1) Pre Procedure Instructions
2) Post-Procedure Instructions



Pre-Procedure Instructions

Medication: Continue the use of your routine medication, i.e. blood pressure, heart, thyroid, etc., however:

  • Stop Aspirin containing medications seven (7) days prior to your procedure (for patients who are taking aspirin for heart, stroke or circulation, please check with your prescribing physician before stopping this medication.).

    -Some common Aspirin containing medications include, but not limited to: Baby Aspirin (81 mg), Bayer, Bufferin, Darvon Compound 65, Ecotrin, Enteric coated ASA, Equagesics, Excedrin, Fiorinal, Lortab ASA, Norgesic Forte, Percodan, Robaxisal, Sine-Off Sinus Medicine, Soma compound, St. Joseph Aspirin, Talwin Compound, Trilisate, Wygesic.

  • Stop Non-Aspirin containing Anti-Inflammatory medication two (2) days prior to your procedure.

    Some common Non-Aspirin containing Anti-Inflammatory medication include, but not limited to: Advil, Anaprox, Aleve, Daypro, Dolobid, Feldene, Ibuprofen, Indocin, Ketoralac, Mobic, Motrin, Naprosyn, Relafen, Toradol, Volteren.

  • If you are taking Coumadin, Plavix or other Blood Thinners, it is very important that you let us know in advance.

If you have any questions regarding content of your medication, please contact the prescribing physician, or your pharmacist.

Sedation: If you are considering receiving sedation during the procedure, please…

  • Do not eat or drink anything six (6) hours prior to your appointment time. You may drink water only, to take your routine medication.
    -If you are Diabetic, you may have clear liquids/juices up to two (2) hours prior to your appointment time to manage your blood sugar. If you are taking insulin, please give our office a call for instructions about insulin dosage.
  • Arrange for someone to drive you home.

If you have any questions regarding any of this, feel free to call us at (317) 876 -5197, or ask us at the time of your appointment.

If your insurance requires a referral, please request your primary care physician to fax it to us at (317) 876 -5197


Post-Procedure Instructions:

These instructions are for general purpose only. For specific Post-Procedure instructions, please follow the written instruction given to you following the procedure.

  • If you received sedation during the procedure, do not drive, operate machinery, or make any important decisions until the next day.
  • Eat lightly at first, and then progress to your normal diet.
  • Unless otherwise instructed, take it easy and rest on the day of the procedure.
  • Increase fluid intake on the day of the procedure.
  • For the first 24 hours after your injection, applying an ice pack to the injection site for 20-minute periods, then removing for an hour and repeating, can help relieve pain at the injection site.
  • If you are Diabetic, a steroid injection can cause increase in blood sugar, so please check your blood sugar level frequently for 2-3 weeks after the injection and notify your physician if it is elevated.
  • If you have stopped Aspirin prior to the procedure, please restart taking it from the day after the procedure.
  • Patients who have had a Transforaminal ESI (Selective Nerve Root Block) may experience some numbness or weakness of the leg or arm in the treated area lasting up to several hours. Therefore, do not try to walk or stand without assistance, or drive, until the numbness and/or weakness wears off.
  • For the next week, even though you may feel relief from your pain, do not attempt to increase your activity level beyond the normal routine you have been following for the past few weeks.
  • Sometimes your pain may remain or you may even feel slightly worse for a few days. This is not unusual. Please remember that sometimes it may take up to 1-2 weeks before you experience any pain relief.
  • If instructed to call after a specific time, please call the office at (317) 876-5197. Or call us if your pain returns.

In the event of an emergency, go to the nearest emergency room and let them know that you had an injection done. Methodist Hospital emergency room phone number is
(317) 962-8355.

Please seek help immediately if any of the following symptoms occur:

  1. Severe increase in your usual pain or appearance of new pain.
  2. Prolonged or increasing weakness or numbness in the legs or arms.
  3. Loss of control of your bladder or bowel function.
  4. Drainage, redness, active bleeding, or increasing swelling at the injection site.
  5. Prolonged dizziness, lasting more than one day, or Temperature over 100 F.
  6. Headache that increases when your head is upright and decreases when you lie flat.
  7. Shortness of breath, chest pain, or problems breathing

Disclaimer: This information is for general informational purpose only. Specific recommendation for your pain condition can be made only after evaluation by Dr. Shukla.

Contact Information: Tel #: (317) 876 - 5197 Fax #: (317) 876 - 5196

Address: 1801 N Senate Blvd., Suite D1476 Indianapolis IN 46202