Question: Hi, I am a chronic pain patient going on 4 years. For the first 2.5 years I received steroid epidurals and facet blocks at a frequency of once a month in various areas of neck and back - well above what I know is recommended, but my pain trumped my good decision making. I changed PM doctors and stopped injections for a year because the no longer seemed effective. Then earlier this year tried a facet block due to severe flare and it made the pain worse. I just recently had double disk replacement in C5 and 6. Since surgery my health has been spiraling. I do have a rare bacterial infection serrAtia mercescens in my throat that was just discovered 6 weeks after surgery but before this I was given a course of oral steroids to address the swallowing issues I was having. Since then, ive been even worse still. Long story short, I am interested in knowing what the long term risks are for this amount of steroid use in the past. A recent chest x-ray showed I have a small heart, that the radiologist suggested may be addison's disease. I have an HC background so was surprised to see this in a radiology report. I know osteoporosis is common, but what other long term risks are associated with frequent steroid injections.