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Ambulatory Surgery Center (ASC) Discharge Instructions

You can find Post-Op Instructions for Dr. Fisher at the Christiana Spine Center by clicking here.

Topics




Post SI Joint Injections

You have just had a SI joint injection and the following list of guidelines to follow post procedure:

  • Set up a follow-up 3 weeks post injection.
  • Resume your usual diet.
  • You may resume your normal activities following your procedure.
  • Resume all your normal medications, including anti-inflammatories, aspirin, and blood thinners.
  • You may resume your home exercise program or physical therapy.
  • Resume showering 12 hours or bathing 24 hours after injection.
  • Call the doctor if any of the following occur:
    • Fever >100.0
    • Inability to move
    • Inability to urinate or have a bowel movement
    • Swelling, redness, or drainage at the injection site

  • Apply ice at the site of the injection to relieve any discomfort
  • If you had a “block” with your procedure, the numbing medication may last 4-8 hours.
  • Please remember that cortisone-type medicine can take up to 14 days to take effect.
  • Common side effects from the injection include:
    • Increased pain
    • Facial flushing
    • Increased blood sugar
    • Disruption of menstrual cycle

  • Tony Cucuzzella, M.D.
    • (302) 623-4144
    • follow the prompts to reach your doctor
  • Elva Delport, M.D.
    • (302) 623-4144
    • follow the prompts to reach your doctor
  • Nancy Kim, M.D.
    • (302) 623-4144
    • follow the prompts to reach your doctor
  • Scott Roberts, M.D.
    • (302) 623-4144
    • follow the prompts to reach your doctor

 

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POST EPIDURAL INJECTION

You have just had an epidural steroid injection and the following is a list of guidelines to follow post procedure:

  • Set up a follow-up about 3 weeks post injection
  • Resume your usual diet
  • Decrease your normal activities or rest the day of your procedure.  You may resume your normal activities on the day after your procedure.
  • Resume all normal medications, including anti-inflammatories, aspirin and blood thinners
  • You may resume physical therapy one week following your injection
  • You may gradually resume exercising 3-7 days following your injection
  • Resume bathing or showering 12 hours after injection
  • Call the doctor if  any of the following occur:
    • Fever >100.0
    • Severe headaches
    • Inability to move
    • Inability to urinate or have a bowel movement
    • Swelling, redness or drainage at the injection site
    • Pain or red streaking at the IV site

  • Apply ice at the site of the injection to relieve any discomfort
  • Apply warm compresses to IV site on hand, if needed
  • Take pain medication as prescribed for discomfort
  • Please remember that cortisone-type medication can take up to 14 days to take effect
  • If you had a “block” with your procedure the numbing medication may last 4-8 hours
  • Common side effects from the injection include:
    • Increased pain
    • Facial flushing
    • Increased blood sugar
    • Disruption of menstrual cycle
  • Tony Cucuzzella, M.D.        
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Elva Delport, M.D.            
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Nancy Kim, M.D.              
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Scott Roberts, M.D.           
    • (302) 623-4144        
    • follow the prompts to reach your Physician.

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Post Diagnostic Facet Block and Corticosteroid

You have just had a diagnostic facet block and cortisone injection.  The following is a list of guidelines to follow post procedure:

  • Set up a follow up about 2 weeks post injection, unless otherwise directed
  • The facet block will last about 4-8 hours and will provide the doctor with important information about your diagnosis.
  • It is very important that you complete your pain diary and document your pain post injection
  • Please bring this pain diary to your follow up visit
  • Typically your pain will return after the anesthetic “wears off,” but will likely subside again once the “cortisone” takes effect.  This may take 7-14 days to occur.
  • For a few hours after the procedure you may have numbness, dizziness, or weakness
  • Resume your normal activities directly after your procedure.  This will help us determine if the block has been helpful.
  • Resume all normal medications, including aspirin, anti-inflammatories and blood thinners directly after your procedure
  • You may resume physical therapy one week after your injection
  • Resume bathing or showering 12 hours after injection
  • After the block wears off, apply ice to the site of the injection to relieve any discomfort
  • Take medicine as prescribed for discomfort
  • If you experience any tenderness at the IV site, apply warm compresses
  • Common side effects from the injection include:
    • Increased pain.
    • Facial flushing.
    • Increased blood sugar.
    • Disruption of menstrual cycle.
  • Call your doctor listed below if any of the following occur:
    • Fever.
    • Swelling, redness or drainage at the injection site.
    • Significant worsening of your symptoms.
    • Redness or pain at the IV site.
  • Tony Cucuzzella, M.D.        
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Elva Delport, M.D.            
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Nancy Kim, M.D.              
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Scott Roberts, M.D.           
    • (302) 623-4144        
    • follow the prompts to reach your Physician.

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Post Diagnostic Facet Block/ Medial Branch Block

You have just had a diagnostic facet block/medial branch block. The following is a list of guidelines to follow post procedure:

  • The facet block will last about 4 hours and will provide the doctor with     important information about your diagnosis.
  • Resume your normal activities directly after your procedure. This will help us determine if the block has been helpful.
  • During the first 4 hours after your procedure, it is very important that you complete a pain diary and document your pain post injection. You will need to record the level of pain on a 0 to 10 scale and the location of your pain.
  • Please call the main office @ (302) 623-4144 the following day and leave a message on the doctor’s voice mail with the results of your pain diary. Make sure to leave your name and date of birth along with the information. Bring your pain diary with you when you come to your next follow up visit.
  • Typically your pain will return after the anesthetic “wears off”.
  • For a few hours after the procedure you may have numbness, dizziness, or weakness.
  • After the block wears off, apply ice to your injection site to relieve and discomfort.
  • Resume all normal medications, including aspirin, anti-inflammatories, pain medication, and blood thinners directly after your procedure.
  • You may resume physical therapy the day after your injection.
  • Resume showering 12 hours or bathing 24 hours after your injection.
  • If you had an IV and experience any tenderness at the IV site, apply warm compresses.
  • Common side effects from the injection include:
    • Increased pain.
  • Call your doctor listed below if any of the following occur:
    • Fever > 100.0
    • Swelling, redness, or drainage at the injection site.
    • Significant worsening of your symptoms.
    • Redness or pain at IV site.
  • Tony Cucuzzella, M.D.        
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Elva Delport, M.D.            
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Nancy Kim, M.D.              
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Scott Roberts, M.D.           
    • (302) 623-4144        
    • follow the prompts to reach your Physician.

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Post Hip Injection

You have just had a hip steroid injection and the following list of guidelines to follow post procedure:

  • Set up a follow-up 3 weeks post injection.
  • Resume your usual diet.
  • You may resume your normal activities following your procedure.
  • Resume all your normal medications, including anti-inflammatories, aspirin, and blood thinners.
  • You may resume your home exercise program or physical therapy.
  • Resume bathing 12 hours or bathing 24 hours after injection.
  • Call the doctor if any of the following occur:
    • Fever >100.0
    • Inability to move
    • Inability to urinate or have a bowel movement
    • Swelling. redness, or drainage at the injection site

  • Apply ice at the site of the injection to relieve any discomfort
  • If you had a “block” with your procedure, the numbing medication may last 4-8 hours.
  • Please remember that cortisone-type medicine can take up to 14 days to take effect.
  • Common side effects from the injection include:
    • Increased pain
    • Facial flushing
    • Increased blood sugar
    • Disruption of menstrual cycle
  • Tony Cucuzzella, M.D.        
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Elva Delport, M.D.            
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Nancy Kim, M.D.              
    • (302) 623-4144        
    • follow the prompts to reach your Physician.
  • Scott Roberts, M.D.           
    • (302) 623-4144        
    • follow the prompts to reach your Physician.

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Post Ablation

You have just had an ablation done and the following is a list of guidelines to follow post procedure:      

  • You may experience some increased pain following your procedure but can resume your normal activities within the means of comfort.
  • Resume all your normal medications, including anti-inflammatories, aspirin, and blood thinners.
  • Resume your usual diet.
  • Resume showering 12 hours or bathing 24 hours after your procedure.
  • Call your doctor if any of the following occur:
    • Fever > 100.0
    • Inability to move
    • Inability to urinate or have a bowel movement
    • Swelling, redness, or drainage at the injection site.

  • Apply ice at the site of the injection at least 3 times per day for 48 hrs following your procedure.
  • Common side effects from the ablation include:
    • Increased pain

      • Tony Cucuzzella, M.D.        
        • (302) 623-4144        
        • follow the prompts to reach your Physician.
      • Elva Delport, M.D.            
        • (302) 623-4144        
        • follow the prompts to reach your Physician.
      • Nancy Kim, M.D.              
        • (302) 623-4144        
        • follow the prompts to reach your Physician.
      • Scott Roberts, M.D.           
        • (302) 623-4144        
        • follow the prompts to reach your Physician.

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      Post IDET Instructions

      • After the procedure begin immediate use of the Ortho-Lign brace. This brace needs to be obtained prior to IDET procedure.

      • You will be asked to visit a physical therapist once before your procedure and once or twice after your IDET procedure for instruction on body mechanics and restrictions post procedure.

      • For 2 weeks after the procedure, follow strict guidelines of No Bending or Sitting greater than 15 minutes.

      • After 2 weeks, you may begin a gentle stretching program which will be reviewed with you by your physician and physical therapist.

      • Schedule a follow-up appointment with your doctor for 2 weeks after the IDET.

      • For 6-8 weeks after the IDET procedure, do not bend, lift or sit for longer than 30 minutes.

      • The brace will need to be worn for 6-8 weeks after the procedure.

      • 8 weeks after the IDET procedure you may begin a formal therapy program.

      • You will have considerable discomfort after the IDET procedure. You will probably begin to feel better within 4 weeks of the IDET procedure.

      • Significant improvement should be noted 2-4 months after the IDET procedure.

      • SpineCATH IDET therapy is a minimally invasive treatment in which the physician applies controlled levels of thermal energy to a broad section of the affected disc wall. This treatment is effective when there are cracks or fissures in the wall of the intervertebral disc. For more information, please click here to review the Oratec website.

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