Musings of a Dinosaur

A Family Doctor in solo private practice; I may be going the way of the dinosaur, but I'm not dead yet.

Sunday, June 17, 2007

Another New Website: A Breath of Fresh Air About Back Pain

Found this one via the comments on my last post:

On checking out his website, this dude Dean Moyer has a refreshing approach to back and neck pain, chiropractors and other woo, book distribution and blogging. Specifically:
  • The ultimate "conservative therapy" for back pain.
  • Chiropractors are full of shit (although his article about them is incredibly respectful; I agree with every word and couldn't have said it better myself.)
  • No advertising on his site (at all.)
  • He's funny and he writes well (which often go together, I have found.)
Other things to love about him:
  • His respect for Family Practice (Hey, Dean: How about adding this link after "If you don't have a family doctor...)
  • His respectful debunking of acupuncture.
  • His very accurate discussions of the anatomy, physiology and neurology of sciatica, pinched nerves and herniated disks.
I'll be downloading his books and offering his site address to my patients. He also has what looks like a nifty forum for assorted discussions. Unfortunately, if I join one more online discussion group, Darling Spouse has threatened me -- in no uncertain terms -- with bodily harm.


At Sun Jun 17, 10:47:00 AM, Anonymous Anonymous said...

DOC, Thanks for telling us about him. His blog sure seems to be full of information.

At Sun Jun 17, 12:14:00 PM, Blogger Sara said...

Thanks for this one.

After this last week in family practice, it's amazing how many people DON'T NEED A DOCTOR yet think they do.

At Sun Jun 17, 02:30:00 PM, Blogger > ScutMonkey said...

No matter, this is still one guy's opinion, not an RC trial. He has conclusions and has sought information to support them, not vice versa. I like his approach (i.e. no drugs or gadgets, just you doing the work).

We all agree PT is probably the answer for many when handled appropriately, but I would not mistake his website "advice" for anything other than it is, a bunch of case studies. A lot of what he says sounds accurate and great, but I would be careful about presenting it to patients as if it were scientific fact.

There are sources of back pain that will not respond to simple PT and I would hate to see people with mets to the spine reading this rather than getting medical advice. On the other hand, I WOULD like to see the large majority of people that simply need to get in shape read this rather than clog up our waiting rooms.

PS: I have a 2 year hx of severe LBP that has really limited my life in many ways and in desperation I have tried both scientific and alt remedies. Some help (in both genres!) but most are temporary or don't work at all. There is no ONE right answer for people with LBP, but this site is probably an answer for a majority of patients, IMO.

At Sun Jun 17, 06:53:00 PM, Anonymous Anonymous said...

Thanks Dinosaur for the very kind review of my site. It is much appreciated.

scutmonkey: You are absolutely correct on all points. I am not a doctor... and I am not a back pain expert... I'm not even a trained physical therapist.

My site is a layman's best attempt at helping his fellow patients find answers.

You're correct that there is no one answer that will fit all circumstances... and I do try to steer my readers to a real medical doctor to diagnose their condition.

If all I accomplish is to get people to seek real medical help instead of getting sidetracked by quacks and frauds, then I will consider that a positive outcome.

I welcome any and all feedback from laymen and medical professionals alike. I listen to everyone's opinion (even the alties) because I have blindspots just like anyone else.

I fell into this thing backwards. It wasn't planned and I'm not sure where it's going. I truly believe that, so far, I'm doing the right thing.

- Dean

At Tue Jun 19, 04:22:00 PM, Blogger Spine-health said...

OK, I've just spent wayyyy too much time reading your many musings ... very cool blog.

Scutmonkey, I think you summed it up well and I agree that Dean's site does make a good point - appropriate exercise is the only way to heal long-term. I also agree that for chronic back pain there often is no simple solution.

We take a different approach to serving people with chronic back pain - our site is a peer reviewed (blind peer reviewed) journal for people with back pain. By having the peer review process, our goal is that the information presented will be complete, accurate and free from commercial bias.

Hopefully, between Dean's site and ours - - we'll be serving both those who mostly need to rebuild their backs and those who need more complete info.

- Stephanie

At Tue Jan 08, 05:25:00 AM, Anonymous Anonymous said...

If, like me, you can't stand the pain of chiropractic treatment but you are looking for an effective, long term remedy for your back problems then may i suggest a new mattress (or to be more specific – an orthopaedic, temperpedic, or memory foam mattress)
A whole range of specialist mattresses have been designed in order to try and correct posture and alleviate back and neck pains. The benefits are long-term and you don't need to regularly visit [and pay!] some heavy handed therapist to relieve the pain! I recently purchased an orthopaedic memory foam mattress online, and I can report, that after a fortnight sleeping on it, i wake up feeling much better than I did when I slept on my old mattress and i foresee a lack of future visits to my heavy handed chiropractor!!

Although one may jump to the conclusion that such specialist mattress prices are high, if you look hard enough you can find cheap mattresses out there, especially online. If you are dispirited by the expense, just think of the long term benefits for your health... a decent mattress can last up to 10 years!


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