Please bring a driver to your appointment or arrange for someone to pick you up from your appointment. On the day of your appointment, please refrain from eating or drinking 4 hours prior to your appointment time. You may eat and drink immediately following your injection. If you take routine medications, you may take these on the day of your injection as scheduled with a small sip of water. If you have anxiety about your scheduled office procedure and prefer to have a light sedative prescribed to take before your appointment, please notify our office at least 24 hours in advance.
No advanced notice is required. Aspirin — For cervical injections, stop 7 days prior. No need to stop before lumbar procedures. For some patients, pain relief is immediate. Others may take up to two weeks following a spinal injection to experience relief. If necessary, spinal injections may be repeated in a series of three. Do not take any anti-inflammatory medications for at least five days prior to an epidural spinal injection.
Anti-inflammatory medications include Advil or other ibuprofen products, Aleve, and aspirin. You may eat and drink as usual prior to your scheduled spine steroid injection. First-time patients should arrive 45 minutes early to fill out new patient forms.
Make arrangements for someone to drive you to and from your spinal injection appointment. You will be asked to lay face down on the procedure table. To ensure your comfort, a local anesthetic, typically Lidocaine, is applied to your back.
This may cause a slight stinging sensation. The spinal injection needle is then placed at the site of your lower back pain. The physician will use fluoroscopy to guide the needle into the epidural space in the spine. During the spine steroid injection procedure, a nurse will monitor your pulse and blood pressure. After the spinal injection, you will be taken to a recovery area and observed for 15 to 30 minutes.
If you experience discomfort after arriving home the day of your procedure, you may apply ice to the injection area for 10 to 15 minutes per hour, for three to four hours. A mild increase in pain for one or several days and a flushing sensation are not uncommon. If you develop severe pain, redness, warmth, or swelling around the injection site, or shaking, chills, or a fever greater than degrees, or a moderate to severe headache that is not controlled by Tylenol, contact the POA Ambulatory Surgery Center immediately at call after 5 p.
Your activity the day of the injection should be limited.
However, there are three things to absolutely avoid before getting one:. Ibuprofen medication like Advil, Nuprin, aspirin, or most pain relievers should not be used before the procedure. NSAIDs affect platelet behavior in the blood, which can affect how well it clots. The main concern for doctors when a patient is taking NSAIDs is that the injection itself may trigger a lot of bleeding. NSAIDs can interfere with this from happening, which can result in moderate side-effects for the patient. If you want to be safe, avoid taking any form of medication at all at least 7 days before your epidural.
In these cases, consulting with your doctor is essential so you can balance your need for the medication with the prep time needed for the epidural. Some doctors may advise their patients to avoid food and drink a few hours before the procedure, while other doctors may allow it. Epidural steroid injections are fairly routine and have little to no side effects involved, but doctors would rather err on the side of caution when performing them.
The nerves in the injection area can be damaged, or develop into an infection. Cervical injections can also be performed in a variety of ways, increasing the difference in patient outcomes. Make sure to tell them everything that may be relevant to the procedure, and follow up with them on the days after to make sure that nothing goes wrong.
Aside from in-depth consultations, doctors will generally recommend that their patient do the following before their epidural:. Because of this, doctors will request or even require that a patient be accompanied by someone else that can bring them home or keep an eye on them after the procedure. This is especially crucial for epidurals that involve sedation.
Some patients may express anxiety and fear about their epidurals. It also makes the patient less likely to jolt around or move while the injection is being done, which improves the overall outcome. Finally, epidural steroid injections do not work immediately.
At best, it will take a few days before the injection takes effect and the pain stops. Your doctor may ask you to monitor anything out of the ordinary in the days following the epidural or keep a journal of the experiences after. Anything out of the ordinary like increased pain, no pain difference, or other side-effects that happen after the procedure should be reported to your doctor immediately. Any side effects if there are any are usually minor and subside a day or two after the procedure.
Not only will this make your epidural injection easier, but it also reduces the amount of post-injection care and reduces any complications that you might experience. At the Spine And Rehab Group, we pride ourselves on providing top-notch medical care and treatments to spine-related issues and back pain to our clients.
We can quickly diagnose your issue, recommend personalized treatment plans, and make sure that any future management of your condition goes safe and sound. The University of Illinois Hospital and Clinics is a patient centered organization. Providing safe, high-quality and cost-effective care for our patients is our foremost responsibility.
The care of our patients and their families will always be at the heart of our mission. Our Mission. Take your medications on the day of the procedure, especially blood pressure and diabetes medications. Please tell us if you have an infection, are on antibiotics, have a new rash, or have an open wound. We will reschedule your injection once the infection is resolved. There are some procedures we will do while you are on ibuprofen and others that we won't do. There is an increased of bleeding if these injections are done on ibuprofen.
Call Us Employee Pride Recognition Extraordinary Nurses. Print Share. Before Your Procedure Please arrange a ride from the clinic for injections performed on site. If you are having sedation: Inform our scheduler Do not eat anything for 8 hours prior to the injection You can drink Gatorade or apple juice up to two hours before the injection Please tell us if you have an infection, are on antibiotics, have a new rash, or have an open wound.