In a statement, they said:

Having carefully considered its position in the light of the judgment of the Court of Appeal (1st
April 2010), the British Chiropractic Association (BCA) has decided to discontinue its libel
action against Simon Singh.

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As previously made clear, the BCA brought the claim because it considered that Simon Singh
had made a serious allegation against its reputation, namely, that the BCA promoted treatments  that it knew to be “bogus”.

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…the BCA now feels that the time is right for the matter to draw to a close.

Simon recently won the right to appeal the initial decision by Justice Lord over the meaning of the word “bogus” and had stated that he would continue to defend his position, even though he expected the case could cost him 1 million pounds. He has already spent 100, 000 pounds of his own money defending the case.

The action taken by the BCA resulted in significant scrutiny of chiropractic treatments and claims, and following complaints, one in four chiropractors in Britain are currently under investigation for allegedly making misleading claims in advertisements.

In another stunning move, the McTimoney Association of chiropractors (MCA) deleted their website, and advised its members to do the same. In a leaked email they told their members:

REMOVE all the blue MCA patient information leaflets, or any patient information leaflets of your own that state you treat whiplash, colic or other childhood problems in your clinic or at any other site where they might be displayed with your contact details on them. DO NOT USE them until further notice. The MCA are working on an interim replacement leaflet which will be sent to you shortly.

In October 2009, Australian Skeptics had a complaint lodged with the Health Care Complaints Commission (HCCC) following the publication of Singh’s article on their website. Chiropractor Joseph Ierano wrote a letter to the organisation with a detailed but somewhat rambling rebuff of the article, and when he did not receive a response he liked, he went the the HCCC. The complaint was dismissed.

Simon Singh:“The case is not quite over, because we still have to argue over costs. Having backed down and dropped the case, I expect the British Chiropractic Association to pay my legal bill of 200,000 pounds. I fully expect the BCA to argue that they should not pay all my costs, but I think it is the very least that they should do because this entire legal battle has been instigated by the BCA.

The decision by the BCA to wthdraw the action despite being “…advised there are strong grounds for appeal against the Court of Appeal” is a victory for journalists and science writers. Singh said he was hugely relieved, but expressed his annoyance that libel actions continued to be used to block what he viewed as legitimate scientific inquiry and debate. See more on the BBC.

But libel reform is still desperately needed in the UK. Please sign the petition here – you do not have to be a UK resident to sign.

Happy Chiropractic Awareness Week!

More coverage at Sense About Science.

The edited version has the libelous sentence removed, but is reproduced to allow the public at large to understand the intentions of Simon’s original post. Given the current legal action currently in progress by the British Chiropractic Association against Simon, this provides insight into the claims for all to see.

Spearheaded by Sense about Science, the intention of campaign is to alert the public to the potential implications  of libel or defamation as it pertains to free speech and journalism, not only in the UK but also across the globe.

Below is the article produced in full, as approved by Simon and Sense about Science.
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Beware the spinal trap

Some practitioners claim it is a cure-all, but the research suggests chiropractic therapy has mixed results – and can even be lethal, says Simon Singh

You might be surprised to know that the founder of chiropractic therapy, Daniel David Palmer, wrote that “99% of all diseases are caused by displaced vertebrae”. In the 1860s, Palmer began to develop his theory that the spine was involved in almost every illness because the spinal cord connects the brain to the rest of the body. Therefore any misalignment could cause a problem in distant parts of the body.

In fact, Palmer’s first chiropractic intervention supposedly cured a man who had been profoundly deaf for 17 years. His second treatment was equally strange, because he claimed that he treated a patient with heart trouble by correcting a displaced vertebra.

You might think that modern chiropractors restrict themselves to treating back problems, but in fact some still possess quite wacky ideas. The fundamentalists argue that they can cure anything, including helping treat children with colic, sleeping and feeding problems, frequent ear infections, asthma and prolonged crying – even though there is not a jot of evidence.

I can confidently label these assertions as utter nonsense because I have co-authored a book about alternative medicine with the world’s first professor of complementary medicine, Edzard Ernst. He learned chiropractic techniques himself and used them as a doctor. This is when he began to see the need for some critical evaluation. Among other projects, he examined the evidence from 70 trials exploring the benefits of chiropractic therapy in conditions unrelated to the back. He found no evidence to suggest that chiropractors could treat any such conditions.

But what about chiropractic in the context of treating back problems? Manipulating the spine can cure some problems, but results are mixed. To be fair, conventional approaches, such as physiotherapy, also struggle to treat back problems with any consistency. Nevertheless, conventional therapy is still preferable because of the serious dangers associated with chiropractic.

In 2001, a systematic review of five studies revealed that roughly half of all chiropractic patients experience temporary adverse effects, such as pain, numbness, stiffness, dizziness and headaches. These are relatively minor effects, but the frequency is very high, and this has to be weighed against the limited benefit offered by chiropractors.

More worryingly, the hallmark technique of the chiropractor, known as high-velocity, low-amplitude thrust, carries much more significant risks. This involves pushing joints beyond their natural range of motion by applying a short, sharp force. Although this is a safe procedure for most patients, others can suffer dislocations and fractures.

Worse still, manipulation of the neck can damage the vertebral arteries, which supply blood to the brain. So-called vertebral dissection can ultimately cut off the blood supply, which in turn can lead to a stroke and even death. Because there is usually a delay between the vertebral dissection and the blockage of blood to the brain, the link between chiropractic and strokes went unnoticed for many years. Recently, however, it has been possible to identify cases where spinal manipulation has certainly been the cause of vertebral dissection.

Laurie Mathiason was a 20-year-old Canadian waitress who visited a chiropractor 21 times between 1997 and 1998 to relieve her low-back pain. On her penultimate visit she complained of stiffness in her neck. That evening she began dropping plates at the restaurant, so she returned to the chiropractor. As the chiropractor manipulated her neck, Mathiason began to cry, her eyes started to roll, she foamed at the mouth and her body began to convulse. She was rushed to hospital, slipped into a coma and died three days later. At the inquest, the coroner declared: “Laurie died of a ruptured vertebral artery, which occurred in association with a chiropractic manipulation of the neck.”

This case is not unique. In Canada alone there have been several other women who have died after receiving chiropractic therapy, and Edzard Ernst has identified about 700 cases of serious complications among the medical literature. This should be a major concern for health officials, particularly as under-reporting will mean that the actual number of cases is much higher.

If spinal manipulation were a drug with such serious adverse effects and so little demonstrable benefit, then it would almost certainly have been taken off the market.

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Simon Singh is a science writer in London and the co-author, with Edzard Ernst, of Trick or Treatment? Alternative Medicine on Trial. This is an edited version of an article published in The Guardian for which Singh is being personally sued for libel by the British Chiropractic Association.

News of the launch of a campaign in support of free speech appears below in an extract from an email sent from Simon.

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1. Court of Appeal and Campaign Launch

I am glad to say that on Monday I will apply to the Court of Appeal in an attempt to overturn the recent negative ruling on meaning in my libel case with the British Chiropractic Association.

Also, Sense About Science have launched a campaign linked to my libel case and focussing on the need to overhaul the English libel system, which is deeply flawed and which therefore has a chilling effect on journalism.

The campaign has issued a statement of support, which has already been signed by an incredible list of people, including James Randi, Richard Dawkins, Ricky Gervais, Sir Martin Rees, Penn & Teller, Stephen Fry, Martin Amis and Steve Jones. It would be terrific if you would also sign up to the statement and (better still) encourage others to sign up. It is conceivable that this campaign could help reform the English libel laws (which unfortunately affect overseas journalists too). Please help us move closer to having a free press.

You can find the statement and sign up at: http://www.senseaboutscience.org.uk/libelcampaign

2. Fighting Fund

I have had many kind and generous offers of financial help, but at the moment I am able to fund my own legal costs. However, if you would like to help, then please make a donation to Sense About Science, who will need funding to maintain what could be a long battle to reform the libel laws. You can find out how to donate at: http://www.senseaboutscience.org.uk/index.php/site/project/336

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The statement now has over 4000 signatories and is gathering speed. Please spread the word about this, blog it, Facebook it, Tweet it. Simon needs our support. You can get the “Keep Libel Laws out of Science” button on your blog from Sense About Science.