Oh, the cognitive dissonance

Just put together a video for the Clinical Biomechanics Boot Camp on ‘Clinical Practice Can be Deceptive’ wrestling with an issue I can’t quite get my head around. Sometimes writing about it helps me think clearer, so here goes:

Foot orthotics for Achilles tendinopathy:
Clinical experience showing they help – check
Theoretical and plausible mechanism as to how they might help – check
Lab based studies showing they do reduce load in the Achilles tendon – check
Case series and uncontrolled studies showing they work – check
Good, well controlled RCT’s showing they don’t work – damn!

Lateal Wedging for Medial Knee Osteoarthritis:
Clinical experience showing they help – check
Theoretical and plausible mechanism as to how they might help – check
Lab based studies showing they do reduce the external adduction moment – check
Case series and uncontrolled studies showing they work – check
Good, well controlled RCT’s showing they don’t work – damn!

Seen that pattern before?

Did writing about this help me think clearer? nope … damn!

Please sign up for my newsletter when a new content is posted:





Advertisement:

SaleBestseller No. 1
Coding Companion for Podiatry 2021
  • OPTUM360 (Author)
  • English (Publication Language)
Bestseller No. 2
Podiatry Student Handbook: (Second Edition)
  • Shi, Eric (Author)
  • English (Publication Language)
Bestseller No. 4
Funny Foot Whisperer Podiatry for Podiatrist T-Shirt
  • Funny Foot Whisperer quote for Podiatrist, Orthopedist and Chiropodist who loves to heal foot disorders. A Doctor of Podiatric Medicine loves funny podiatry quotes for birthday, christmas or father's day.
  • Medical students gift idea for future foot whisperer who love to care feet. A Funny gift for every passionate podiatrist and Chiropodist. A funny food doctor quote for men and women. Every legendary Podiatrist loves Podiatry Humor.
Bestseller No. 5
Ultrasound of the Foot and Ankle
  • Hardcover Book
  • Schwartz, Nathan (Author)
SaleBestseller No. 6
SaleBestseller No. 7
Pocket Foot and Ankle Medicine and Surgery (Pocket Notebook Series)
  • English (Publication Language)
  • 400 Pages - 07/18/2018 (Publication Date) - LWW (Publisher)
SaleBestseller No. 8
Bestseller No. 9
Coding Companion for Podiatry 2020
  • Optum360ยบ (Author)
  • English (Publication Language)
Bestseller No. 10
Beauty Full Electrical 4 Motor Podiatry Chair Facial Massage Dental Aesthetic Reclining Chair All Purpose Bed - PAVO - Black
  • HEAVY-DUTY FACIAL BEAUTY BED/CHAIR WITH 400 LBS WEIGHT CAPACITY
  • HIGH GRADE FAUX LEATHER WITH HIGH DENSITY FOAM FOR BOTH COMFORT & DURABILITY

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases