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[Correspondence] Low back pain – Authors’ reply

Christelle Nguyen and colleagues, Tim Germon and colleagues, and Kosmas I Paraskevas argue that we did not pay sufficient attention to the specific nociceptive causes of low back pain in our Lancet Series on low back pain. We were quite explicit that low back pain is a symptom not a disease and can result from several different known or unknown abnormalities or diseases.1 When it is possible to define additional specific nociceptive causes for low back pain with effective treatments then we will be able to address this major health issue, as Germon and colleagues suggest.