Q: What to expect the day of the procedure?
A: Please wear relaxed clothing and leave unnecessary valuables at home. The nurse will admit you to an exam room and review your history, ask you pertinent questions in relation to your injection, including how severe your pain is registering. The nurse will place an IV, and the doctor will visit to discuss the procedure in detail and answer any questions. You will be asked to sign a consent giving Dr. Schuyler permission to do the procedure. You will then be taken into the procedure room where the sedation with be administered through the IV and every effort will be made to make you comfortable during the procedure. After the completion of the procedure, you will be taken to the discharge bay and monitored for basic vital signs. Prior to your release, your IV will be removed and post procedure pain score will be asked. You and your driver will be given follow-up instructions during checkout and then assisted to your vehicle with a wheelchair.
Q: Do I need a Driver?
A: Yes. Patients having procedures are given sedation to improve the patient experience and optimized the injection conditions. After being administered sedations patients are considered legally impaired for 6-8 hours. While this is an inconvenience your safety is our number one concern. We also request your driver remain at our facility during your procedure so that we go over important post-procedure instructions and discharge you in a timely manner.
Q: What can I eat before the procedure?
A: Patients should NOT eat anything four hours before their procedure. If a patient needs to take their regular medication, it is alright to take it with a few sips of water. Diabetic patients may drink small amounts of juice up to 1 hour prior to procedure.
Q: Should I continue to take my medications prior to my procedure?
A: Yes. Continue to take your daily medications as prescribed by your other doctors. However, the exception would be blood thinners. The common blood thinner are Plavix, Coumadin, Xarelto and Pletal. We will direct you on when and how long to hold these medications if we get written authorization from your prescribing physician.
Q: How long will I be at the medical office during my procedure?
A: Typically from the time a patient arrives until the time a patient is checked out of the facility will be between 45 minutes to 1 hour. We usually have a very efficient clinic, but sometimes emergencies and the treatment of complicated patients can cause some delays.
After any procedure there is a short recovery period. Please bring someone to drive you to and from the office on the day of your procedure. All drivers are asked to wait in the lobby area so that our staff may let them know when patients are ready to be checked out after their procedure.
After the procedure, you will be given detailed discharge instructions. These instructions will include directions on eating, drinking, physical activity and medical concerns.
*If you have had an Epidural Steroid Injection, you should have a relaxing day. You do not have to be bed ridden, but you should limit your activities to your home. You should not go back to work or make any major decisions for the remainder of the day. The benefits of the injection may be affected if you are over-active (do yard work, go shopping all afternoon, fix the roof, go jogging, etc.).
*If you have had a Medial Branch Block, you should go do things that would normally aggravate your pain. For example, if you have had a Lumbar Medial Branch Block for your lower back and you normally wouldn’t be able to touch your toes or mow the lawn, you should try to do those things over the 6 – 8 hours after your Medial Branch Block. This “test” of your pain will let our physician know whether or not the procedure was successful. If you attempt to do something on the day of your Medial Branch Block that you normally couldn’t do, but you can do without pain the day of your procedure, our physician knows he has put the correct nerve to sleep.
Life-threatening emergencies are not treated in our clinic. A life-threatening emergency should be treated either at the Emergency Room or by calling 911. If you have an urgent need that cannot wait until regular business hours, such as a severe drug reaction or an immediate need because of a reaction to a procedure (severe headache, severe pain from injection, severe rash or fever after injection, etc.), you need to go to the Emergency Room. If you call our office, our voicemail is NOT checked during the night or over the weekend, so you will not be called back until the next business day.
Q: What to expect the day of the procedure?