Preoperative  Intructions

Everything you should know.

Day Before Your Procedure:

All the procedures are done as an outpatient. The procedures are done at Greenbelt Ambulatory Surgery Center, a State Licensed and Medicare Certified Medical Facility.


You should refrain from eating or drinking 8 hours prior to your procedure.


Wear comfortable clothing


  • If you have a prescribed blood pressure medication you can take it with a sip of water.
  • If you take Aspirin or Plavix, you should stop it one week before the procedure day.
  • If you take coumadin, it should be stopped 5 days prior to your procedure day. We also advise you to check with your primary physician before stopping to take your blood thinner medication.
  • If you are diabetic you will be given special instructions regarding taking your medication.


You MUST have someone age 18+ to drive you after your procedure.


Procedure could take 30 minutes, recovery could take 30 to 45 minutes after the procedure is done.

Relief from the injection:

It depends on the pain condition and the procedure that is being performed as well as the physical condition of the patient. A series of three lumbar selective nerve root injections or lumbar facet rhizotomy could last for a year or longer.

The relief is rarely immediate, it may take from 48 hours up to several weeks, until you get relief.

You will have a full consultation and physical exam before or on the day of procedure. If you have questions they will be answered at that time.

Follow up will be two weeks after the end of injection or procedure.

If the procedure is not effective in treating your pain condition various medical management options will be offered for you to try. At times the relief may not be complete so a combination of medical and injection management may be necessary. There are situations that might require surgical consultation. If that is the case, you will be referred to a highly qualified spine surgeon.


Most of the steroid injections are safe up to six times per year. The number of steroid injections needed by a patient depends upon their response to the injections.

Since the injections are done locally and precisely using a fluoroscope x-ray machine, the amount of steroid injected is very small. Steroid side effects are dose dependent and at these small doses rarely one develops side effects

Steroids decrease the local inflammation in injection. In many cases the local inflammation is the cause of the pain and therefore reducing or eliminating the inflammation should cure your pain.

Most patients will receive intravenous sedation during the procedure and are very comfortable. There is no need for general anesthesia for these procedures.

In most cases, you should be able to go home about 30-45 minutes after the procedure is done.

Most procedures will be less than 30 minutes.

It depends on the Pain Condition for which the steroid is injected. As well as the physical condition and well-being of the patient. A series of three steroid injections could last for a year or longer.

You will have a full consultation and physical exam by our staff on a separate day before your procedure. The procedure as well as pre-procedure instructions will be given to you at that time and all your questions will be answered.

With the advancement of technology, we can perform minimally invasive surgery at our facility to treat conditions such as Disk Herniation/Bulging and Vertebrae Compression Fracture. If we are unable to assist you with your pain condition, appropriate surgical referral will be made.

It depends on the Pain Condition as well as the type of procedure. The relief is rarely immediate; it may take a few days up to a few weeks until you get relief.

If Interventional Procedures are not effective in treating our Pain Condition, various medical management options will be offered to try.