[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.159.129.152. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Editor's Correspondence
June 10, 2002

Chronic Back Pain: A Symptom in Search of a Diagnosis—Reply

Arch Intern Med. 2002;162(11):1310-1311. doi:

In reply

Dr Johnston raises important concerns about the methodology of existing treatment studies of chronic low back discomfort. He suggests that antidepressants may be particularly effective in some subgroups of patients, but not effective at all in others. While all of the 9 studies we discussed included patients with multiple diagnoses for low back discomfort, 8 examined or imaged patients prior to enrollment. In their exclusion criteria or results section, they did not include patients with malignancy, structural disorders requiring surgery, or pain from nonrelated systemic disorders outside the back area.1

First Page Preview View Large
First page PDF preview
First page PDF preview
×