Letters Treatment of lumbosacral radicular pain

Authors’ reply to Lin and colleagues

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h3299 (Published 24 June 2015) Cite this as: BMJ 2015;350:h3299
  1. Steven P Cohen, physician1,
  2. Yakov Vorobeychik, director of interventional pain medicine2
  1. 1Johns Hopkins School of Medicine, Baltimore, MD, and Walter Reed National Military Medical Center, Bethesda, MD, USA
  2. 2Penn State-Hershey Medical Center, Hershey, PA, USA
  1. scohen40{at}jhmi.edu

Lin and colleagues commented that because the differences between treatments were small we were unjustified in recommending one treatment over another.1 2 In our conclusions we stated that it was reasonable to proceed with pharmacotherapy first, given the small differences seen. If physical therapy and surgery—which is associated with much higher costs and risks than physical therapy—were shown to be equivalent, would they still state …

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