有歧义吗？

Unfortunately, current paradigms of spine pain treatment guided primarily by symptoms and signs, aided with radiological (e.g., X-ray, MRI) findings, are often ineffective due to the complexity and interplay of multiple etiologies of spine pain conditions (e.g., spinal stenosis, disc herniation, joint arthritis, myofascial origin, referred pain).

由于脊柱疼痛疾病多病因（比如椎管狭窄、椎间盘突出、关节炎、肌筋膜病变、牵涉痛)的复杂性和相互作用，目前以症状和体征为导向，辅以影像学(如X线、MRI )检查的脊柱疼痛诊疗方法，并非十分有效。

are often ineffective并非十分有效还是通常无效？