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Comment & Response
October 23/30, 2013

Use of Spinal Injections for Low Back Pain

Author Affiliations
  • 1Department of Orthopedics, Stanford University, Palo Alto, California
  • 2Department of Anesthesiology, University of Washington, Seattle
  • 3Department of Anesthesia, Harvard Medical School, Boston, Massachusetts
JAMA. 2013;310(16):1736. doi:10.1001/jama.2013.277957

To the Editor Dr Staal and colleagues1 highlighted the overuse of spinal injections for back pain and pointed out “heterogeneity regarding purpose and content of injection therapy has to be considered when evaluating studies of the effects of injection therapy in patients with low back pain.” Unfortunately, they ignored this heterogeneity in concluding, “… injection therapy for low back pain and sciatica can be regarded as having limited clinical benefit.”