To the Editor.
—The June 1984 issue of the Archives had an interesting editorial by Stein1 regarding a report by Khatri et al2 on electromyography and computed tomographic evaluation of lower back pain.Having seen several thousand patients with pain in the back radiating into a leg, it is very difficult to help being biased. As the years go along, I am more and more impressed by the authenticity of the diagnostic value of good histories and physical examinations.To use the phraseology of the authors, these procedures "are noninvasive" and are cost-effective. Little attention was paid to these noninvasive procedures in these two publications.As these are still the most effective diagnostic methods of evaluation of lower back pain, I hope that these are not being overlooked as diagnostic procedures. Hopefully, more and more emphasis will be placed on the skill required for obtaining and interpreting histories
Thomas B. Dameron. Noninvasive Diagnosis of Lower Back Pain. Arch Neurol. 1985;42(7):627. doi:10.1001/archneur.1985.04060070013007