Pre-Injection Instructions Before the Procedure After the procedure

ADVANCED
SPINE
ASSOCIATES, P.A.
Musculoskeletal Pain Intervention
Sherif A. Roushdy, M.D.
8232 Hwy 65, Spring Lake Park, MN 55432
Phone # 763-746-7100 Fax #763-746-7199 Federal Tax ID #41-1897350
Pre-Injection Instructions
Dear Patient,
You are about to receive injections for your pain. In order to
provide you with the best care, please read the following
instructions carefully and follow it precisely. FAILURE TO
COMPLY MAY RESULT IN CANCELLATION OF
YOUR PROCEDURE BECAUSE OF SAFETY ISSUES.
Before the Procedure
What medications can I take?
Blood pressure meds, diabetic meds, asthma meds and other
meds that are necessary for your health. These meds can be
taken in the morning of your procedure with a sip of water.
Please bring your blood pressure medication with you. If you
are diabetic please check your sugar level in the morning of
the injection day, (ideally should be less than 140). We
encourage you to take your prescription pain medication
that we prescribe to you with a sip of water the day of your
procedure unless told otherwise.
What I have to do before the injection!
• If you are taking Coumadin you will be instructed to
go to the lab the morning of your procedure to have
INR/PT stat blood work in order to minimize any
chance of bleeding; (ideal INR level is 1.2-1.5,
anything above that is considered risky to perform
the injection).
• Patients have to shower or bathe prior to procedure to
avoid increased risk of infection.
• Remove all jewelry (including belly-button rings).
• You can eat a light meal 4 hours before the
injection providing you will not be sedated,
especially if you are a diabetic patient.
• If you are having a Discogram or having conscious
sedation you may not have anything to eat or
drink 6 hours prior to injection.
• If you are scheduled for a Discogram, you need to
bring the MRI film. The procedure may need to be
rescheduled if the films are not available.
Medication to be stopped 7 days prior to the injections
(unless otherwise indicated):
Aspirin or Aspirin products, such as: Diflunisal, Dolobid,
Salsalate, Ecotrin, Bayer, Anacin, Excedrin, Motrin,
Ibuprofen, Advil, Ketoprofen, Naprosyn (Naproxen, Aleve),
Relafen, Fish Oil and Vitamin E.
You also need to stop taking Garlic as a supplement and in
your diet. Garlic is a blood thinner. This is in order to decrease
the chance of bleeding during and after any injections or
procedures that we do.
What will happen at the time of your procedure?
• You will meet the staff who will be assisting the
Doctor during the procedure.
• You will be asked to sign a consent form for the
procedure.
• Depending on the procedure, an IV may be started in
your arm. Depending on your procedure you may
receive antibiotics or medicine that will make you
sleepy.
Should you have any reason that prevents you from
attending your appointment, please call the clinic 48 hours
before if possible, so we may accommodate another patient
who is waiting to have an urgent procedure.
If you are on the following blood thinners, please contact
your physician for clearance to stop the medication:
Coumadin, Plavix, Heparin, Arthrotec, Voltaren, Lodine,
Indocin, Toradol, Anaprox, Daypro, Tolmetin, Clinoril, Pletal,
and Trental.
After the procedure
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You will be observed for 30 minutes to one hour to
observe your response to the treatment.
For your safety and the safety of others you will not be
allowed to drive home. If you do not have a driver
your procedure will be cancelled.
You may experience some initial increase in your
symptoms after the procedure, this is not uncommon.
You should begin to notice improvement within 3-5 days.
These improvements may be gradual.
You have to go home and rest for the remainder of the
day and may return to regular activities gradually the next
day.
Many people experience some increase in their symptoms for
a day or two, but the pain should begin to improve by day 3-5.
Improvement varies from person to person; your improvement
may be gradual.
Thank you for you cooperation.