on their own without treatment. The only reason to treat it is that is hurts and can take a while to get better on its own. The problem with any treatment given, the question is that did the treatment work or was the plantar fasciitis just get better on its own at the same time as the treatment was started. that is why we need to rely on good randomized prospective clinical trial to sort out the treatments that don’t work better than a placebo vs those that do work better than a placebo.
It gets really scary when you surf around the blogosphere and see how ‘pronation’ and ‘overpronation’ is being pontificated on by pseudo-experts and giving advice when they clearly have no idea what they are talking about. This is very common in the running community and is a flawed basis for the prescription of running shoes. There is so much of what is written about it that is pseudoscience, yet is accepted as fact by those who are not familiar with the whole body of evidence on the topic. There is a lot of cherry picking of flawed studies to make a point and and ignoring of what the more powerful meta-analyses and and systematic reviews are showing.
“Pronation’ and ‘overpronation’ in the running community are probably the most misused and misunderstood terms in relationship to injury and running show prescription. See: The nonsensical understanding of ‘overpronation’.
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