For your safety, if you have tested positive for COVID, you must be free of any COVID symptoms for 6 weeks prior to having any procedure. If you are not 6 weeks post COVID symptoms, please contact our office to reschedule your procedure as soon as possible.



Please talk to your physician and nurse about any medications you are currently taking, especially medications for diabetes, heart, or blood pressure problems, including blood thinners. Be sure to mention any over-the-counter drugs, diet pills or herbal supplements. Also, please confirm with your physician the medications you may or may not take prior to surgery.


For your safety and protection, you will not be allowed to drive after surgery. Arrange for someone to drive you home (and remain at the center while you are in surgery) and stay with you for the first 24 hours following surgery. For most people, the effects of anesthesia and sedation will make you drowsy for that period of time.


No food or drink (including water) 8 hours prior to your procedure. If you have any medications that must be
taken before your procedure AND has been approved by your physician, you may do so with very little water.

If you are having:

    • Lumbar ESI
    • Cervical ESI
    • Thoracic ESI
    • Catheter ESI
    • SCS

You will need to be off ALL BLOOD THINNERS and /or ALL NSAIDS for 5 days prior to your procedure date. This also includes and OTC aspirins, non-steroidal anti-inflammatories (ibuprofen, meloxicam) analgesics and anti-Inflammatories. Please contact our office and speak to a member of your physicians’ clinical staff to confirm if you are needing to stop any medications you are currently taking if you are unsure.

• Bath or shower on the morning of surgery to minimize the risk of infection. Please do not use lotion. • Brush your teeth on the morning of surgery, but do not swallow any water.

• Do not shave the surgical area.

• Do not consume alcohol 24 hours prior to your surgery.

•Do not smoke or use tobacco products 12 hours prior to your surgery. These substances can cause adverse reactions to anesthesia and medication.

• Wear loose, comfortable clothing and shoes.

• Leave jewelry and valuables at home, except a picture ID, your insurance card, and the co-pay/co- insurance due on the day of surgery.

•Remove contact lenses and make-up before arrival.

• Report health changes to your physician and nurse, even if the changes seem minor, such as fever, cough, rash, or a cold. Notify your physician if there is a possibility you are pregnant.

Female patients may be required to take a pregnancy test before surgery.

Arrive on time so that your procedure may begin as scheduled. Due to limited space, please limit family members and friends to no more than two people.

Bring all paperwork your provider may have given you regarding your procedure. • Contact the surgery center for questions regarding translation services.


Please arrive promptly. After you have registered at the reception desk, one of our nurses will escort you to a private dressing area where you will be asked to change into a special gown and cap. Your nurse will then answer any remaining questions and help with procedure preparations. You will be asked to sign a consent for your procedure.


Your anesthesia provider will evaluate you during the preoperative appointment or immediately before the procedure and answer your questions. You may be contacted the night prior to your procedure by your anesthesia provider to review your medical history. Be sure to mention any medications you are currently taking, even over-the-counter drugs or herbal supplements. The appropriate type of anesthesia will be determined by your provider in consultation with the anesthesia provider. Different levels of anesthesia are required for various procedures.


Immediately following the procedure, you will be taken to a recovery room where specially trained nurses will monitor your breathing, temperature, blood pressure and pulse. The amount of time you spend in the recovery room depends a great degree on the type of procedure and/or anesthesia. Some patients spend as little as 30 minutes in the recovery room; others may spend up to one hour or more. Your physician and anesthesia provider will answer your questions regarding length of stay in the recovery area.


For your safety and well-being, you must have an adult drive you home after your procedure. You are not permitted to leave unescorted. The nursing staff, using your physician’s discharge criteria, will discharge you when you are in stable condition. However, you may still feel sleepy, slightly dizzy and/or nauseated. These are possible (and normal) side effects of anesthesia and can last for 12-24 hours post-surgery.


We suggest that you eat lightly for the first 24 hours after your procedure. Be sure to follow any specific postoperative instructions your physician gives you regarding diet, rest, activities, and medication. You will be provided with a written summary of these instructions. Dizziness and nausea are normal after receiving anesthesia; therefore, you should wait 24 hours after returning home before you:

• Drive or operate equipment

• Eat a large meal

• Consume alcoholic beverages

• Sign important papers

• Take medication not approved by your physician

• Stay alone overnight

Any problems following your procedure should be reported to your physician’s office. In the case of an emergency, please dial 911 or go to the nearest emergency room. A nurse will call you following your procedure to see how you are doing. Patients who have surgery on Friday will not receive a follow-up call until Monday.

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