@[email protected] 'Frustrated placebo' creating poorer results in subjects who know that they are not getting the exciting new therapy being trialled. Formally known as 'performance bias.'

catalogofbias.org/biases/perform…

Dr. Rob The idea of star-scale objects being as bright or even brighter than entire galaxies has always deeply impressed me.

And in case there's anyone left on Twitter who doesn't know what study I’m talking about… 😏

painscience.com/blog/major-goo…

It’s at least partly as bad as it sounds. But I am not really sharing it as an example of chiropractic nonsense, even though there certainly is that angle. It’s more complicated than that…

We only rate dogs. This is clearly a baby polar bear who wants uppies. Please pick them up immediately, and only send dogs. Thank you… 12/10

I could ignore all other topics for a month and probably still struggle to get through all that. Arguably the world of musculoskeletal medicine is a little too immense for one writer to stay on top of. 😜

And it does seem extremely likely (a near certainty) that the rule was (very effectively) weaponized by this professional’s anti-vax colleagues. In fact, it’s quite possible the rule was intended to muzzle anti-vaccine chiropractors, and this was an unintended consequence!

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Jonathan Jarry Katherine J. Wu, Ph.D. Could not quite believe my eyes when I stumbled on that headline yesterday.😬

This story from Manitoba, Canada, is just bonkers. The extremely oversimplified version? A chiropractor’s license hung in the balance for many long, expensive months because •gasp• she was publicly pro-vaccine! 😮

cbc.ca/news/canada/ma…

👀 Journal Club on Thursday! We are delighted that Jess is coming to present her research on whether there is a stigma around psychological interventions for #ChronicPain

This will be a very interesting one! Open to anyone interested in pain!

#PainScience #Stigma #psychology

The craving to make sense of #chronicpain is overwhelming. Pain does indeed “demand” an explanation, and usually gets one … whether it makes a damned lick of sense or not!

Just put a good hour into wrapping my head around the RESTORE trial of Cognitive Functional Therapy. Probably need another 3. 🙂

Most serious concerns so far? Unmasked subjects and frustrebo effect. And that “attention” alone might get those results.

What if tracking wrist movement could help doctors diagnose and treat injuries & bone deformities? MCW scientists published study results demonstrating this approach to change what providers can see in scans of patients’ wrists. #ProjectWonder

'Finished' the McKenzie/MDT content, meaning: I've written something somewhat polished that seem pretty good now — I’m always temporarily happy with what I’ve written at first. But when I review in two weeks, it will seem alarmingly inadequate, guaranteed. 😜

⁦SIGPeP Paediatric Psychology⁩ Committee Member and ⁦CHI at Crumlin⁩ Senior Clinical Psychologist Dr Clodagh O’Sullivan presenting on #pain #pain science and the Complex Pain Team

Just a reminder that this is a thing that kneecaps can do.

The regulator has a rule: chiropractors shouldn’t air ANY vaccines views, pro or con, because it’s out of their scope of practice: “keep your vaccine views to yourself, whatever they are.” One could make a decent case that this is a good rule, and it makes this story tricky.

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The new chapters are available to back pain book customers NOW.

PainScience.com/low_back_pain

This summer, I will share them both as members-only posts:

PainScience.com/membership

But one could also argue that it’s very world-gone-mad to censure a healthcare professional for expressing opinions and sharing information that is consistent with public health policy… and…

Ever notice how rare it is for people to just say “I have chronic pain” without also including some kind of theory, some hypothetical diagnosis?

This always reminds me of the way almost everyone thinks they are above average… 😏

Well dang — now my adorableness scale needs recalibrating.

Got #backpain on the brain, multiple writing projects:

More sober analysis of the CFT trial.

Skeptical look at anxiety as a risk factor.

Big upgrade to disc herniation content (processing DOZENS of new citations for weeks now).

All new book chapters about McKenzie/MDT.