The Hypocrisy of Evidence-Based Medicine


Last month I attended a very informative conference of the American Academy of Dental Sleep Medicine. In my book, Why: The Question That Could Save Your Life I spent some time exposing “evidence based treatment,” a criteria used by the medical and dental professions to validate methods of treatment. Not only can it not work, it can prevent progress.

One lecture that I attended was titled “Orofacial Neuropathic Pain: Clinical Presentation, Mechanisms, and Evidence- Based Management.” Coincidentally that day I had read an article in the New England Journal of Medicine condemning the validity of present day research. The problem with “evidence based” is you can choose some evidence and overlook other evidence that disagrees with your conclusion.

Overlooked in this case was the work of Drs. Travell and Simons. They had reported over 30 years ago on Myofacial Pain and Trigger Points. In the lecture, the new term for the same trigger point pain allowed new evidence and a new treatment protocol. Two drugs were suggested: Gabapentin and Tricyclic Antidepressants, both of which have serious side effects and only cover the symptoms, rather than fixing the cause. The old treatment was aimed at the source of the pain, muscle spasms, and could be treated without side effects using physical therapy and white laser. Occasionally, Botox may be used with very few side effects.

As more and more professionals are becoming holistic in their diagnosis and treatment planning we are returning to the realization that if the body is brought to optimal health it will heal itself. The overdependence on drugs has resulted in America achieving the honor of being ranked number one as the sickest of all developed countries; also ranked number one in money spent on healthcare. It will only get worse now that politicians are dictating medicine.

That is why I wrote my book—to assist the average person in the avoidance of the healthcare system and know what to do if you do need help. Getting the patient to change to a healthy lifestyle and develop proper eating habits will do more than drugs can ever do. The trouble is that the monster bucks are flooding your TV telling you to run to your doctor and ask about their product for your condition with a disclaimer that goes on forever and it can include death as a side effect.

Two examples of the above are an arthritis drug pushed by a famous golfer and a psoriasis drug, both with numerous side effects. Very often these diseases can be treated with dietary changes, the only side effects being that your health improves and other problems go away. Occasionally we must turn to pharmaceuticals to get us through a crisis, such as a bacterial infection or a serious accident, but the goal should be a return to optimal health, not drug dependency.

To learn more about my practice and what I do, go to or call 925-837-8048. Advanced Oral Diagnosis & Treatment Center is located in Danville, California.

Don’t let Sciatica keep you out of the game this summer!

The condition known as Sciatica is one of the most common conditions that we treat at Align Healing Center. Some of the typical symptoms of Sciatica are sharp pain in the low back and/or buttocks accompanied by numbness, tingling, aching or burning down the back of the leg. In severe circumstances, weakness in the leg may also be seen.

The Sciatic Nerve is large and travels down the back of the leg to the foot. The nerve is buried deep within the muscles of the buttock and leg making it difficult to treat with common physical therapy methods. The Sciatic Nerve is composed of several smaller nerves and originates from the low back. It passes under the piriformis muscle (underneath the main buttock muscles) on its way down the leg. Irritation of the Sciatic Nerve at any point along its path is commonly known as “Sciatica.”

Understanding Sciatica
Let’s talk about nerves for a moment. Nerves are the electrical wiring of the human body. They carry the signals that allow us to move, feel, digest, detoxify, respond to our environment, and so much more. Plain and simple, if the nerves do not work the body will not work. That being said, it is important to understand that unlike other tissues, the primary blood supply to nerve tissue is actually located within the nerve itself. So, if a nerve becomes impinged or compromised, so does the blood supply to the nerve. Without proper blood supply, the nerve does not receive the energy and nutrition that are needed for the nerve to heal itself.

Over time neural impingement leads to a painful chronic condition called Neuropathy. The definition of neuropathy is a disease or injury affecting nerve cells. The common symptoms of Neuropathy include sharp pain, burning, muscular weakness, numbness or tingling either at the site of the nerve injury or wherever the nerve travels. The condition known as Sciatica is a form of Neuropathy that specifically affects the Sciatic Nerve.

What can I do to relieve my Sciatica without drugs or surgery?
Since 1999 Align Healing Center has been offering many different modalities to heal Sciatica. We have found that a combination of Class IV laser therapy and spinal decompression offer outstanding results in healing stubborn Sciatica. Class IV Laser Therapy allows the practitioner to stimulate healing within the damaged tissue by delivering the necessary energy directly to the injured area. This creates an optimal healing environment that reduces pain and inflammation, swelling, muscle spasms and stiffness. In addition to laser therapy we implement spinal decompression to restore spinal disc health.

Decompression works by gently stretching the spine, creating a vacuum effect which can restore disc height and even reduce the severity of bulging disc conditions associated with chronic pain and neurological symptoms.

We have found laser and decompression therapy to be most beneficial for patients with pinched nerves, arthritis, herniated discs, and degenerative disc disease. This unique combination of non-invasive therapy offers a chance for realizing a permanent cure. The treatment is finite and typically lasts for about a month. This eliminates the long-term care commitment forced upon patients by other symptomatic sciatica treatments. With proper care and rehabilitation of your spine and nervous system you can be back to your healthy self quickly!

Dr. Niele Maimone, DC of Align Healing Center in Danville, CA has been active in natural health & wellness since 1999. For more information or to set up a consult call 925.362.8283 or visit

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