Instinctive sleeping and resting postures: an anthropological and zoological approach to treatment of low back and joint pain
Two pages on PainSci cite Tetley 2000: 1. The Complete Guide to Low Back Pain 2. 6 Main Causes of Morning Back Pain
PainSci commentary on Tetley 2000: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
Could “paleo sleeping” help aches and pains? This short, bizarre old paper in the British Medical Journal offers some interesting raw data about “instinctive” sleeping postures in primates. Unfortunately, the author’s interpretation is so grandiose and silly that I have to mostly just roll my eyes at it. From the introduction:
You probably do not know that nature has provided an automatic manipulator to correct most spinal and peripheral joint lesions in primates. In common with millions of other so called civilised people you suffer unnecessarily from musculoskeletal problems and are discouraged about how to treat the exponential rise in low back pain throughout the developed world.
That’s mighty big talk! All you have to do is sleep on the ground, and all your body pain will be solved! Sheesh.
The whole thing is a classic example of wishful thinking based on romanticizing “primitive” and “natural” lifestyles. Specifically, I think the premise that primitive people have fewer musculoskeletal complaints at all — let alone that it’s due to sleeping postures — is undoubtedly the product of confirmation bias and not remotely reliable. It could be true, but it probably isn’t. It’s much more likely that it’s just what western observers see because it’s what they want to believe. The extremely poor reasoning on display in this article does no favours to the hypothesis.
And, oh dear, there are way too many references for “correcting” joints! What does that even mean? The absurdity peaked for me with this statement:
The Achilles tendon of the leading foot can be inserted in the gap between the big toe and the first lesser toe to help correct a bunion.
What utter bollocks! This is the hubris of structuralism at its worst.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Placebo analgesia in physical and psychological interventions: Systematic review and meta-analysis of three-armed trials. Hohenschurz-Schmidt 2024 Eur J Pain.
- Recovery trajectories in common musculoskeletal complaints by diagnosis contra prognostic phenotypes. Aasdahl 2021 BMC Musculoskelet Disord.
- Cannabidiol (CBD) products for pain: ineffective, expensive, and with potential harms. Moore 2023 J Pain.
- Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis. Holden 2023 The Lancet Rheumatology.
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.