Pre-Treatment Guidelines

​Please read them carefully.


  • Do not take NSAID* medications (such as Advil, Motrin, Aleve, Aspirin, etc.) either oral (by mouth) or topical (on the skin) for at least one week before and four weeks after your treatment.  Non-NSAID pain relievers (Tylenol, Tramadol) are OK.

  • Natural anti-inflammatories such as fish oil are OK. 

  • Baby aspirin for heart health is OK. 

  • Do not take cholesterol lowering medications known as statins (i.e. Crestor, Lipitor, Pravachol, Zocor) for 1 week before and 4 weeks after your treatment.  However, if your doctor feels it would be dangerous to be off the statins for that long, do not go off of them.

  • Other than NSAIDs, do not discontinue any of your medications, even anti-coagulant medications.

  • To minimize risk of infection, please shower the morning of your procedure and put on clean clothes.

  • Do NOT wear any perfume, cologne, scented lotions, or scented hair products the day of your procedure.

  • Wear comfortable clothes that are easy to take off and put on, such as slip-on shoes, without laces.

  • If your blood pressure is too high when we take it here (at or above 180/110), we might postpone your procedure for your safety. If you have high blood pressure, it is a good idea to do a medication check with your doctor before your procedure.

  • You may receive a mild pre-sedative such as Ativan. You will require a driver the day of the procedure.

  • Please eat a light meal before your procedure.

  • No cortisone injections 3 months prior to procedure.

Have realistic expectations and be patient. We have provided for you Post-Treatment Guidelines which are important to follow and will ensure the best possible outcome from your treatment. While we are happy to report that our overall results are excellent. If your procedure does not meet your expectations, there is no treatment that works 100% of the time, it’s simply because it doesn’t work on everyone. Even in the best case scenario, healing and improvement in pain can take two to four months to kick in and usually does not reach maximal benefit until 6 months after injection. So if you are a few weeks out and have not found the results to be great, don’t panic.


Please be patient as this is not a quick-fix.

NSAIDs -- or nonsteroidal anti-inflammatory drugs

Good Things

Take Time...