Do Epidural Steroid Injections Help Lower Back Pain?

This is a recent review study from the Annals of Internal Medicine of 30 previous epidural steroid injection studies. It showed only mild temporay benefit overall and no benefit for spinal stenosis (narrowing of the spine).“ESIs are high cost, low value health care,” said Terri Lewis, Ph.D, who is an expert of rehabilitation medicine.
Do you think it would be rational to use more conservative treatments for these patients such as chiropractic and/or physical therapy?

http://nationalpainreport.com/do-epidural-steroid-injections-help-lower-back-pain-8827256.html