Sorry to say this, those complications are probably dose related, unfortunately many primary physicians administer parental steroids in the office, because it is easy, and brings patients back for further treatment believe me I have seen the buffalo hump, steroids will be used for indicated disease because of cost effectiveness, those who have the knowledge base and prescribing experience have had almost none of the complications mentioned, if they occur move on to another modulator. As a surgeon I was involved in treatment of temporal arteritis ( 5 years of steroids), the bulk of evidentiary experience has created that as the standard of care. Polymyalgia rheumatica is another example. Obviously standard of care is based on careful risk/benefit ratio, which creates evidence based medicine which usually takes years to established. I assume you have experience in clinical medicine- it is the three leg stool.