Our current understanding of adrenal function is still at its infancy at best. It is therefore very difficult for any health professional to have a good grasp of the Adrenal Fatigue condition from a purely pathological and physiological perspective. The number of physicians with true expertise in advanced Adrenal Fatigue is very small. Those who are good in this gain their expertise not from textbooks, but from years of clinical experience. There is no short cut, because text-book cases are few and far between. Because the full recovery cycle can take years to complete in severe cases, practitioners with little experience will find it hard to handle cases other than the most mild and straight forward ones.
Over time, steroid abuse can cause severe, even irreversible health problems, such as liver damage, kidney damage, high cholesterol, heart disease, cancer and anaphylactic and septic shock. Steroid overdose and abuse can also cause permanent brain damage: long-term anabolic steroids abuse can damage the brain’s spatial functioning, which deals with information processing and memory. Cognitive impairment, forgetfulness, the inability to concentrate and the increased risk of mental health illness are all common side effects of steroid abuse and overdose.
Once pain has subsided, strengthening and stretching exercises should be considered. Eccentric strength training ( Figures 3a and 3b ) is particularly effective in treating tendinopathies and helps promote the formation of new collagen. 17 , 18 Eccentric contraction involves the lengthening of muscle fibers as the muscle contracts, preferentially loading the tendon. Eccentric exercise has proved beneficial in Achilles tendinosus 17 , 18 and patellar tendinosus, 19 and may be helpful in other tendinopathies. Stretching exercises generally are thought to be helpful and are widely accepted.