Pre-Procedure & Discharge Instructions for Pain Management Procedures

Pre-Procedure Instructions for Injections including Facet Block, Epidural Steroid, Sacroiliac Joint, Radiofrequency Neurotomy or Nerve Root Block

  • DO NOT eat or drink anything after midnight prior to the procedure. You may take your regular medications in the morning with a sip of water.
  • If you are taking any anti-inflammatory medications or Coumadin, you must stop taking them 5 days prior to the procedure. Contact your physician if you feel the need to take an alternative medication.
  • If you are taking any aspirin or Plavix, please stop taking it 7 days prior to the procedure.
  • Do not stop any medication prior to consulting with your physician.
  • If you are a diabetic or taking antibiotics, please contact ext. 244.
  • Note: You must have someone drive you to your appointment or you will not be able to have the procedure that day. You must be discharged to an adult for your own safety.

Discharge Instructions for Injections including Facet Block, Epidural Steroid, Sacroiliac Joint, Radiofrequency Neurotomy or Nerve Root Block

  • Rest today. Tomorrow you may resume your normal activity. No strenuous activity. Avoid activity which causes pain or discomfort.
  • You may resume Physicial Therapy 7 days after procedure.
  • If you received Intravenous Sedation or Epidural Injection, anesthetics can remain in your body for up to 24 hours. You may feel sleepy, dizzy and/or slightly nauseous. This is normal for the next 24 hours.
    • Do not drive, operate heavy machinery, or use power tools.
    • Do not drink alcoholic beverages.
    • Do not make any important or legal decisions
  • After an Epidural Steroid Injection, you may experience a headache. This occurs in less than 1% of patients and is relieved by lying down. If this happens, you need to follow these instructions explicitly:
    • Drink plenty of water (3-4 liters) or juice per day.
    • Lie down flat with head no higher than one pillow for 24 - 36 hours, only getting up to go to the bathroom.
    • Caffeine may help as well. Drink some caffeinated beverages.
    • Take prescribed pain medication.
    • If headache persists more than 24 hours contact the office.
  • Use ice for the first 24 hours, for soreness and discomfort at the injection site. Then use heat or ice (whichever is more comfortable for you) for 20 minutes at a time, 3-5 times a day for your comfort.


  • Take pain medication as directed by prescription.
  • Prescriptions will not be given the day of your procedure. Please call the office in advance for renewals.


  • Eat a well-balanced diet from all four food groups. To insure good nutrition, stay away from fatty foods and high sugar foods.
  • Take a good multi-vitamin along with 2000mg of Vitamin C. This aids the body in dealing with the stress of pain.
  • Take one tablespoon of Metamucil for constipation while on narcotic pain medication.