What do I need to do in preparation for my procedure?
You will need a driver post procedure. Discontinue use of blood thinners (aspirin, plavix, coumadin) and NSAIDs (ibuprophen, naprosyn, mobic etc.) for five days prior. Do not eat or drink 4 hours prior
What should I expect the day of the procedure?
Plan on arriving 1 hour before scheduled time. The entire procedure process usually takes a couple hours. Mild sedation is given intravenously immediately prior. A large x-ray machine will be utilized to identify targets. Medicines will be injected at designated targets.
What is used for intravenous sedation?
Versed is used for relaxation and Fentanyl for pain.
How long will the injection last?
It is hard to predict because every individual’s case is different. Results could range from just a few days of relief, up to a year or more.
How many injections can I have?
Injections can be given individually or in a series of three. I try to limit my patients to no more than 4 injections per year at a given spinal region.
What should I expect after the procedure?
The injected substances may cause numbness to the affected extremities for up to 6 hours. Caution should be taken to avoid falling. Symptoms might be aggravated for a day to a week post procedure. During this period use ice for 20 minutes out of every hour and resume regular pain medications. Typically, the injected steroids take three to five days to take effect.
When can I go back to physical therapy?
I prefer that patients wait at least 72 hours prior to participating in exercises that cause dramatic heart rate acceleration. Heating pads and hot packs should be avoided as well for at least 72 hours.