Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:As per your history the adverse effect of steroid injection is Moderate leucocytosis, eosinopoenia, polycythaemia, lymphopoenia, insomnia, headache, increased susceptibility and severity of infections, Na retention with oedema, increased K excretion, weight gain, increased appetite, reduced glucose tolerance, DM,
hypertriglyceridemia, hypercholesterolaemia, striae rubrae,
telangiectasia, atrophy, petechiae,increased capillary fragility, ecchymoses, osteoporosis (dose-related), muscular atrophy and weakness, adrenal suppression,
immunosuppression, Kaposi's sarcoma, acute myopathy, ocular effects, (subcapsular cataracts, glaucoma, ocular infections), psychiatric disturbances ( depression, euphoria, insomnia, mood swings, personality changes)etc
Secondly you want to know about cushing syndrome so you must know the symptoms and signs of this disease-:
weight gain,fat tissue deposition,pink and purple
stretch marks on the skin of the abdomen thighs breasts and arms ,thinning fragile skin that bruises easily,slow healing of cuts,insect bites and infections,acne,decreased libido,decreased fertility,
erectile dysfunction,fatigue,
muscle weakness,depression,anxiety ,irritability,loss of emotional control,new or worsened
high blood pressure,diabetes,headache,bone loss.
investigation which needs to confirm the is-:
A)Urine and blood test for cortisol
B)Saliva for cortisol
C)DO a CT scan
After 100% confirm your dose will be reduced
I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,