Post Procedures for Steroid Injections

You have received an injection of local anesthetic and steroids. The local anesthetic effect typically last 4–6 hours. It may take 3–7 days for the steroids to reach optimal effect.

Instructions For Post Local Anesthetic and Steroid Injections

  1. You may not drive for 12 hours after your injection.
  2. It is common to experience mild soreness at the injection site(s) for 24–48 hours. Ice is the best remedy. You may apply ice for 20 minutes at a time several times a day as needed.
  3. Avoid heat to the injection area for 72 hours. No hot packs, saunas, or steam rooms during this time. A regular shower is OK.
  4. You may immediately restart your regular medication regimen, including pain medications and anti-inflammatory. Please wait 24 hours from injection to restart blood thinners.
  5. If you are diabetic please carefully watch your blood sugar as steroids can cause elevated levels.
  6. Please remove the sterile dressing/band-aid tonight or tomorrow morning. Do not leave it on after you have taken a shower or gotten it wet.
  7. Corticosteroid side effects can occur after this injection, but they usually resolve after several days. These side effects can include flushing, hot flashes, mild palpitations, insomnia, water retention, feeling anxious/restless, or headaches.
  8. While it is extremely rare to get an infection after a spinal procedure, please call the office if you develop any signs of infection. These signs include fevers/chills, severely increased pain, redness at the injections site, or any drainage from the injection site.
  9. Remember that the corticosteroid benefit (long-term pain relief) from an injection can take as long as 10 days to occur. You may have a period of slightly increased pain after your injection before the cortisone takes effect.
  10. You may resume all of your normal daily activities 24 hours after your injection.
  11. It is OK to restart your exercise or physical therapy program as soon as you feel comfortable doing so.

You should schedule a follow-up visit in 2–3 weeks to review your response to this injection.