FARRELL J.LLOYDMD, MPH
THE TERMS idiopathic low back pain and nonspecific low back pain(hereinafter idiopathic LBP and nonspecific LBP), which achieved prominence at least 20 years ago, are commonly used to describe the condition of up to 85% of patients for whom a specific diagnosis is said to be impossible. These concepts, the basis of the current national consensus on the diagnosis and treatment of LBP, have been accepted as true without attempts at replication or critical analysis. We find the original studies flawed and inadequate to support the assertions that most LBP cannot be diagnosed. We herein demonstrate that the concept of idiopathic LBP lacks sufficient evidence to remain valid and offer a viable alternative model.
Abraham I, Killackey-Jones B. Lack of Evidence-Based Research for Idiopathic Low Back PainThe Importance of a Specific Diagnosis. Arch Intern Med. 2002;162(13):1442-1444. doi:10.1001/archinte.162.13.1442