A small and very rare risk is that the injected joint becomes infected (1 in 15,000). Patients who experience a very painful, red, or swollen joint after injection should seek medical attention immediately. Thankfully, the most common cause of these symptoms is not a concerning infection but a reaction to the injected steroid (called steroid flare ) that occurs in 2-5% of patients. A steroid flare usually begins 6-12 hours after the injection and can last for 2-3 days. Regardless of the cause, it is important for patients with symptoms of infection to see a doctor because infections require immediate treatment.
Not shortly after Roger Maris record was broken, another baseball player, Jason Giambi and various other athletes were either suspected of, or proven to have, taken anabolic steroids. Again, Congress convened a hearing, and just as they did the first time in 1990, they did not determine that steroids were a danger, but rather that the danger was more in protecting professional sports organizations. The updated statute has been updated to proscribe pro-hormones also The definition of an anabolic steroid as defined currently in the United States under (41)(A) is that "anabolic steroid" means any drug or hormonal substance, chemically and pharmacologically related to testosterone (other than estrogens , progestins, corticosteroids, and dehydroepiandrosterone (7).
Recently, doctors have started injecting steroids directly into the middle ear — a procedure called intratympanic treatment. This technique is thought to deliver more of the drug to the ear and to avoid some of the side effects that can come along with oral steroids. The side effects of oral therapy can be mild, like weight gain, mood changes and sleep disruption, or more serious, like high blood pressure and elevated blood sugar. Side effects of injected steroids are usually local, such as ear infection and vertigo. However, up until now, no study had compared the 2 treatments to see whether direct injection worked as well as oral steroids.