Intended for healthcare professionals

Letters Bad medicine: sports medicine

Author’s reply

BMJ 2011; 342 doi: (Published 03 May 2011) Cite this as: BMJ 2011;342:d2731
  1. Des Spence, general practitioner1
  1. 1Glasgow, UK
  1. destwo{at}

Sports medicine encompasses sports science, performance medicine, physiotherapy, podiatry, and sports surgery. I searched for the best systematic evidence, which encompassed 11 references, six of them Cochrane Reviews.

Massage and ultrasound may give some symptomatic pain relief, but this is not the same as effecting healing. Bartley offers some evidence that ultrasound works in vitro,1 but does a plausible physiological and biochemical explanation exist …

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