But…but…it worked for me!

What does apple cider debunking, overpronation and cigarette smoking, Oscon supplements for Severs disease and vaccines causing autism have to do with each other?

^^^ that is the final slide in a video from my Critical Thinking Boot Camp. Anyone who blogs about science always get responses and comments with anecdotes about what was written with responses that it either does or does not apply to them. The science either ‘sucks’ or is the ‘greatest thing since sliced bread’ depending on the anecdote! It has now reached the point where I just delete that anecdotal comments on my posts as they contribute nothing of use to the topic under discussion. Steve Novella succinctly summed this up:

It is almost inevitable that whenever we post an article critical of the claims being made for a particular treatment, alternative philosophy, or alternative profession, someone in the comments will counter a careful examination of published scientific evidence with an anecdote. Their arguments boils down to, “It worked for me, so all of your scientific evidence and plausibility is irrelevant.”

In my other blog, I previously litigated all the issues around “anecdotes” and why useless treatment sometimes appear as though they did work. I don’t intend re-litigating the same issues here but develop them further with some examples I have dealt with recently. For background, I refer you to those two posts.

Health Benefits of Apple Cider
My first example comes from a blog post by Melinda Moyer following an article she wrote on the health benefit of apple cider. These three quotes sum up the issue:

After getting hate mail for debunking the health claims of apple cider vinegar, I’m explaining why I rely on science, not rumors.

Last month, I wrote my first Truth Serum column, “What Apple Cider Vinegar Can—and Can’t—Do for Your Health,” which explored what the science says about apple cider vinegar’s supposed health effects. I found that there isn’t much evidence ACV can cure colds, heal acne, help you lose weight, or alleviate heartburn—and that vinegar can sometimes be harmful.

Then came the angry emails and Facebook posts. Readers chided me for interviewing researchers and doctors rather than people who have actually been helped by apple cider vinegar. Others felt the evidence is irrelevant; vinegar works for them, so they’ll keep using it. A few implied that my writing was unbalanced and unfair.

I am sure you can see the issue …

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How does stuff like this make it into professional journals?

Any publication with the title of A Novel Treatment Approach to Over-Pronation Dysfunction is going to get my attention, mostly because of the nonsensical understanding of “overpronation”. I was not disappointed and it was as bad as I expected.

Even before I got the full paper, just reading bits like this in the preview: “The literature supports a forefoot varus as the most frequent cause of over-pronation compensation. 1,2“. The two cited references did not show that and one was him quoting himself saying that. The alarm bells start going off about a lack of academic rigour and lack of critical thinking skills. A true forefoot varus (based on the textbook definition) is actually quite rare and far from being a common casue of “overpronation”.

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‘More junk getting through to the keeper*’

The whole idea of the peer review process prior to publication is to weed out the junk, so it does not get published. One thing that the alternative therapies have in common is that their journals let a lot of junk science through. Too many studies get published in those journals that should never see the light of day, let alone been conducted so badly in the first place. There are ethical issues at stake in this and the editors of those journals would do well to apprise themselves of publication ethics. Institutional ethics committees or review boards also have a responsibility to prevent bad science from even getting off the ground.

What spurred that little rant was this publication today on ‘The effect of reflexology on the quality of life with breast cancer patients‘ published in the journal, Complementary Therapies in Clinical Practice. They do not get much worse than this one.

It was a study that supposedly randomized 60 people with breast cancer into two groups; one group the control and one group getting reflexology; the aim being to see how it affected their quality of life and symptoms. Sounds good on the surface, but:

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My Online Courses

Time for some shameless self-promotion. I have been running my online Clinical Biomechanics Boot Camp since last year (you can enrol and start it at any time). It has been very popular and its kept me busy. Now, if I was not busy enough I have launched another two courses in the same format. One on Running Shoes (more here) launches next week and one on Critical Thinking and Skepticism (more here) launches tomorrow.

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Plantar fasciitis loading programs – overhyped evidence

I have managed to get myself into a few spats in social media lately over the results of the Rathleff et al (2014) study on loading programs for plantar fasciitis mainly because I think the study is way overhyped and blindly and widely shared by too many devoid of critical thinking skills. I blogged about this study at the time on my other blog, so thought I would re-litigate the main issues here, so I can refer those in my social media spats to have a read of.

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Schadenfreude


One probably should not laugh at another’s misfortune, but sometimes it can just not be helped. For those unfamiliar with it, schadenfreude is the German word for just that. There is not an equivalent English word. I recently, twice, had a really good schadenfreude. This had nothing to do with podiatry or the foot, but has everything to do with pseudoscience and junk science.

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