Steroid medications symptoms and conditions

I'm a physician. Usually Kenalog injections can be avoided and oral steroids used like prednisone. The local dimpling effect may occur if the injection is too shallow, actually there is a temporary "disolving" of the subcutaneous tissue, the muscle and joints are not damaged. It is usually viewed as a "cosmetic" adverse effect. The Kenalog injections was primarily designed for joint injection and the kenalog or similar depo form stays active in the joint for a few weeks. All steroid medications can cause irritability and this is usually temporary for a few days. Steroids can cause muscle weakness- this is usually associated with high doses for prolonged use like being on prednisone for 3 or 4 months. Steroids can have an adverse effect on menstruation, but this is usually associated with chronic use. The most serious problems with the steroids result in bone weakness(osteoporosis) and serious damage to joints like the back and hip. Steroids can also result in weight gain, diabetes, high blood pressure and cataract formation. I don't think Kenalog is any different than other steroids such as Medrol or Prednisone in terms of the side effect profile. These are dangerous medications that can also be very helpful in saving lives and diminishing pain.