Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economicexpenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, theways of management of CLBP are diverse and there is yet no general consensus about which approach is better than othersor to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasivemaneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcomeof those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodologicaldifficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolutionof low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on theinvasive management on CLBP are rather complimentary each other than to be contradictory.
