Steroid injections are commonly used to treat all types of inflammation with pain being associated with inflammation as much as 90% of the time. There are three main types of steroids which include Mineralocorticoid, Glucocorticoid and Anabolic. Anabolic steroids are an important part of age management such as Testosterone however they are not used to treat painful conditions. Mineralocorticoids mainly are used to regulate salt and water balance in the kidneys and not for pain. The class typically used in injections to treat inflammation and pain are forms of Glucocorticoids such as dexamethasone, celestone and kenalog. The sole purpose of injecting steroids into an inflamed area is to eliminate the pain associated with inflammation, reduce localized swelling of inflamed structure and return the affected area back to its normal state. Many times steroids are used as a precursor to other treatments especially when there is significant underlying tissue injury or osteoarthritis.