Discharge Instructions for Spine Injections
You received a:
□ Interlaminar Injection
□ Caudal Injection
□ Joint Injection
□ Trigger Point Injection
□ Transforaminal Injection
□ Facet Joint Injection
□ Thoracic Transforaminal Injection
□ Sacroiliac Joint Fusion
□ Sacroiliac Joint Injection
□ Medial Branch Nerve Injection
□ Selective Nerve Root Block
□ MILD (Minimally Invasive Lumbar Decompression)
□ Spinal Fixation
□ Interspinous Spacer
□ Interlaminar Injection
□ Stem Cell
□ SCS Implant/Battery Replacement/ Exchange/Explant
□ SCS Trial
□ PNS (Peripheral Nerve Stimulation)
□ Stellate Ganglion Block
Upon arrival at home, you may lie down for 1 to 2 hours. Then you may walk short distances and perform light activities. You may resume your normal daily activity tomorrow. If you have had a diagnostic medial branch block, then do light activities that normally cause your pain after procedure to evaluate if the medication is working for you. Avoid lifting heavy objects (over 20 pounds). Do not drive for 24 hours after the procedure if you received sedation or anesthesia.
Keep the injection site dry and inspect the site twice a day for 3 days. Remove the Band-Aid, if one is in place, 24 hours after the injection. You may shower today. No soaking baths, hot tubs, whirlpools or swimming pools for 72 hours.
Some discomfort may occur at the injection site. You may:
Take over the counter pain medication such as Tylenol (acetaminophen). DO NOT take Motrin, Advil, Ibuprofen, Naproxen, or Aleve for 24 hours.
Apply an ice pack for 30 minutes, 2 to 3 times a day for the first 24 hours.
Then you may apply heat.
It may take 7-10 days for the steroid medication to respond. You may even notice worsening symptoms for 1-2 days after the injection. The onset and degree of pain relief is variable.
Steroids can cause side effects. They are almost always short lived in duration. Some of these side effects include: Sweating, insomnia, swelling, flushing, headache, fluid retention, palpitations, flu-like symptoms, nausea, increased heart rate, menstrual changes. If you are a diabetic, your blood sugar may rise. Follow up with the doctor managing your diabetes for any concerns regarding any elevated blood sugar following these injections. Call Lone Tree Surgery Center if you have any questions regarding these side effects.
If you take aspirin or non-steroidal anti-inflammatory drugs such as Motrin, Advil, Ibuprofen, Naprosyn, Voltaren, Relafen, etc, you may resume taking them the next day.
If you take a blood thinning medication, please discuss this with your primary care physician and your pain physician.
If you had IV sedation, try clear liquids first, then advance diet as tolerable. If you are nauseated go back to clear liquids and advance as tolerated. If the nausea persists, please contact your provider.
FOR NON-EMERGENCIES OR QUESTIONS PLEASE CALL: 303-623-2680
Monday through Friday 7:00 AM to 5:00 PM
After 5:00 PM or on weekends, please contact your provider if you have non-emergent needs. For emergent needs, please call 911.
Medication refills need to be addressed during regular business hours by calling your physician’s office.
Call your provider’s office, at the phone number provided on your discharge instructions if you are experiencing the following:
- Severe back pain
- Severe headache that does not go away with medicine, worsens when sitting or standing up and is greatly relieved upon lying down. The headache may be associated with nausea and/or vomiting.
- Chills or fever (101⁰F, 38.5⁰C or greater).
- Redness, swelling, tenderness, or drainage at the injection site, or new onset of radiating pain to a different location of your body.
If you are experiencing the following, proceed immediately to an emergency room to have your back scanned for possible spinal cord bleeding or infection:
- High fever
- Sudden chest pain/shortness of breath
- Cannot move your legs
- Sensory loss in the groin and rectal area
- Sudden loss of strength in arms/legs
- Severe lethargy, seizures or new onset of confusion
- Not able to urinate after the injection or lose bowel or bladder control
If your procedure was performed for diagnostic purposes, please schedule a follow up appointment with the referring doctor’s office.