Placebo

Resection of a torn meniscus has no added benefit over sham surgery to relieve knee catching or occasional locking

Mechanical Symptoms and Arthroscopic Partial Meniscectomy in Patients With Degenerative Meniscus Tear: A Secondary Analysis of a Randomized Trial Raine Sihvonen, MD, PhD Background: Recent evidence shows that arthroscopic partial meniscectomy (APM) offers no benefit over conservative treatment of patients with a degenerative meniscus tear. However, patients who report mechanical symptoms (sensations of knee catching […]

Steroid Shots No Better for Back Pain Than Placebo

By NICHOLAS BAKALAR AUGUST 24, 2015 Steroid shots are commonly used for back pain, but evidence that they work no better than placebos is mounting. In a review published Monday in Annals of Internal Medicine, researchers combined data from 30 placebo-controlled studies of epidural steroid injections for radiculopathy (back pain that radiates to the legs) […]

How chemicals made in our brains reduce pain

Brain Chemicals Explain the Power of Placebos How chemicals made in our brains reduce pain By PATRICIA CHURCHLAND Aug. 5, 2015 11:28 a.m. ET We all know the basics of the placebo effect: Someone takes a sugar capsule that a trusted doctor has extolled as a breakthrough in pain relief, and the patient reports that […]

Validation of Placebo in a Manual Therapy Randomized Controlled Trial

Sci Rep. 2015 Jul 6;5:11774. doi: 10.1038/srep11774. Chaibi A, Šaltytė Benth J, Bjørn Russell M. Author information Abstract At present, no consensus exists among clinical and academic experts regarding an appropriate placebo for randomized controlled trials (RCTs) of spinal manipulative therapy (SMT). Therefore, we investigated whether it was possible to conduct a chiropractic manual-therapy RCT […]

Spontaneous Remission: An Annotated Bibliography

by Caryle Hirschberg and Brendan O’Regan In 1993, the Institute of Noetic Sciences published Spontaneous Remission: An Annotated Bibliography. In this work, the authors, Caryle Hirshberg and the late Brendan O’Regan, defined spontaneous remission as “the disappearance, complete or incomplete, of a disease or cancer without medical treatment or treatment that is considered inadequate to […]

Placebo Effect Varies by Type and Cues

08.04.2013 by Sarah Wickline Contributing Writer, MedPage Today Action Points Cues and associations given to people affected their responses to placebos and active treatments in a crossover trial, suggesting that the placebo effect depends more on “state” than “trait”. The results imply that the non-specific effects of acupuncture may contribute to the analgesic effect observed […]

Clinical and Ethical Implications of Placebo Effects: Enhancing Patients’ Benefits from Pain Treatment

Placebo Handbook of Experimental Pharmacology Volume 225, 2014, pp 217-235 Date: 13 Sep 2014 Abstract Expectancy and learning are the core psychological mechanisms of placebo analgesia. They interact with further psychological processes such as emotions and motivations (e.g., anxiety, desire for relief), somatic focus, or cognitions (e.g., attitudes toward the treatment). The development of placebo […]

Objectivity of sham therapy as a placebo control in manipulative medicine research.

Use of Beat-to-Beat Cardiovascular Variability Data to Determine the Validity of Sham Therapy as the Placebo Control in Osteopathic Manipulative Medicine Research Charles E. Henley, DO, MPH; Thad E. Wilson, PhD J Am Osteopath Assoc November 2014 114:860-866; doi:10.7556/jaoa.2014.172 Osteopathic manipulative medicine researchers often use sham therapy as the placebo control during clinical trials. Optimally, […]

Placebo Response Rate in Clinical Trials of Fistulizing Crohn’s Disease

Placebo Response Rate in Clinical Trials of Fistulizing Crohn’s Disease: Systematic Review and Meta-analysis Alexander C. Ford Clinical Gastroenterology and Hepatology Articles in Press Received: July 9, 2014; Received in revised form: August 3, 2014; Accepted: August 28, 2014; Published Online: September 13, 2014 DOI: http://dx.doi.org/10.1016/j.cgh.2014.08.038 Abstract Abstract Background & Aims: It is important to […]

Use of placebo controls in the evaluation of surgery: systematic review – Full Text Article

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g3253 (Published 21 May 2014) Cite this as: BMJ 2014;348:g3253 Karolina Wartolowska Abstract Objective To investigate whether placebo controls should be used in the evaluation of surgical interventions. Design Systematic review. Data sources We searched Medline, Embase, and the Cochrane Controlled Trials Register from their inception to November 2013. Study selection […]

Do placebo effects associated with sham osteopathic procedure occur in newborns?

Results of a randomized controlled trial. Martelli M, et al. Show all Journal Complement Ther Med. 2014 Apr;22(2):197-202. doi: 10.1016/j.ctim.2014.01.009. Epub 2014 Feb 4. Abstract BACKGROUND: Placebo effect has been largely studied and debated in medicine. Research focused mainly on children and adults but not on newborns. In osteopathy, few studies documented this effect and […]

Research on placebo analgesia is relevant to clinical practice (Full Text)

Charles W Gay Chiropractic & Manual Therapies 2014, 22:6 Abstract Over the decades, research into placebo responses has shed light onto several endogenous (i.e. produced from within) mechanisms underlying modulation of pain perception initiated after the administration of inert substances (i.e. placebos). Chiropractors and manual therapists should embrace analgesic-placebo-research in an attempt to maximize clinical […]

Spinal manipulative therapy-specific changes in pain sensitivity in individuals with low back pain

Bialosky JE, et al. J Pain. 2014 Feb;15(2):136-48. doi: 10.1016/j.jpain.2013.10.005. Epub 2013 Oct 27. PubMed Reference Abstract Spinal manipulative therapy (SMT) is effective for some individuals experiencing low back pain; however, the mechanisms are not established regarding the role of placebo. SMT is associated with changes in pain sensitivity, suggesting related altered central nervous system […]

Real Knee Surgery No Better Than Sham for Meniscal Tear

Fran Lowry December 27, 2013 In patients with a degenerative medial meniscal tear and no knee osteoarthritis, arthroscopic partial meniscectomy is no better than sham surgery, Finnish researchers report in the December 26 issue of the New England Journal of Medicine. “Arthroscopic partial meniscectomy is the most common orthopaedic procedure performed in the United States,” […]

Neurobiological Mechanisms of the Placebo Effect

Any medical treatment is surrounded by a psychosocial context that affects the therapeutic outcome. If we want to study this psychosocial context, we need to eliminate the specific action of a therapy and to simulate a context that is similar in all respects to that of a real treatment. To do this, a sham treatment (the placebo) is given, but the patient believes it is effective and expects a clinical improvement. The placebo effect, or response, is the outcome after the sham treatment. Therefore, it is important to emphasize that the study of the placebo effect is the study of the psychosocial context around the patient.

Is manipulative therapy more effective than sham manipulation in adults?

A systematic review and meta-analysis Gwendolijne GM Scholten-Peeters Abstract Background Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared to sham manipulations is unclear. The purpose of the study is: to assess the efficacy […]

‘Love Hormone’ May Mediate Placebo Effect

Published: Oct 22, 2013 | Updated: Oct 22, 2013 By John Gever Intranasal oxytocin, sometimes called the “love hormone,” intensified the painkilling effect of placebo in a clinical study, suggesting a physical basis for the placebo effect, researchers said. Among 75 healthy young men exposed to painful heat stimuli on their forearms in the randomized, […]

Placebo’s Double Whammy

Sham treatments can both reduce pain and increase pleasure, and do so affecting similar circuitry in the brain. By Kerry Grens | October 14, 2013 Full Story:  http://www.the-scientist.com/?articles.view/articleNo/37876/title/Placebo-s-Double-Whammy/ Expectations give placebos their power, allowing them to dramatically alter our experience of a stimulus. Researchers demonstrate in Proceedings of the National Academy of Sciences today (October 14) that not only […]

Opioids compared to placebo or other treatments for chronic low-back pain

Chaparro LE, et al. Cochrane Database Syst Rev. 2013 Aug 27;8:CD004959. doi: 10.1002/14651858.CD004959.pub4. Abstract BACKGROUND: The use of opioids in the long-term management of chronic low-back pain (CLBP) has increased dramatically. Despite this trend, the benefits and risks of these medications remain unclear. This review is an update of a Cochrane review first published in […]

Patients’ direct experiences as central elements of placebo analgesia

Placebo effect is defined as a reduction in symptoms resulting from one’s perception of the therapeutic intervention; this response may be biological and psychological. This paper reviewed quantitative and qualitative findings of how the patient-clinician relationship and the verbal suggestions given for pain relief may influence patients’ perception of a treatment and its outcome.The main […]