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Posted September 18, 2002
Show me the evidence!!
This book suggests you treat your back pain with Pilates stretching. Before you join the Pilates craze you need to ask yourself something, has it been shown to work or am I just making an author richer? If you ask your doctor how he or she knows that a medical treatment works they will say its through controlled trials. As an example, one group of back pain sufferers would do Pilates stretches while another group did none. If the Pilates group actually had less pain than the control group that had no treatment, than one could say that Pilates works. Herein lies the problem with this book. As a researcher, I searched huge medical databses such as Medline and the evidenced based Cochrane Collaboration (on-line) and found nary a controlled trial to support Pilates stretching for back pain. This means that there is virtually no medical proof that this book is effective. You probably wouldn't take a medication or undergo a surgery without it being shown to work in studies so why should back pain treatments be any different? Please save your time and hard earned money and invest it in treatments that have been shown to be effective for back pain in randomized controlled trials. A few books supported with RCT's I liked are: "The Multifidus Back Pain Solution" and "The Relaxation Response."
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