Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
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.
Jarvik L. The Value of Diagnostic Tests for Low Back PainThe Value of Diagnostic Tests for Low Back Pain. JAMA. 2003;290(14):1851–1853. doi:10.1001/jama.290.14.1851-a