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Letters NICE on back pain

The real issues

BMJ 2009; 339 doi: (Published 08 July 2009) Cite this as: BMJ 2009;339:b2734
  1. Michael H Basler, consultant1
  1. 1Glasgow Royal Infirmary G4 0SF
  1. michael.basler{at}

    Underwood and Littlejohns say that the real issue concerning the guideline from the National Institute for Health and Clinical Excellence (NICE) on back pain is the limited evidence base for injections into the spine.1 2 But the real issue is that the evidence base for any intervention is poor and that back pain is hugely complex. The fact that there are …

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