Awareness and educational efforts are working to help prevent anabolic steroid abuse in schools and communities. The Adolescents Training and Learning to Avoid Steroids (ATLAS) and the Athletes Targeting Healthy Exercise and Nutrition Alternatives (ATHENA) programs, funded by the NIDA, and supported by the Oregon Health & Science University programs is teaching athletes that they do not need steroids to build powerful muscles and improve athletic performance. These programs provide weight-training and nutrition alternatives, increase healthy behaviors, less likelihood to try steroids, and less likelihood to engage in other dangerous behaviors such as drinking and driving, use of marijuana and alcohol , and and improved body image. Bother Congress and the Substance Abuse and Mental Health Services Administration endorsed these model prevention programs. 4
Once positioned appropriately by your doctor, a fluoroscope (X-ray guided machine) assists in identifying the specific area to be injected. The area is then cleansed and the skin is numbed. The needle is inserted under X-ray guidance into the epidural space (the small space surrounding the nerves inside the spinal canal). A special X-ray dye will be used to verify that the needle has been correctly placed and that the medication will be delivered to the appropriate site. A long-acting anti-inflammatory steroid and local anesthetic are usually administered and the needle is removed.