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Patient Presacral/Sacroiliac/Spermatic Chord -Steroid Injection

  1. With the approval of your Family Dr. or Cardiologist please discontinue your blood thinner’s [aspirin, Eliquis, Coumadin, ibuprofen, Advil, Aleve etc.] no later than one week before your circumcision and for an additional three days past your steroid injection.  If you need pain control before or after your steroid you may use Tylenol, tramadol or the Norco’s we prescribed you.
     

  2. Preoperatively Amy will be giving you two medication prescriptions. A. Levaquin 750 mg, once daily, #10 to help prevent urinary tract infections. B. Norco 10 mg #60, one to two every 4-6 hours for bladder pain and spasms.  Please fill these prescriptions prior to surgery so that on your day of surgery everything is set at home for your recuperation the day of surgery.  This is also to avoid last-minute pharmacy visits.  Go straight home after surgery with your family member or friend and have them drive you home then at home to relax and begin healing. You cannot drive the day of surgery because a general anesthetic impairs your ability to interact with your environment promptly and effectively and may lead to injury to yourself, family or others.
     

  3. The lidocaine starts to work in the area of your Steroid shot and should give you a 50 % reduction in pain by the time you arrive in recovery.  The steroid component takes an additional 72 hours before it begins to work and reduce the pain in your pelvis, lower back or groin area. The steroids can give you up to 12-16 weeks improvement in your area of pain but is almost never permanent.
     

  4. Remember a steroid injection is not a cure for your pelvic floor or lower back/hip pain but can be used as a minimally invasive maintenance therapy meaning as soon as you skip an injection your symptoms will likely return.  So, every successful steroid injection needs to be repeated every 3-6 months or so to continue its efficacy.
     

  5. You can remove your band aids after 48 hours and it is safe to bath or shower the following morning.
     

  6. Thank you for your time reading and implementation of our Presacral/Sacroiliac/Spermatic Chord Steroid injection aftercare instructions.

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