RT Book, Section A1 Keel, John C. A1 Serels, Anna A1 Wu, Jason C. A2 Bajwa, Zahid H. A2 Wootton, R. Joshua A2 Warfield, Carol A. SR Print(0) ID 1131937441 T1 Steroids T2 Principles and Practice of Pain Medicine, 3e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071766838 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1131937441 RD 2024/04/19 AB The main caveat of this chapter is that all steroids are systemic. Steroids, that is, corticosteroids, may be the first or second most commonly used class of medication in pain clinics, as well as orthopedic and other musculoskeletal clinics. The primary aim of this chapter is to detail the potential adverse events associated with corticosteroids themselves and to briefly review corticosteroid pharmacology and technical aspects. Clinical efficacy evidence is not reviewed here because it has been done extensively elsewhere; instead, a review of steroid-specific risks is presented to aid decision making on whether a steroid should even be used in the first place. If all steroids are systemic, then any adverse event related to steroids could potentially result from steroids administered in the pain clinic, whether or not such has been reported in the literature. Let not steroids be understood the least by those who use them the most.