Detailed, evidence-based help for common painful problems

Deyo and Weinstein’s 2001 low back pain tutorial

updated
Tags: back pain, surgery, pain problems, spine, treatment

Nine articles on PainSci cite Deyo 2001: 1. Reviews of Pain Professions2. The Complete Guide to Trigger Points & Myofascial Pain3. (Almost) Never Use Ice on Low Back Pain!4. Complete Guide to Low Back Pain5. The Complete Guide to Patellofemoral Pain Syndrome6. A Historical Perspective On Aches ‘n’ Pains7. Your Back Is Not Out of Alignment8. MRI and X-Ray Often Worse than Useless for Back Pain9. Massage Therapy Kinda, Sorta Works for Back Pain

PainSci summary of Deyo 2001: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.

Although it’s getting old, this remains an excellent tutorial for health professionals, offering a thorough and sensible survey of current medical knowledge about low back pain. Deyo and Weinstein are strongly critical of overmedicalization and excessive imaging and surgery for low back pain, and emphasize the favourable prognosis for most back pain, the poor correlation between imaging results and symptoms, and the absence of any clear pathophysiological mechanism to explain most low back pain. All of their key points have been reinforced by scientific evidence ever since.

~ Paul Ingraham

This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights: