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Pre-Procedure Instructions for Pain Management

Thank you for choosing the Memorial Hermann Mischer Neuroscience Institute Spine Center at the Texas Medical Center for your neurological care. Dr. Dhanani has recommended that you have an interventional procedure (an injection with a needle) as part of the management of your pain. Listed below are instructions that you need to follow in preparation for your procedure. Dr. Dhanani may give you additional instructions, depending on the specific type of interventional procedure that is planned and your medical history.

For additional information, please contact Mischer Neuroscience Associates at (713) 704-7100.

Before the Injection

This procedure cannot be performed if you have an active infection and are on antibiotics. For your safety, please inform us if you are sick, feeling ill or pregnant. Please inform Dr. Dhanani if you have diabetes. It is important to have good diabetic control because the steroid used during the injection may temporarily increase blood sugar levels.

Before you come in, please let us know if you are taking any blood thinners such as Coumadin, Plavix, warfarin, Pradaxa, Xarelto, Effient, heparin, Lovenox, aspirin, or anti-inflammatory medications. If you take blood thinners like Coumadin (warfarin), stop 5 days before your procedure. If you take Plavix, stop 7-10 days before your procedure, unless otherwise instructed by Dr. Dhanani.

We may ask you to see your cardiologist before the procedure to determine if it is safe and appropriate for you to withhold your anticoagulant medication for the scheduled procedure.

If you take anti-inflammatory medicines, like ibuprofen, Aleve and/or Meloxicam, stop using them at least 3 days before your procedure. You may take Tylenol during this period, while waiting for your injection.

You are NOT being sedated. You MAY eat and drink prior to the procedure.

Day of Procedure

On the day of your procedure, please go to the pain management clinic located at:

Mischer Neuroscience Institute Spine Center
Memorial Hermann Medical Plaza
6400 Fannin Street, Suite 2150
Houston, TX 77030
(713) 704-7100

Expect to wait 2-3 hours before being able to go home. You may refer to the Directions and Parking sheet in this folder for additional directions.

An adult must be present to drive you home or escort you in another form of transportation. This is for your own safety. Please make sure that you arrange transportation for the procedure.

After the Procedure

Following the injection, you may resume your normal activities. However, do not use heat, or perform strenuous exercise, physical therapy, swimming or soaking in a tub/pool/Jacuzzi for 3 days after the injection. Massages are permitted.

Potential Risks

The potential risks include but are not limited to risk of death, bleeding and infection. In addition, there may be a risk of nerve damage, paralysis, loss of bowel/bladder function, loss of sexual function, change in sensation in the extremities, skin changes and/or pneumothorax, which may all be temporary or permanent.

There is also the possibility of a spinal fluid leak, which could require additional intervention. The procedure could make the pain worse, or stay the same. The potential benefit of the procedure is to reduce the severity of the patient’s symptoms.

The risk of steroid medication is fluid retention, increased blood pressure, increased blood sugar, mood changes, lower resistance to infection, difficulty sleeping and other effects that usually last several days after the injection.

Again, thank you for choosing Mischer Neuroscience Associates. Call the office at (713) 704-7100 if you need any additional information.