Anabolic steroids can cause the development of acne. However, the extent to which it is experienced can be due to a number of varying factors, with the particular steroids and exact dosages used being primary. The skin´s sebaceous glands have a particularly high affinity to Dihydrotestosterone, which is an androgen the body naturally produces from testosterone via the enzyme 5-alpha Reductase. Increased sebaceous gland activity promotes oily skin which can combine with bacteria and dead skin (normal wear and tear) eventually causing pores to become clogged more quickly than the body can cleanse them. This of course, is preventable by using only particular steroids, cleansing the skin regularly, and perhaps using a topical anti-androgen.
Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back ( lumbar radiculopathy ), such as from lumbar spinal stenosis , cervical spinal stenosis, herniated disc , and foraminal encroachment, causes back pain that goes down the leg. Epidural injection is also used as a minimally invasive procedure to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy , which causes pain.
A common side effect we hear a lot about is in regards to anabolic steroids possible negative effect on the liver. While this can be a problem its important to understand why and what you can do to prevent it. While steroids side effects surrounding the liver are very real, in-short the largest cause for this problem is the use of oral anabolic steroids; in general, injectable steroids will not cause a problem. Further, this does not mean we cannot use oral anabolic steroids but abuse of orals is a higher risk than with injectables. By keeping our oral steroid use to one oral at a time, using orals for shorter durations as well as taking an herbal liver support supplement will greatly ease any negative steroids side effects you may incur with steroid use.