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!

Getting ready for your procedure is extremely important!
  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.
  2. 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.
  3. 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.
  4. 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.
  5. 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. 
  6. 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
  7. 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. 
  8. If you are diabetic, please monitor your blood sugar closely after the procedure. The steroid injections can increase glucose levels.
  9. Please arrive 30 minutes prior to your scheduled procedure time, to insure you are registered and  prepared for the procedure.
  10. 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.
  11. PLEASE no dental work within 14 days prior to your procedure to include teeth cleaning.
  12. 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.


Currently accepted Insurance carriers

See the complete list in our Patient Center

Our patients love us

You will not be disappointed

It is always a pleasure coming to SJPS. Everyone is so pleasant and care about your needs. I would and have recommended them to family and friends. You will not be disappointed


I would highly recommend .....

My experience with Spine and Joint Pain group has been amazing the procedure on my spine went well and uneventful the procedure was clearly explained and of what to possibly expect from the procedure I would highly recommend them.

Rena S.

The environment was relaxed, pleasant, and professional...

Been going to Spine and Joint for the last few years and my experiences have been positive. Recently had a procedure done and the environment was relaxed, pleasant, and professional. This helps ease some of the stress and edginess that comes with most medical procedures. Thank you S&J.

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Westover Hills

1919 Rogers Rd, Suite 104
San Antonio, Texas 78251

Stone Oak

1314 E Sonterra Blvd. Suite 2107
San Antonio, Texas 78258


5700 Schertz Parkway, Suite 130
Schertz, Texas 78154

Phone (210) 541-0700

Fax (210) 541-6868

Westover Hills / Sonterra
M-Th 7:00-4:30
F- 7:00-4:00

T-Th 7:00-4:30
F- 7:00-4:00

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