At this stage all we can say is that there isn't sufficient evidence to distinguish cupping from a placebo.
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Replying to @GidMK
yes, I agree with that. I just literally interpret that as neutral rather than disconfirming because if it DID work how to know?
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Replying to @a_haema
Personally I'd like to see a large, well-conducted RCT that demonstrated a significant effect.
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Replying to @GidMK
seems wholly reasonable. Just there could be other ways to know things -- for example, athletes may be seeking specific sensations.
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I'm not saying this is going on (don't know) but it could be they're familiar with what muscle healing feels like, don't need RCT.
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it seems implausible to us, but evidence based medicine isn't saying one thing or another. It also doesn't seem equipped to here.
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Replying to @a_haema
As with most alt med, we may not be able to measure how it works, but we can measure if it does.
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Replying to @GidMK
If there are no significant benefits demonstrated in rigorous trials, it's unlikely that the treatment differs from placebo.
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Replying to @GidMK
that's key question though: CAN we measure if it works when even placebo has significant benefit? Pain reduction seems inaccessible.
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Replying to @a_haema
If there is no difference from placebo, then in all likelihood cupping is not causing the pain reduction.
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Potentially something in the provider-patient experience could be reducing pain, but that can be achieved without cupping.
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