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Frequently Asked Questions
Wonder what insurance terms like co-insurance mean? Here are some of the definitions. These are provided as a courtesy from Midwest Pain Center. If you have any further questions, feel free to contact our billing and insurance staff at 636-519-8889.
Medical Records Request
If you need to have your medical records sent to another physician or for your personal use, please, please contact our medical records custodian at 636-519-8889.
What should I expect after an injection? When will I start to feel better?
This varies, but most people feel better after 2-4 days; however, is some cases it may take longer. Usually patients report a 30-50% improvement after the first injection. It is possible that you may not notice any improvement until after two treatments. If there is not significant improvement after two treatments, you will be reevaluated.
What medicine is in the injection?
Cortisone is a layman's term used to describe a steroid. Depo Medrol is a long acting steroid that is used for for most of our treatments. Sometimes a long acting local anesthetic is also used. We also offer treatments such as "Gel-one" for arthritis, as well as PRP (platelet rich plasma) and stem cell injections.
Are there any side effects to steroids?
It is unusual to have side effects. Diabetic patients often notice temporary a temporary increase in blood sugar, as with any steroid. With the injections, it usually lasts 1-2 days. If your blood sugar is greater than 250, contact your primary care physician. Temporary muscle cramps or spasms especially in the legs, increased energy, flushing, trouble sleeping, hot flashes, and occasional headaches are possible side effects.
How many injections will I need?
Our goal is to do the fewest number of treatments needed to get the best results. Generally, patients need 3 treatments; however, each patient is different. Together, the doctor and patient will determine whether a treatment is beneficial.
What if I'm feeling great after 1 or 2 treatments?
Keep your appointment. If you’re 90-100% improved after an injection, you will not receive a treatment but will have a brief follow-up visit. This visit is important for your future care and for your referring physician and primary care physician.
What if I’m feeling worse?
Ice is recommended for the first 24-48 hours for soreness after the treatment. If your pain is significantly worse, call our office to be seen that day.
Why is it important that I let you know if I’m on a blood thinner?
Your risk of bleeding is increased significantly with blood thinners, especially with spinal injections. Your blood thinner such as Plavix, Xeralto, Pradaxa or Coumadin will need to be temporarily discontinued prior to your procedure. Discuss this with your Primary Care physician or specialist before stopping.
When can I resume normal activity?
Wait 24 hours before resuming normal activity. Most patients are able to drive and return to work after most of the treatments. If you had sedation, there will be separate instructions about activity.
When can I begin/resume Physical Therapy/Chiropractic care?
Sometimes PT/Chiropractic care can cause increased soreness or pain so it is best to wait at least 24 hours before resuming these therapies. Let your therapist know about your treatment.
If my pain returns, can I get another injection?
Oftentimes, yes, but you will need to be reevaluated to determine if other treatments might be an option and determine you insurance guidelines.
Is it normal to have muscle spasms after an injection?
Yes, “charlie horses” or spasms, most commonly in the legs are a side effect of steroids in approximately 10% of patients, especially if the injection was in the spine. Oftentimes, these are relieved with muscle relaxers.
If I’m feeling drowsy after taking the prescribed medication, should I stop taking it?
Some medications can cause drowsiness, especially Gabapentin (Neurontin) and Amitryptiline (Elavil). If you were prescribed these medications together, take them at least an hour apart. The doses may have to be adjusted if symptoms last more than 2-3 days. Call our office if the drowsiness is significant or if you are unsure.