OBJECTIVE In adults with lumbar spinal stenosis, do epidural injections (anesthetics with or without steroids) provide long term improvement in pain and functionality? CONCLUSIONS Yes.Studies show that anesthetic epidural injections provide long term and short term improvement in pain and functionality in patients with lumbar spinal stenosis. Studies do not show good evidence addition of steroids can add any benefit in the improvement in pain and functionality. A. Lumbar spinal stenosis, long term, pain, epidural injections. CONCLUSIONS Adult, human, English, Review, Randomized-Control Trials, Systematic Reviews, meta-analysis, adults age 18 or more, publication dates 2015 to now. October 13, 2018. Inclusion Criteria:Recent published systematic reviews, randomized controlled trials, meta-analyses; adults with lumbar spinal stenosis, treatment with epidural injections. METHODS Studies older than 5 years, children, adolescents less than 18 years of age, just lower back pain or radiculopathy but not specifically spinal stenosis.