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Editor's Correspondence
June 28, 2010

Appropriate Discard of “Best” Practice Guidelines for Acute Low Back Pain—Reply

Author Affiliations

Author Affiliations: The George Institute for International Health (Mr Williams and Drs Maher, McAuley, and Latimer), Back Pain Research Group, Faculty of Health Sciences (Dr Hancock), Faculty of Pharmacy (Dr McLachlan), and Centre for Education and Research in Ageing, Concord Hospital (Dr McLachlan), Sydney, New South Wales, Australia.

Arch Intern Med. 2010;170(12):1087-1088. doi:10.1001/archinternmed.2010.191

In reply

We thank Dr Geller for his letter regarding our recent article.1 In his letter, Dr Geller suggests that clinicians appropriately reject evidence-based guidelines for LBP because (1) the use of paracetamol poses an unacceptably high risk of adverse events compared with NSAIDs and (2) opioids have some benefit in disease progression.

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