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

Foundation for Chiropractic Progress Position Paper Responds to Deadly Epidural Steroid Injections, Overuse of Prescription Drugs and Back Surgery to Relieve Back Pain

Foundation for Chiropractic Progress Position Paper Responds to Deadly Epidural Steroid Injections, Overuse of Prescription Drugs and Back Surgery to Relieve Back Pain. The paper also points to overuse of cortisone injections, dangers of ad

diction to prescription drugs such as Methadone and other narcotics for musculoskeletal problems such as back pain and arthritis, as well as mounting evidence that for many patients, surgery is no better at relieving pain than non-invasive care options.

Foundation for Chiropractic Progress Position Paper Responds to Deadly Epidural Steroid Injections, Overuse of Prescription Drugs and Back Surgery to Relieve Back Pain