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WHAT IS THE CRITERIA FOR RECEIVING INJECTIONS FOR MY PAIN?Injections are performed to treat painful areas of your body. Injections can be performed for diagnostic and therapeutic benefit.Your history and physical exam help to determine the source of your pain and where the injection will be performed. X-rays and MRIs may not always show the source of your pain. The decision regarding the need for x-rays and MRIs will be determined by your provider.Insurances require at least six sessions of physical therapy prior to receiving certain injections. We will prescribe a treatment plan and refer you to a therapist that specializes in your specific problem. If physical therapy worsens your pain then let us know so we can adjust your treatment plan. Hopefully physical therapy will help decrease/eliminate your pain. It is very important to do the home exercises that your therapist provides. If your pain is not improved by 50% after therapy then proceeding with an injection is an option.WHAT DO I NEED TO DO PRIOR TO MY INJECTION?You may eat and drink prior to your injection. You will arrive 30 minutes prior to your injection and will be checked in at the front desk of the facility where your injection is taking place.WHAT HAPPENS NEXT?You will then be taken to an exam room where your vital signs will be obtained and you will rate your pain over the last 24 hours. It is important to remember what movements or activities increased your pain prior to the injection and then how those same movements/activities feel after the injection. The pain rating when you perform those movements/activities is the number you should give to the nurse.You may be asked to put on a gown for easier access to the injection site. For certain injection procedures an IV may be required. You will be taken to the treatment room and will be place in the appropriate position for your injection. Your doctor will explain the procedure while it is being performed. The area to be injected will be cleaned with an antiseptic soap. Using sterile technique a local anesthetic may be used to numb the skin. Fluoroscopy, a type of x-ray, may be used to ensure the safe and proper position of the needle. A dye may also be injected to make sure the needle is in the correct spot. Once the needle is correctly placed, the medicine will be injected. The medications injected are an anesthetic and corticosteroid. When the injection is completed a small amount of liquid bandage will be placed over the injection site.You will be taken back to your room and offered something to eat and drink. Ice will be offered to apply over the injection site. You may be monitored up to 30 minutes depending on how you are feeling. Before you leave, the nurse will give you discharge instructions as well as a pain log. Please fill out the log as directed and bring it to your two week follow up appointment at THE REHAB DOCTOR’S OFFICE. DUE TO COVID19 THIS MAY BE A PHONE FOLLOW UP. Completing this pain log helps us decide what the next step in your treatment plan will be. We use the information you provide us to determine diagnostic and therapeutic benefit. Please remember to compare how your painful area was before your injection to how it feels after the injection. You may want to check for pain by moving the painful area in ways that hurt before the injection, but don’t overdue. You may feel immediate pain relief as well as numbness in the area injected up to six hours after the injection. This means the medication reached the right spot. Keep icing the area as you were directed on your discharge papers. Your pain may return after this short pain free period, or may even worsen for a day or two. This is normal. It may be caused by needle irritation or by the steroid itself. Steroids can take two to three days to start working, but may take up to 14 days. You should be able to return to work the day after the injection, but always check with your doctor. Remove the liquid bandage three to five days after the injection if it hasn’t come off already.HOW LONG WILL I HAVE PAIN RELIEF?Depending on the number of injured areas and the amount of inflammation, an injection could offer several months of pain relief. If there is no underlying bone or joint problem, one injection could bring long term relief. If your pain is caused by an injury to more than one area, only some of your symptoms may be helped by one injection. If this is the case, you will be reevaluated for additional treatment options. ................
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