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.
The majority of the side effects listed above are still applicable to females, but a few obvious ones are not. These are prostate enlargement, gynecomastia and testicular side effects. The other steroids side effects are evident, hypertension, water retention, acne, hair loss, lipid problems and hepatoxicity all appear in females. Another to note, which are not apparent in males and solely linked to females is – virilisation. This is when the female’s body undergoes masculine changes, such as, facial hair growth, hair loss, deepening of vocal chords and enlargement of sexual organs (clitoris). These side effects can be avoided if the correct low doses of anabolic steroids are used and also time spent using them is kept short. Abuse will often lead to permanent side effects in women. Once virilisation steroids side effects begin to arise stop the steroid(s) immediately or lower the said dose considerably. Certain androgenic steroids are far worse for women than others. An example would be Primobolan and Anavar are both safe in low doses for short periods, which Trenbolone and Dianabol aren’t really safe at any dose for any time frame.