Egoscue is not a quack. My ortho diagnosed me with PFPS and prescribed physical therapy. A buddy gave me a copy of Egoscue's book and it's very similar to my rehab. Case in point, the connection between knee pain and internal hip rotation. Once upon a time mainstream medicine thought PFPS was caused by quad imbalance that led to improper patellar tracking. But more recent MRI studies *under load* show that the patellar tracks just fine. The real problem is that the femur is internally rotated, which causes the cartilage to wear down. But Egoscue was talking about internal rotation and hip mobility 20 years earlier.
I'm glad that your experience was different from mine.
That being said, my experience with Egoscue was for dealing with a herniated disc that arose from an acute weightlifting injury. The cost for treatment (around fifteen years ago) was immense -- something around two thousand dollars (up front) for a ten-session package. But they offered a trial session and decided to give it a shot, on personal recommendation. I was desperate, suffering intense pain, unable to walk or stand normally. My HMO was no help, insisting on a
discredited conservative therapy rather than surgical intervention. I'd met with renown orthopedic surgeons who made me wait three hours in an examination room wearing nothing more than a hospital gown. Nine months of this had left me with frayed nerves. Believe me, I understand why people view the medical community with skepticism.
My trial visit went mostly uneventfully. Towards the end, I was made to stand next to a plumb line. The trainer took photos to document something that I already knew: the intense pain in my lower back was preventing me from standing up straight. But that was not the reason, assured the trainer -- there was something wrong with the way that my hips were aligned, and my poor lifestyle choices were partly to blame. There was a bunch of other heavy jargon that was slung my way and it didn't make much sense to me, then or now. I left the appointment confused, maybe a little intimidated, but with a faint glimmer of hope that my situation would be resolved. Well, ten sessions later, and there was no improvement, except maybe in how I *thought* things were progressing. Suffice to say, any honest observer would tell you that things weren't looking any better for me. Anyways, I had the time to observe all manner of other patients in the clinic: mostly athletic folks dealing with a minor issue, but also a man who was morbidly obese, and a paraplegic woman. I wonder what kind of promises were made to
them.
The story has a happy ending, though. At long last, my HMO caved and agreed to a consultation with an orthopedic surgeon. His was a
different story altogether, but my outcome was good. After 12 months of dealing with back pain, a simple laminotomy in my L4-L5 vertebrae and I was completely better. The next day, I walked out the hospital totally upright for the first time in nearly a year. I was distance running within weeks. I've spent fifteen very active years since with hardly a problem.
To draw a deeper lesson, part of the appeal of quackery is the arrogance of western medicine. They are slowly, step-by-step, learning how the body works. But each time they add a piece they speak with an exaggerated authority. Ten or twenty years later they get another piece of evidence and the paradigm shifts and then they say "oh yeah, that old quad stuff, no one on the cutting edge had believed that for decades, but doctors keep preaching what they learned back in med school."
I'm not a medical practitioner, but there's no doubt in my mind about the variable quality of medical care in this country. And of course some doctors speak with exaggerated authority. I mean, shit, some of the most
important scientists of the
twentieth century speak with exaggerated authority. But that's not the reason why people find quacks appealing. After all, the
definitional aspect of a quack is that they speak with exaggerated authority (i.e. without medical evidence). People seek out quacks because they're looking for solutions that they're not finding elsewhere.
None of this is to say that there aren't problems with the practice of medicine in this country, or that good diet and exercise doesn't lead to better outcomes. All of these things are true, and I'd be hard pressed to find a doctor or scientist who says otherwise.