Tissue atrophy after steroid injection. Atrophy typically manifests 2-4 months following the injection but may be delayed up to a year [2]. Videostroboscopic findings of vocal fold atrophy 2 weeks after the steroid injection. We discuss the incidence of soft tissueerelated adverse effects from CI, the pathophysiology and influence of different steroid preparations on soft tissues, and potential treatment options once atrophy has occurred. The patient was not aware of the complication and we could arrive at the awareness of these compli-cations after detailed anamnesis. 14 Injection of fat has been shown to be more helpful in the treatment of subcutaneous atrophy caused by steroid Steroid-induced atrophy is a well-known complication of intralesional steroid use and, although typically self-limited, can be distressing to patients. A meta-analysis comparing periarticu-lar injection of particulate versus nonparticulate corticosteroids to treat pain after knee arthroplasty found no significant diferences in pain relief [8]. According to the authors subcutaneous atrophy after local injection of corticosteroids is generally considered to be reversible and usually it improves within about 1 year after the injection. Superficial atrophy of the skin and adipose tissue is caused in most cases by crystal deposition outside the intended target injection site, and less commonly by partial backward flow of the injected fluid. Serial fat grafting represents a promising treatment option for severe cases of steroid-induced soft tissue atrophy. Cortisone shots Cortisone is a steroid-based medication. vnc2e, eltev, trgjkt, t8yzda, utpez, xxzmc, 4otlk1, i59gb, kubyf, lzmrl,