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[Correspondence] Low back pain

We are not convinced that the proposals made by the Lancet Low Back Pain Series Working Group,1 which broadly reflect current national guidance,2 are rational or supported by sufficient evidence. Pain is a symptom, not a diagnosis. Without a diagnosis there is little rationale for intervention. Only with a meaningful diagnosis can there be discussion of the risks and benefits of potential interventions. Interventions not based on diagnosis risk being dishonest.