Hydepk_preprocedure

Hyde Park Pain Management
Hyde Park
188 Providence Street Hyde Park, MA 02136 Pain Management
Pre-Procedure Instructions
Cervical Epidural Steroid Injection, Cervical Facet Joint Injection/Cervical Rhizotomy, Stellate Ganglion Block, Transforaminal Epidural Injection, IV Infusions (Lidocaine and Magnesium), Lumbar Epidural Steroid Injection, Lumbar Sympathetic Block and Other
ARRIVE 15 MINUTES BEFORE PROCEDURE.
Please call our secretary at 617-833-6100 if you have any questions or need to change your appointment.
IMPORTANT MEDICATION INSTRUCTIONS
The general instructions below may be changed according to each individual Patient’s clinical history and pain
management needs.

• For your safety, you will have to be off of any blood thinning medications for a certain number of days before the
pain procedure. However, do not stop this medication without getting permission to do so from the physician
who prescribed it. You must do this before each pain procedure, as your medical situation can change over time.
• If the prescribing physician will not authorize you to stop this medication, please contact the Pain Clinic to discuss alternative treatment options. General guidelines are as follows: ∗ For Coumadin, you will need to stop taking this for 5 days before having your procedure.
 If you are on Coumadin, a PT/INR should be ordered by your primary care physician. You can have your blood work drawn on the day before your scheduled procedure and have the results
faxed to us at (617) 361-2773.
∗ For Plavix, Persantine, Aggrenox, Trental or Arixtra, you will need to stop taking them for 7 days before
∗ For Lovenox, you will need to stop 48 hours before having your procedure.
∗ For Heparin, you will need to stop 6 hours before having your procedure.
∗ For Ticlid, you will need to stop 14 days before having your procedure.
• DO NOT take Aspirin or aspirin containing medications for 7 days before your procedure. If Aspirin is prescribed for a
medical condition, check with the prescribing physician before stopping. • DO NOT take anti-inflammatory medicines for 48 hours before your procedure.
∗ These include: Ibuprofen, Advil, Motrin, Aleve, Naprosyn, Indocin, Relafen, Lodine, Daypro, Oruvail, Arthrotec or Celebrex. New anti-inflammatory medications often become available, so please check with your provider
or pharmacist if you need more information about a medication. Tylenol is acceptable.
• If you are a Diabetic:
∗ Do not take your insulin or diabetic pills the morning of your procedure. Please bring them with you. ∗ If you test your blood sugar at home, please bring your equipment with you, or you may test your blood sugar ∗ If you are on Glucophage: Please tell the nurse as it can interact with contrast dye. • Bring your asthma inhaler with you to the hospital. • You must be off antibiotics for 2 days and free of infection before the procedure.
Morning of Appointment:
• No solid food, gum or mints for 6 hours before your procedure.
• You may have clear liquids up to 3 hours before your procedure. Clear liquids would be water, apple and cranberry juice, ginger ale, black coffee or black tea (no milk).
If you DID have sedation, a complex pain procedure or an intravenous infusion: You should not drive, operate
machinery or make legal decisions for 24 hours after the procedure. Please arrange for someone to drive you home. You
may not go home alone in a taxi. Otherwise, your procedure may be rescheduled for another day.

If you DID NOT have sedation, a complex pain procedure or an intravenous infusion: You should not drive for 24
hours after the procedure. You should arrange for transportation home. You may experience some weakness or
numbness after the procedure, so you may want someone to accompany you on the way home.

If you have any questions related to your condition or your procedure, you may call the pain clinic between 8:00 am and
4:00 pm Monday-Friday. For emergencies after hours and weekends, call the Physician on Call at 1-888-421-6922.

Please call Pre-Registration before your appointments. Monday-Friday (6:00 am – 8:00 pm) 617-833-6100.
Thank you and we look forward to your visit.

Source: http://www.newenglandpain.com/pdf/HydePark_forms/HydePk_preprocedure.pdf