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October 8, 2003

The Value of Diagnostic Tests for Low Back PainThe Value of Diagnostic Tests for Low Back Pain

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(14):1851-1853. doi:10.1001/jama.290.14.1851-a

To the Editor: In his Editorial that accompanied the study by Dr Jarvik and colleagues,1 Dr Hadler2 emphasized the importance of psychosocial factors and the value of enhancing coping skills of patients with regional back pain. Although I agree with this approach, I fear his conclusion may lead to neglect of other etiologic factors. Hadler stated, "For regional back pain, no theory has withstood scientific testing." However, failures to withstand scientific testing may reflect limited understanding of complex interactions between multiple factors leading to back pain.

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