In a move that has provoked a major outcry from pain specialists nationwide, Oregon’s Health Evidence Review Commission (HERC) has proposed a draft guideline strongly recommending against all corticosteroid injections for the treatment of low back pain, including epidural, facet joint, medial branch and sacroiliac joint injections. While the guideline asserts that the evidence for these procedures is of low quality, critics have been quick and vocal in denouncing the document as