PAINFUL pathologic conditions of the back are the source of much medical and surgical interest. So intense is the interest in this subject that symposia are held almost annually at meetings in order to unravel the conundrum of "backache." These symposia feature panel discussions composed of a neurosurgeon, radiologist, orthopedist, and physiatrist. Often these meetings terminate without answering all the questions concerning pain in the back.
It is fitting, therefore, that when there is a cure for one cause of backache that this entity should be emphasized. Specific reference is made to an infrequently discussed cause for low back pain, namely, subfascial fat herniation. The presence of this condition was first described by the English authors Copeman and Ackerman, in 1944. A year later Ralph Herz, of Key West, Florida, corroborated their findings. Since 1945, he has written and lectured extensively on subfascial fat herniation as a cause of low