Epidural Steroid Injections (ESIs) >
Facet Joint Injections >
Facet Nerve Block/Medial Branch Block >
Facet Nerve Rhizotomy/Radiofrequency Ablation >
Intercostal Nerve Block >
Lumbar Sympathetic Block >
Percutaneous Vertebroplasty >
Sacroiliac (SI) Joint Injection >
Stellate Ganglion Block >
Trigger Point Injections (TPIs) >
Intradiscal Electrothermal Therapy (IDET) >
Electromyograpy/Nerve Conduction Studies(EMGs) >
Before your Procedure:
- Please let office staff know if you are taking Ibuprofen/aspirin or any other blood thinners.
- Stop Coumadin for 5 days. Have a protime (PT) checked the morning of your procedure.
- Stop Pradaxa/Dabigatran for 24 hours prior to your procedure.
- Stop Plavix for 1 week prior to procedure.
- Stop Aggrenox for 7 days prior to your procedure.
- Stop Ticlid for 7 days prior to your procedure.
- Stop Trental for 7 days prior to your procedure.
- Stop Aggrastat for 7 days prior to your procedure.
- Stop lovenox for 12 hours prior to your procedure.
- Notify office staff if you have a fever greater than 101.50 F.
- Always check with your primary care doctor before stopping any medicine.
- Please wear loose fitting clothing to your procedure, E.g., sweat pants. Try to avoid belts and zippers.
- You will not be allowed to drive home. A responsible adult must come with you otherwise your procedure will be cancelled.
- Please arrive 15 minutes before your appointment. If you are receiving sedation, please arrive 45 minutes before your appointment.
- Take your regular medicines the morning of the procedure unless otherwise directed.
- AM – For injections and other minor procedures, eat a light breakfast. For patients with diabetes, you may take your diabetes medicines in the morning.
- PM – If your procedure is in the afternoon, please eat a light breakfast and lunch.
- If you are having a procedure involving sedation, you may not eat after midnight the night before your procedure, but you may drink clear fluids up to 6 hours before the procedure. You should not take your diabetes medicines in the morning.
- Your pain may not improve or could possible worsen for 2-3 days.
- Continue regular medicines unless otherwise instructed.
- Pay attention to your pain (i.e. what makes it worse or better).
- Expect a call from our office the next work day. We will ask you about your progress.
- Call the office with any problems or questions – or if you don’t hear from us within 48 hours.
If you have any questions regarding these instructions or any part of your procedure, please call our office at 610-954-9040 during regular hours Monday – Friday, 8:00 A.M. – 4:00 P.M. It is important to tell your doctor and others involved in your health care if you are taking or have been taking any non-prescription drugs, vitamins, minerals, herbals or other nutritional supplements. Any of these may interact with some foods or medicines and cause a reaction.