انزلاق الفقرات عندما لا يحقق العلاج الطبيعي المنظم تخفيض ألم أسفل الظهر أو تحسين نطاق حركة العمود الفقري القطني

References

DOI: 10.25122/jml-2025-0039

Epidural steroid injections are indicated in patients with symptomatic spondylolisthesis experiencing nerve root irritation, neurogenic claudication due to spinal stenosis, persistent pain despite NSAID use, physical therapy, and activity modification, or those who require temporary pain relief until surgery.

These injections deliver corticosteroids such as methylprednisolone into the epidural space to reduce inflammation and relieve pain.

Studies have demonstrated short-term benefits, including pain reduction and functional improvement, but long-term efficacy remains variable.