SOAR will provide each patient with a packet containing all required forms and paperwork. Feel free to review the following forms as additional information regarding procedures. You will not need to bring any of the forms below to your appointment.
Do not stop taking your blood pressure, insulin or cardiac medications.
You will need to sign a consent form at the procedure center for your injection.
If you must cancel your appointment please call 24 hours in advance.
Do not eat or drink anything (including water/coffee) for 4 hours prior to your procedure or it will be cancelled. Exception- if diabetic, contact your nurse.
Stop taking anti-inflammatory medications such as: Daypro, Voltaren/Diclofenac, Ansaid, Motrin, Aleve, Relafen, Feldene, Lodine, Naprosyn, Cataflam, Mobic, aspirin and Advil 72 hours prior to a lumbar/joint injection and 5 days prior to a cervical injection or discogram. Resume any anti-inflammatory medications after your injection or as instructed.
Tylenol, Vicodin, Soma, Flexeril, Percocet, Neurontin, and Celebrex are okay to continue taking.
Arrange for a responsible adult to drive you home, required only if having sedation during the procedure. Taxi and Public Transportation are unacceptable.
Leave all jewelry and valuables at home except for necessary co-payment obligations (i.e. credit card, check, etc).
Bring current photo identification (drivers license, ID card, passport, etc), list of medication, any required forms handed out by SOAR and insurance card.
You are taking “blood thinners” (i.e.,Coumadin, Persantine, Plavix, Fragmin, Lorenox, Normiflo, or Orgaran).
You are diabetic as cortisone injections may affect your blood sugar.
You are currently being treated for an infection.
Please advise the nurse at the procedure center if you have any allergies to any medications.
You have been evaluated in the past year for cardiac chest pain or an arrhythmia.
Current photo identification (drivers license, ID card, passport, etc)
List of medication
Any required forms handed out by SOAR
Payment (if applicable)
Signed copy of the Advance Directive Form
You can expect some of the following symptoms post-procedure:
Increased low back pain for several days.
To help relieve your pain during the first 1-2 days after your injection, place an ice pack on the injection site for up to 20 minutes at a time, several times a day. Take your pain medication as needed and resume your anti-inflammatory medication if previously ordered.
Improvement in your pre-injection leg pain may not be noticed for the first 2-3 days, it may be delayed for up to 21 days.
Increased neck, upper back and/or increased arm pain for 2-7 days.
Improvement in arm pain may take as long as 2-3 weeks.
Improvement in the back pain may be noticed in 7-14 days.
Fever, temperature over 101.
Severe headaches that disappear when lying flat and occur when standing up or headaches that are accompanied by nausea or vomiting.
Skin rash, chills, or severe pain (i.e., 8-10 on a 0-10 scale).
Large area with redness and warmth to the touch at the injection site.
Plan on spending 2 hours at the procedure center (registration, procedure and observation). You will be in a chair or a gurney for 15-20 minutes after your procedure for observation.
You should go home and rest the day of the procedure. Plan light to moderate activities after 3 days. Drink plenty of fluids, food as tolerated- begin with a light meal and progress to more substantial food later in the day.
It is okay to resume physical therapy, if applicable, after the injection (usually 5 days after injection).
You may restart your pilates or yoga classes 1 week after your procedure or as advised by your physician.
You may resume your basic home physical therapy (stretching exercises, walking, swimming, low intensity stabilization exercises) exercises 3 days after your procedure or as advised by your physician.
The cortisone used during the injection may take 7-10 days to start working to relieve the inflammation and swelling in your back/neck.
A follow-up appointment should be scheduled with your doctor after your injection.