16/10/2026
“It’s just placebo.”
We hear that phrase a lot in complementary healthcare, usually as a way of ending the conversation and shutting down changes that can't be explained by our current understanding.
But placebo is far more interesting than “you imagined it”.
Our expectations, previous experiences, learned associations, the environment we're treated in and the relationship we have with the person providing that treatment can all influence how we experience symptoms — and gosh, Lou and Sarah could share some fascinating stories about what we've seen here at Naturology Studio!
One of Sarah's favourite published examples comes from a fascinating 2009 New England Journal of Medicine trial:
People with painful osteoporotic vertebral fractures were randomly assigned to receive either vertebroplasty — where medical cement was injected into the fractured vertebra — or a simulated procedure in which the cement wasn't injected.
Both groups improved. The actual vertebroplasty was not significantly better than the simulated procedure at one month.
The finding was later echoed in another sham-controlled vertebroplasty trial published in The BMJ in 2018.
This is a fascinating demonstration of just how complex our experience of pain, treatment and healing can be — and the powerful role our brains can play in what we personally experience.
That doesn't mean “placebo healed their fractures”, and it doesn't mean every improvement was caused by belief.
But it does challenge the idea that an improvement is somehow meaningless simply because the specific treatment being studied can't explain it.
The relationship between our brains, bodies, expectations and experience is extraordinarily complex, and we're here for it.
Perhaps “it's only placebo” isn't the end of the conversation.
Perhaps it's where a much more interesting conversation begins.
Understanding your health. Together.
Sarah & Lou 🤍
Reference: Kallmes DF et al. A Randomized Trial of Vertebroplasty for Osteoporotic Spinal Fractures. N Engl J Med. 2009;361:569–579.