The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.
You will be monitored for approximately 30 minutes after the procedure. Before you leave the clinic, you will be given discharge instructions. Please keep track of your pain as this will help your doctor determine the next step in treatment. It is normal to feel better immediately after the procedure. This is the effect of the anesthetic. It will most likely wear off a few hours after the procedure. This is normal. It may be caused by needle irritation or by the steroid itself. Steroids normally take two to three days to begin working, but can take as long as one week. You should be able to return to work the day after the procedure.