Patient Instructions

Current Medication Discontinuation

Patients who are taking any of the following medications should follow these instructions:

  • Coumadin® (Warfarin Sodium) – Do not take Coumadin for five days before the procedure with approval of your prescribing physician. A blood test for clotting will need to be taken before the procedure. The patient should come to the Stormont Vail Pain Clinic at least one hour before the procedure time for this blood test. The patient does not need to stop taking Coumadin if the visit to the Stormont Vail Pain Clinic is for consultation purposes only, with no possibility of injection.

  • Plavix® (Clopidogrel Bisulfate) – Do not take Plavix for seven days before the procedure.

  • Pradaxa® (Dabigatran) - Do not take Pradaxa for five days before the procedure.

  • Aggrenox® (Asprin Dipyridamole) - Do not take Aggrenox for ten days before the procedure.

  • Persantine® (Dipyridamole) - Do not take Persantine for ten days before the procedure.

  • Trental® (Penoxifylline) - Do not take Trental for 48 hours before the procedure.

  • Lovenox® (Enoxaparin) - Do not take Lovenox for 24 hours before the procedure.

  • Pletal® (Cilostazol) - Do not take Pletal for seven days before the procedure.

  • Ticlid® (Ticlopidine) – Do not take Ticlid for seven days before the procedure.

Please check with your prescribing doctor before discontinuing any of these medications.

Referral to The Pain Clinic

Your primary physician or specialty physician (such as an orthopedic doctor) may refer you to the Stormont Vail Pain Clinic. The day of the procedure, you will need to plan on spending up to two hours with us, depending on the type of procedure being done. You will need to have a driver present or someone available to drive you home approximately 30 minutes after the procedure. The staff will take your medical history, including allergies and current medications. Your blood pressure, pulse and respiratory rate will be checked. The anesthesiologist doing the pain management injection will explain the procedure and then the nursing staff will have you sign a Consent for Treatment form.

Discharge Instructions

Discharge instructions will be provided to you by the staff in both verbal and written form. You will be given the opportunity to ask questions during the period of time before and after the procedure. In general, the following guidelines should be followed:

  • Activities – You may need to restrict your activity, and with some injections driving may be restricted for the remainder of the day. The following day normal activities and therapies may then be resumed as tolerated.

  • Pain – If you have any soreness in the area of the injection use ice, heat (may be used 20 minutes on, 20 minutes off) and Tylenol® or your prescribed pain medication.

  • Follow-up – You should follow-up with a phone call or visit to the physician who referred you for the injection in one to two weeks to report how you have responded. If a series of injections is done the follow-up should be after the completion of the series.