Take for example appendectomy, there’s no powered ACM RCT of appendectomy vs no treatment either, and there never will be (although appendectomy vs antibiotics is very much on the table, other issue!).
Medicine did use to do appendectomy routinely in people without specific problems with the appendix if there was an operation in that general area and it’s generally believed that this was bad so clinical guidelines changed.
polypectomy harms are well-mapped
I have no reason to believe that’s the case. Just because you well-mapped the area under the streetlamp in search for your key does not mean that you have generally well-mapped the locations where your key might be. The harms that are well mapped are those that show serious clinical signs shortly after the intervention. If you for example take depression due to major head trauma you can only see half of the cases after three months. Delayed effects are a thing. If a treatment increases the lowest nightly heartrate by 5 points that wouldn’t show up as a serious clinical sign in standard medical studies but it would still be a pretty significant side effect that increases mortality.
We do have fairly large amount of lower back pain that’s unexplained by standard medicine. This is because we have a relatively poor understanding and fascia and a few other mechanisms. Osteopaths have a good understand that scars in general can create problems for bodily organization. Besides the scars you probably also have more inflammation and trauma where the effects are poorly mapped.
If you take appendectomy, the effects of the scar that are still perceivable decades afterwards in bodily organization with regards to tension, are not well-mapped. I don’t have any hands-on experience with effects of polypectomy, but I think it’s plausible to have similar issues.
Medicine did use to do appendectomy routinely in people without specific problems with the appendix if there was an operation in that general area and it’s generally believed that this was bad so clinical guidelines changed.
I have no reason to believe that’s the case. Just because you well-mapped the area under the streetlamp in search for your key does not mean that you have generally well-mapped the locations where your key might be. The harms that are well mapped are those that show serious clinical signs shortly after the intervention. If you for example take depression due to major head trauma you can only see half of the cases after three months. Delayed effects are a thing. If a treatment increases the lowest nightly heartrate by 5 points that wouldn’t show up as a serious clinical sign in standard medical studies but it would still be a pretty significant side effect that increases mortality.
We do have fairly large amount of lower back pain that’s unexplained by standard medicine. This is because we have a relatively poor understanding and fascia and a few other mechanisms. Osteopaths have a good understand that scars in general can create problems for bodily organization. Besides the scars you probably also have more inflammation and trauma where the effects are poorly mapped.
If you take appendectomy, the effects of the scar that are still perceivable decades afterwards in bodily organization with regards to tension, are not well-mapped. I don’t have any hands-on experience with effects of polypectomy, but I think it’s plausible to have similar issues.