Sterile Epidural

IMPORTANT PRE-PROCEDURE INSTRUCTIONS:

YOU WILL NEED A COMPANION WITH YOU AFTER THE PROCEDURE.  YOU SHOULD NOT DRIVE FOLLOWING THE PROCEDURE.

PLEASE NOTIFY THE SCHEDULER IF YOU ARE ALLERGIC TO BETADINE (IODINE), LIDOCAINE, CONTRAST DYE, OR LATEX.

PLEASE STOP THESE MEDICATIONS THAT MAY INCREASE BLEEDING RISKS:

  • ALL ASPIRIN PRODUCTS (INCULDING BAYER, ECOTRIN, ALKA SELTZER, BABY OR LOW-DOSE ASPIRIN ETC.) SEVEN DAYS PRIOR TO PROCEDURE.
  • NON-STEROIDAL ANTI-INFLAMATORY (NSAIDs) MEDICATIONS TWO DAYS PRIOR TO THE PROCEDURE (ADVIL, MOTRIN, NUPRIN, IBUPROFEN, ALEVE, NAPROCEN, RELAFEN, VOLTAREN, LODINE, MOBIC, ETC.
  • BLOOD THINNERS (COUMADIN, WARFARIN, PLAVIX, TICLID) PLEASE CONTACT YOUR DOCTOR FOR FURTHER INSTRUTIONS ON HOW TO MANAGE THIS.
  • ALL HERBAL MEDICATIONS, SUPPLEMENTS, FISH OIL AND VITAMIN E TWO DAYS PRIOR TO THE PROCEDURE.
  • YOU WILL NEED TO STOP METFORMIN (GLUCOPHAGE OR GLUCOVANCE) FOR TWO DAYS AFTER THE PROCEDURE.  ALTHOUGH METEFORMIN DOES NOT INCREASE BLEEDING RISK, IT MAY INTERACT ADVERSLEY WITH THE CONTRAST DYE THAT WE USE.

PLEASE NOTE THAT IT IS RECOMMENDED THAT YOU CONTINUE ALL OTHER PRESCRIBED MEDICATIONS (BLOOD PRESSURE, INSULIN, WATER PILL ETC.  AS WELL AS PRESCRIBED PAIN MEDICATIONS NOT KNOWN TO HAVE BLEEDING EFFECTS, SUCH AS ULTRAM, TRAMADOL, VICODIN, HYDROCODONE, AND TYLENOL ACETAMINOPHEN.

CHECK IN PROCEDURE

CHECK INTO THE BUSINESS OFFICE TO FILL OUT THE NECESSARY INSURANCE PAPERWORK THEN REPORT TO THE NURSES STATION FOR FURTHER INSTRUCTIONS.

IF YOU EXPECT DELAYS OR NEED TO CANCEL PLEASE CALL 620-845-6492.

RISKS AND COMPLICATIONS

ALL MEDICAL INTERVENTIONS HAVE BENEFITS AND RISKS.  SPINAL INJECTIONS HAVE CERTAIN RISKS AND COMPLICATIONS THAT CAN INCLUDE: SPINAL HEADACHE, INCREASED PAIN, BLEEDING (RARE) INFECTION (RARE) OR NERVE INJURY (RARE).

PROCEDURE

THE PROCEDURE IS USUALLY BRIEF, BUT YOUR POSITION DURING THE PROCEDURE IS IMPORTANT TO MAKE THE INJECTION GO SMOOTHLY, WITH THE LEAST DISCOMFORT TO YOU.

YOUR SKIN WILL BE CLEANED WITH A STERILIZING SOLUTION AND A STERILE DRAP WILL BE PLACED OVER YOUR SKIN.

LOCAL ANESTHETIC (LIDOCAINE) IS USUALLY GIVEN NEAR THE INJECTION SITE TO NUMB THE SKIN.  THIS TYPICALLY FEELS LIKE A PIN PRICK AND SOME BURNING LIKE A BEE STING.

FLUOROSCOPY (XRAY IMAGING) IS USED FOR PRECISE PLACEMENT OF THE INJECTION.  CONTRAST DYE WILL BE INJECTED TO CONFIRM THE CORRECT PLACEMENT OF THE NEEDLE.

A SMALL BANDAGE WILL BE PLACED AT THE INJECTION SITE.

AFTER THE PROCEDURE

IN MOST CASES, YOU WILL BE DISCHARGED WITHIN 30 MIN AFTER THE PROCEDURE.

AFTER DISCHARGE

YOU MAY APPLY AN ICE PACK, 20 MINUTES AT A TIME TO THE INJECTION SITE IF YOU EXPERIENCE SORENESS.

AVOID GETTING INTO BATHS, HOTTUBS, SWIMMING POOLS, LAKES, PONDS ETC. FOR 48 HOURS AFTER THE INJECTION.  KEEP THE INJECTION SITE CLEAN AND DRY.  YOU MAY REMOVE THE BANDGE ONE DAY FOLLOWING THE INJECTION.

REST IS ENCOURAGED AFTER THE INJECTION, RETURN TO YOUR NORMAL DAILY ACTIVITY 24 HOURS AFTER THE PROCEDURE.

YOU MAY RESUME YOUR ANTI-INFLAMMATORY MEDICATIONS 24 HOURS AFTER THE INJECTION.

SIDE EFFECTS THAT MAY OCCUR, BUT WILL GO AWAY IN A FEW DAYS ARE:

  • BRIEFLY INCREASED PAIN
  • TROUBLE SLEEPING
  • FACIAL FLUSHING
  • MILD FLU LIKE SYMPTONS

WHEN TO CALL THE DOCTOR * 620-845-6492

  • SEVERE PAIN
  • SEVERE HEADACHE THAT GETS WORSE WHEN SITTING UP OR STANDING, AND IS BETTER WHEN YOU LIE DOWN.
  • FEVER OR CHILLS
  • LOSS OF BLADDER OR BOWEL CONTROL
  • REDNESS OR SWELLING AROUND THE INJECTION SITE.