RT Journal A1 Berkman R T1 PErcutaneous electrical nerve stimulation for treatment of low back pain JF JAMA JO JAMA YR 1999 FD September 8 VO 282 IS 10 SP 941 OP 942 DO 10-1001/pubs.JAMA-ISSN-0098-7484-282-10-jbk0908 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-10-jbk0908 AB To the Editor: The article by Dr Ghoname and colleagues1 appears to show that percutaneous electrical nerve stimulation (PENS) is better than some other modalities as a temporary treatment for low back pain (LBP). The authors state that patients selected for this study had chronic "LBP secondary to radiologically confirmed degenerative disc disease." However, the radiographic degree of disk degeneration generally does not correlate well with degree of pain; in fact, many patients with degenerative disk disease have no LBP.