1) Pre Procedure Instructions
2) Post-Procedure Instructions
Continue the use of your routine medication, i.e. blood pressure,
heart, thyroid, etc., however:
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
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,
Non-Aspirin containing Anti-Inflammatory medication two (2) days
prior to your procedure.
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.
If you are considering receiving sedation during the procedure,
- 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
instructions are for general purpose only. For specific Post-Procedure
instructions, please follow the written instruction given to you
following the procedure.
you received sedation during the procedure, do not drive, operate
machinery, or make any important decisions until the next day.
lightly at first, and then progress to your normal diet.
otherwise instructed, take it easy and rest on the day of the
fluid intake on the day of the procedure.
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
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.
you have stopped Aspirin prior to the procedure, please restart
taking it from the day after the procedure.
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.
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.
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.
instructed to call after a specific time, please call the office
at (317) 876-5197. Or call us if your pain returns.
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
seek help immediately if any of the following symptoms occur:
Severe increase in your usual pain or appearance of new pain.
or increasing weakness or numbness in the legs or arms.
of control of your bladder or bowel function.
redness, active bleeding, or increasing swelling at the injection
dizziness, lasting more than one day, or Temperature over 100
that increases when your head is upright and decreases when
you lie flat.
of breath, chest pain, or problems breathing
This information is for general informational purpose only. Specific
recommendation for your pain condition can be made only after
evaluation by Dr. Shukla.