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Controversies in Internal Medicine
July 8, 2002

Rebuttal by Dr Deyo

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Intern Med. 2002;162(13):1447-1448. doi:10.1001/archinte.162.13.1447

DR ABRAHAM, Ms Killackey-Jones, and I may be debating different but related controversies. I have focused on the use of imaging for LBP, while they have focused on the taxonomy of low back disorders. Perhaps unlike Abraham and Killackey-Jones, I do not believe that anyone set out to create or define a category of nonspecific LBP or to advocate it. It emerged by default as a consequence of failure to identify anatomic or physiologic changes that would clearly explain symptoms.