Congratulations to the authors on a conscientious and meticulous study on the thorny subject of chronic back pain. Like so many before them, the authors have drilled down to the nub of contemporary thought on the matter rediscover that nonspecific back pain does not require treatment per se, but rather attention and encouragement along with some exercise (which may be biofeedback encouragement). Unfortunately, the authors had to jettison some 116 out of 120 studies along the way, evidence of the sorry state of most back pain research. True enough, non-pathological back pain is a horrible fact of the human condition, but does it really require so much scientific attention and treatment? Just because something hurts, is it medical? Paramedical? Alternative medical?
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