This is where you can find information about the different procedures that Dr. Marc Orlando completes. The links above will link you to specific information about each different injection, along with videos of each procedure being completed. Below you will find information about Pre and Post Procedure instructions along with directions to each facility.
Please feel free to contact our office directly if you need any additional information (513) 569-5399
Pre - Procedure Instructions:
- You may take your usual medication the day of your injection. If you are diabetic, check with your primary care doctor or the doctor who manages your diabetes. The medication in the epidural injections will cause your blood sugars to rise above normal for a few days.
- Please do not eat solid food for 6 hours prior to your procedure, and do not drink liquids for 4 hours prior to your procedure.
- Please bring a list of all medications that you are taking, including vitamins and over-the-counter drugs. Also bring a list of all allergies to medications, lotions, and/or soaps.
- We suggest you wear loose, comfortable clothing on the day of your injection. Two-piece outfits such as jogging suits are an example. Avoid pantyhose, girdles, and other tight clothing as well as high heels. Back braces and supports will also need to be removed.
- All anti-coagulants, or anti-platelets must be stopped at least 7 DAYS prior to the performance of the procedure. (See med sheet for details)
- All injectable anti-coagulants must be stopped exactly 24 hours prior to procedure arrival time. (See med sheet for details)
- All anti-inflammatory medications must be stopped at least 5 days prior to the procedure. (See med sheet for details)
- You must bring someone to drive you home after the procedure.
- If any of the following apply to you, please let your physician know well in advance of the procedure:
- Allergy to iodine or contrast dye
- The need to take antibiotics before dental procedures (ie you have had a total knee replacement, if so this medication should be written by your orthopedic surgeon or your primary care)
- The taking of Coumadin or other blood thinners regularly (you will need clearance from the physician that prescribes this medication to stop it)
- Medical history of diabetes, glaucoma, or bleeding disorder (you will need clearance from you perspective physician)
You will be given conscious sedation prior to your procedure to help you relax and be as comfortable as possible. We will not be putting you to sleep; you will be aware of your surroundings and able to follow instructions. You may feel slightly groggy post-operatively.
The majority of patients will feel better sometime within the first one to three days after their procedure. The peak effect of the anti-inflammatory effect from your steroid injection may take as along as one week. It is not uncommon for some people to feel great from the moment they leave the procedure room and/or even for some patients who have received more than one epidural injection to have a different experience after every epidural injection.
During your procedure, x-ray device is used and if there is any rupture of your cerebra spinal fluid sac, you will be notified at the time of your procedure to watch out for a spinal headache. If the doctor or the nurse has not instructed you that has occurred, your risk of developing a spinal headache is far less than 1%.
The most common side effect from the steroid medication is drowsiness from the first day from the anesthesia used or involved in your case. Within the first one to three days, the patient’s commonly will get a flushed, red face and a mild headache, which is related to the steroid medication itself. This, again, is not a spinal headache, but should you have any questions, please feel free to contact the office.
Patients, who have congestive heart failure or are prone to fluid retention, should monitor their weight each day post procedure and call their doctor if they have a greater that a three-pound weight gain. If you have glaucoma and experience blurred vision, you should call your ophthalmologist to have your eye pressures checked.
Hiccups and temporary weakness in the legs have been reported to occur, but again are very infrequent. You should call your doctor for any temperature greater than 101 after the first three days of your procedure. If you do not already have a follow-up scheduled appointment within two weeks of your epidural injection, please contact the main office to do so once you get home from your procedure.
To reach the physician please call 513-569-5399, after hours you will be directed to the answering service to connect with the physician.
Post - Procedure Instructions:
- You may resume normal activity as your comfort level allows
- You can return to work 24 hours after your procedure.
- You have had sedation and you must not drive, drink alcohol, or sign important documents for at least 12 hours.
- You may eat whatever you wish, and resume all prior medications.