Most Commonly Asked Questions About Spinal Procedures

1. What is a spinal procedure?

Spinal injections are performed to confirm a suspected diagnosis and/or reduce pain and inflammation. These injections are performed under x-ray/fluoroscopy to insure accurate placement of the needle. Intravenous sedation is available to most patients.

2. What is the purpose of the steroid injection?

Steroids are a potent anti-inflammatory medication. If your pain is inflammatory in nature, steroids will help alleviate it.

3. Does it hurt?

Yes, it can be painful, but only for a few brief moments. The patient is given medication for relaxation (mild sedation) and pain relief, but remains awake throughout the entire procedure. Most patients have limited memory of the actual procedure.

4. How long does the procedure take?

Most procedures take 5 to 10 minutes. Some procedures take up to 30 minutes. Preparation and recovery will require a total of 2 to 3 hours of your time.

5. When will I be able to return to work?

That depends on what your doctor’s care plan is. If you were working before the procedure, you would most likely be able to return to work the next day.

6. Can I travel?

Yes, it is okay to travel, but you may not drive the day of the procedure. For that reason, you will need to bring a family member or friend.

7. Why can’t I eat before the procedure?

Some people become nauseous due to anxiety or discomfort, likewise, IV sedation can make you at increased risk for vomiting and aspiration. So, for this reason, and empty stomach is required. You may take medications with small sips of water.

8. Are there any side effects to the steroids?

Systemic absorption is minimal but some people do experience side effects, most commonly, these are mild nausea, insomnia and a temporary increase in appetite.

9. What kind of results can I expect after the injection?

Steroid effects usually begin within 2 to 3 days, though respond may occur more quickly or slowly. Occasional pain is aggravated for 1 to 2 days until the medication absorbs (begins to take effect). If your pain is responsive to the anti-inflammatory effect of the steroid you may experience full or partial improvement. Many patients require a series of 2 or 3 injections to reach maximum improvement.

10. How many injections can I have?

As a general rule we limit steroid injections to 3 treatments within a six-month period for any given area.

11. What if this doesn’t work for me?

We will see you in the office to discuss any remaining available options. We have excellent surgeons, physical therapists, occupational therapists, psychologists, physiatrists and chronic pain medication physicians associated with our practice.