The following is a copy of an editorial which appeared recently in the National Post. Howard Fienberg Magnet therapy? Puh-leeze National Post August 1, 2000 > > The huckster at a carnival invites you to be instantly healed by his > magic wand. Fifty cents? "Sure," you think, "what can it hurt?" How > about five dollars? Or 50? "Now, wait a minute," you say, "does this > magic work? And if so, how?" > > My feet hurt, so I was attracted by a similar offer of magic from a > prominent shoe manufacturer. Its new magnetic shoe is "the first shoe > with its own power supply," guaranteed to increase circulation, reduce > fatigue and pain and improve my energy. > > U.S. sales of healing magnets last year yielded as much as > US$300-million. Is this really every pedestrian's dream? Do magnets > really help? > > The marketer of the magnetic shoe relies on the principle that the > body can be affected by exposure to external magnetic fields." So, > magnets can increase the flow of blood, thus boosting the healing > process. This is a common claim that seems to be based on the > misunderstanding of the iron present in your blood. > > Physicist Robert Park pointed out in his recent book Voodoo Science > that "the iron in hemoglobin molecules is in a chemical state that is > not ferromagnetic." In plain English, magnets don't attract your > blood. Have you ever been scanned in a magnetic resonance imaging > (MRI) machine? It contains magnets fantastically more powerful than > those used in magnet therapy. According to Dr. Stephen Barrett of > Quackwatch ("your guide to health fraud, quackery, and intelligent > decisions"), the MRI "can cause tiny changes that the equipment can > detect but are temporary and have no known health effect." If magnets > had a serious impact on your blood flow, an MRI scan would probably > blow you to bits. > > Proponents of quack medicine often attempt to add intellectual weight > to their proclamations by prefacing them with the phrase "studies > show" (a convenient way to attract interest when they haven't got a > golf pro's endorsements to fall back on). But scientifically valid > clinical trials have yet to discover any effect of physical effects > from magnet therapy. Prominent in this case is a study from the > January, 1997, Journal of the American Podiatric Medical Association > that found magnetic insoles had no effect on heel pain. But that is > all among scientists. How are we in the public supposed to evaluate > magnets? > > Well, the best way to start is to check your magnet's power yourself. > Magnets used in magnet therapy differ little from your average > refrigerator magnet. Physicist Robert Park found the magnetic field > from these flimsy things can't penetrate a dozen sheets of paper > before falling to the floor. If that is the case, how can you expect > it to penetrate your shoe as well as the thick skin of your foot? > > Lacking scientific evidence, can't we rely on the wisdom of the > ancients? Magnet therapies were used for centuries by many cultures. > Maybe they were on to something. But wasn't bloodletting the favourite > tool of healers for centuries as well? The length of time people cling > to a belief gives no indication of its veracity. > > What about personal experience and anecdotal evidence? Why does magnet > therapy seem to work for some people? MIT physicist James Livingston > proposes that "the magnetic back braces used by many senior golfers > may help ease their back pains through providing mechanical support, > through localized warming, and through constant reminder to the ageing > athletes that they are no longer young and should not overexert their > muscles." None of which requires magnets, of course. In fact, the most > recent study of magnet therapy for back pain, in the Journal of the > American Medical Association this past March, "found no immediate or > cumulative difference in the outcome measures of low back pain" > between real and fake magnets. > > Magnets generally act as a placebo -- they change our perceptions > rather than our reality. We can fool ourselves out of minor aches, > pains and fatigue if we believe this pill or that magnet will help. > > So magnet therapy is more about imagination than physics. > "Hocus-pocus," the carnival huckster tells you, and your pain is gone. > The news-addled public has been driven to the belief that for each > study pointing one way, another exists pointing in the opposite > direction, mostly because it cannot adequately judge a study's > meaning. But discerning science from pseudoscience does not always > require a PhD -- just a little mental exercise. We are all capable of > sifting through the promises of politicians and deciding between > brands of peanut butter -- we just need to consider them skeptically. > > (Howard Fienberg is research analyst with the Statistical Assessment > Service, a non-partisan non-profit organization.) > ------------------------------------------------------- Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.dovecom.com/rafink/ mailto:[log in to unmask] "Ex Tristitia Virtus" *********************************************