Due to a wide range of media coverage and large scale steroid scandals fans and experts have continued to bring the games integrity into question. Major League Baseball is a game of statistics. The entirety of a player's career is based upon the consistency and credibility of the numbers and accolades acquired during the period in which they played. "Their real impact has been at the margins: There are certainly some scrubs who wouldn't be in the majors without the juice, and we have ample evidence that at the other end of the scale, drugs can take Hall of Famers and all-time greats and help them perform at historically unprecedented levels" (La-Times). When it comes to this topic generally there are two trains of thought. Many do not see the harm with this type of substance use because it makes the game more exciting and allows athletes to reach untested potentials. On the other side of the argument many fans and experts believe the game has lost its purity because of this drug use. More recently an issue has arose with high-caliber players who have tested positive for performance-enhancing drugs are not being voted for on a hall of fame ballot. This fact has brought many to question the game's integrity. No matter the statistics and achievements produced by the certain player prior to drug use, a positive test for steroids has shown to discredit the athletes integrity and career entirely.
Steroid injections are commonly used to treat rotator cuff tendinopathy, but controlled studies have demonstrated modest benefit, particularly in the long term. 34 Steroid injections should be reserved for patients who have discomfort that would limit them from engaging in rehabilitative exercises. Injections into the gluteal muscle versus guided injections into the subacromial bursa have demonstrated similar levels of pain relief. 35 Surgical options are available for patients with persistent symptoms, or for patients in whom function cannot be maintained.
The purpose of this study was to determine the incidence of anabolic steroid use among competitive male and female bodybuilders in Kansas and Missouri. A profile was established for users and non-users of anabolic steroids. The results of this study indicated that more than half of the male bodybuilders (54%) were using steroids on a regular basis compared to 10 percent of the female competitors. The types of steroid used were investigated and revealed that on average, four different types of anabolic steroid were used during the year, with individual use ranging from one to fifteen different types; including Dianabol, Deca Durabolin, Anavar, Testosterone, Androl 50, Winstrol, Primobolan, Equipoise, Finaject, Parabolin, HCG, Primacetate, Enanthate, Halotestin, and Maxibolin, in order of the most to least frequently used. The female bodybuilders reported that they had used an average of two different steroids including Deca Durabolin, Anavar, Testosterone, Dianabol, Equipoise, and Winstrol. The principal reason bodybuilders used steroids was related to their perception that these drugs were an important factor in winning competitions. Another important motivating factor for use was consistent with reports that significant gains in strength could be achieved by including anabolic steroids as part of the training regimen in spite of the reported adverse side-effects.