Preprocedure Instructions

It is important that you follow the instructions below or your procedure may be cancelled. Your time is valuable, and we want your procedure scheduled at the RIGHT time, RIGHT place on the BEST day!

1. It is very important that your skin be clean prior to the procedure. Please cleanse with HibiClens or Dyna-Hex for 3 days before and the morning of your procedure and sleep on clean linens.

1. For your body to be ready for our surgical procedure, it needs to be at its healthiest. If you have ANY fever or any feeling of sickness, TELL US IMMEDIATELY. If you have been sick, around anyone with COVID-19, or taking antibiotics we need to know immediately.

1. If an MRI, CT Scan or X-rays were ordered for your procedure, they need to be performed and the report delivered to us PRIOR to your procedure.

1. DO NOT eat or drink anything past 10pm prior to the procedure appointment the following day. You may take medications with less than 1oz of water total. If you are diabetic and having low blood sugar, you may take 2 tablespoons of sugar mixed in water. If you must take this mixture , PLEASE share this information prior to your procedure.

1. We ask that a responsible adult drive you to the office. At check in, we will evaluate how long until the procedure is completed. Discharge instructions will be shared with you when the doctor discusses the procedure, and with your driver by phone after the procedure.

1. PLEASE wear loose fitting clothing the day of your procedure, preferably elastic waist pants with a t shirt and low-heeled shoes. We ask that you leave all jewelry at home

1. Please bring your photo ID, insurance care and preferred method of payment for any patient responsibility due at check in. If you have any questions regarding the amount due, please contact our office.

1. If you are diabetic, please monitor your blood sugar closely after the procedure. The steroid injections can increase glucose levels.

1. Please arrive 30 minutes prior to your scheduled procedure time, to insure you are registered and prepared for the procedure.

1. PLEASE MAKE SURE to inform the physician and the staff if any of the following apply:You have an allergy to x-ray dye, iodine, shellfish and/or LATEX You may be pregnant.

1. PLEASE no dental work within 14 days prior to your procedure to include teeth cleaning.

1. PLEASE let us know if you are taking ANY of the FOLLOWING blood thinning medications. They may need to be stopped 7-14 days PRIOR to your procedure ONCE WE receive permission from the prescribing physician. DO NOT STOP taking the medication until we let you know the prescribing physician indicates is acceptable. Usually, YOU MAY restart the medication 24 hours after your pain management procedure.The blood thinning medications are:
  - - Herbals containing ginger or ginko biloba
  - - Fish Oil/Omega
  - - Aspirin or aspirin containing medication
      - Excedrin (acetaminophen, aspirin, caffeine)
      - Equagesic (meprbamate and aspirin)
      - Synalogos-DC, BC powder (aspirin, caffeine, and dihydrocodeine)
  - - Non-Steroidal anti-inflammatory drugs (NSAIDs)
      - Advil/Motrin (Ibuprofen)
      - Aleve, Anaprox DS, Mediproxen (Naproxen)
      - Mobic (meloxicam)
      - Arthrotec (diclofenac sodium, misoprostol)
      - Relafen (nabumetone)
      - Daypro (oxaprozin)
      - Celebrex (celecoxib)
  - - Heparin and heparin type drugs:
      - Lovenox (Enoxaparin)
      - Innohep (Tinzaparin)
  - - Coumadin/Jantoven (Warfarin)
  - - Plavix (Clopidogrel)
  - - Pletal (Cilostazol)
  - - Trental (Pentoxifylline)
  - - Fragmin (Dalteparin), Normiflo (Ardeparin)
  - - Persantine (Dipyridamole)
  - - Xarelto (Rivaroxaban)
  - - Ticid (Ticlopidine)
  - - Aggrenox (Dipyridamole/aspirin)
  - - Arixta (Fondaparinux)
  - - Effient (Prasugrel)
  - - Orgaran (Damaparoid)
  - - Pradaxa (Dabigatran)
  - - Eliquis (Apixaban)

Do NOT stop your BLOOD thinners unless we notify you.

Getting ready for your procedure is extremely important!