Acne is often present. Acne conglobata is a particularly severe form of acne that can develop during steroid abuse or even after the drug has been discontinued. Infections are a common side effect of steroid abuse because of needle sharing and unsanitary techniques used when injecting the drugs into the skin. These are similar risks to IV drug abusers with increased potential to acquire blood-borne infections such as hepatitis and HIV/AIDS . Skin abscesses may occur at injection sites and may spread to other organs of the body. Endocarditis or an infection of the heart valves is not uncommon.
We note these studies not to discourage you from undergoing epidural steroid injections, but rather to help foster well-rounded discussions with your doctor. These injections have been shown to provide excellent pain relief in many patients (particularly those who have had symptoms for less than 3 months, not had a previous spine surgery, are younger than 60 years, and don’t smoke). However, epidural steroid injections are not magic bullets. Before starting injection therapy, talk to your doctor about the specific risks and benefits for you.
Given the relative safety and superior effectiveness of honey plus coffee versus prednisolone, this study adds to a growing body of biomedical research indicating that natural substances, including spices, vitamins and foods, are often superior in efficacy to synthetic drugs while often maintaining far higher levels of safety relative to them.
[i] Mohammad Ali Raeessi, Jafar Aslani, Neda Raeessi, Homa Gharaie, Ali Akbar Karimi Zarchi, Fereshteh Raeessi. Honey plus coffee versus systemic steroid in the treatment of persistent post-infectious cough: a randomised controlled trial.