A short transcript excerpt of Dr. Joshua John-Ram Schacter discussing risks of steroid injections near or into nerves — including chronic inflammatory responses and painful neuropathy — contrasted with biologic injections which he states carry lower risk around nerves. The clip reports patient cases and clinician experience rather than formal study data.
Interesting comment. Patient said that they had had a steroid injection in another office in their hip and it had chronic, sharp, severe pain. Ever since then they got an EMG that said they had polymotor sensory neuropathy. Now what can happen with steroid injections is if you have an injection close or into a nerve, it can cause a chronic inflammatory response in that nerve, which can be extremely painful. I've had multiple patients come through the office that have had injections in or around nerves that have caused a lot of problems. Now, steroid injections around a nerve can cure or treat inflammation, but into the nerve can be a big problem. This is another problem with steroid injections. Now biologics injections have a much lower risk of these problems and are much safer to do around nerves.
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