Spinal injection preparation

X-Ray Guided Injection Preparation

 You may continue the following medications:
o Celebrex, Tylenol, narcotic pain medications (unless they contain aspirin or ibuprofen) o Daily medications EXCEPT the below mentioned  If you are taking the following medications, please contact your prescribing physician for
instructions and approval regarding how to safely stop these medications:
o Stop 7 days prior to injection: Plavix (clopidogrel), Ticlid (ticlopidine), Effient (prasugrel),
o Stop 3 days prior to injection: Coumadin (Warfarin) - (require INR <1.5), Aggrenox (aspirin/extended-release dipyridamole), Arixtra (fondaparinux) o Stop 2 days prior to injection: Eliquis (apixaban), Xarelto (rivaroxaban) o Last dose 24 hours before injection: Fragmin (dalteparin), Xigris (drotrecogin), or Lovenox
 Stop 1-3 days prior to injection:
o Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): : ibuprofen (Motrin/Advil), naproxen
(Aleve/Naprosyn), etodolac (Lodine), nabumetone (Relafen), meloxicam (Mobic), piroxican (Feldene), ketoprofen (Orudis/Oruvail), oxaprozin (Daypro), sulindac (Clinoril), diclofenac (Athrotec/Voltaren/Cataflam), Vicoprofen. o Aspirin and aspirin containing products: Bayer, Excedrin, Percodan
Day of Injection
Bring a copy of your most recent MRI films, in case your physician needs to review it. You may take your medications as usual with the exception(s) of blood thinners and anti-
inflammatories (see above for details).
You may receive local anesthesia for the procedure, but you will not be put to sleep/twilight. Because your physician needs to stay focused on your injection procedure, your injection
appointment is NOT an appropriate time to discuss other medical problems. Another
appointment can be scheduled for you.
Please inform your physician if there is any possibility of pregnancy.
You MUST arrange for someone to drive you from your injection appointment. Allow
approximately 1 hour for the procedure.
Please inform your physician of any allergies, especially to IV contrast dye, Betadine,
local anesthetics, or latex.
Injection Aftercare
You may experience relief within a few hours to two weeks following your injection. Please schedule a post-procedure follow-up appointment for 10 to 14 days. What you may do after your injection:
o Resume all of your normal medications following the procedure o Return to your normal diet o Return to activities as tolerated o Return to work provided it does not involve strenuous activity o You may shower o Use ice over injection site for 20 minutes as needed for local pain and inflammation What you may NOT do after your injection:
o Do NOT submerge yourself in water (i.e. bath, pool, ocean, etc) for 48 hours after your
o Do NOT do strenuous activities for 48 hours after your injection
What you may experience after your injection:
o Generalized swelling from fluid retention o Flushing (feeling hot and facial redness) o Change in mood o Increase in blood pressure o Increase in blood sugar, if you are diabetic o Increase in pain o Numbness or tingling o Change in menstrual cycle o Headache o Fever, chills, night sweats o Bowel or bladder incontinence o Change in mental status o These symptoms are very uncommon but may occur. If symptoms progress or persist, please
In the case of an emergency after clinic hours (4:30pm) or on weekends, go to your local
emergency room and call the office in the morning.

Source: http://www.premierortho.com/PDF/sports-spine-forms2013/S&S%20Injection%20Preparation%20%20Aftercare.pdf