Your Appointment

Your initial clinic visit will include an evaluation, at the conclusion of which your pain condition will be discussed and a treatment plan will be proposed.

Many patients that are referred to us are appropriate candidates for Epidural Steroid injections, nerve blocks, or other conservative therapies. If an injection is recommended, it will be fully discussed and can be performed the same day upon insurance approval. Insurance approval must be done after the initial consultation, not before your appointment due to the need for clinical information from your consult.

If after your discussion with the doctor you wish to have the procedure performed on an alternate day that can be arranged. If you have not had any imaging, we may require that prior to performing any procedures after your initial consult.

If you are anxious about your procedure, sedation can be provided. If you choose this option you must meet the following criteria:

  • Come to your appointment with a responsible adult driver
  • Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions
  • If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

Here is a short list of blood thinners and the amount of days they should be discontinued prior to your procedure:

Acenocoumarol 3 days
Agggrenox 7 days
Aggrastat 24 hours
Arixtra 4 days
Asprin 7 days
Brillinta 7 days
Edoxaparin 2 days
Efflent 7 days
Eliquis 3 days
Heparin 8 hours
Integrillin 24 hours
Lovenox 12 hours
Pentoxil  2 days
Plavix  7 days
Pletal  7 days
Pradaxa  6 days
ReoPro  3 days
Ticlid  14 days
Warfarin/Coumadin  5 days
Xarelto 3 days

Please call our office if your blood thinner is not listed.

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

  Fenton
1055 Bowles Ave.
Ste 202
Fenton, MO 63026
Phone (636) 326-7821
Fax (636) 326-7897
  St. Peters
4800 Mexico Rd, Ste. 101,
St. Peters, MO 63376
Phone (636) 442-5035
Fax (636) 442-5036
  Wentzville
1601 Wentzville Pkwy
Suite 101
Phone (636) 332-8902
Fax (636) 332-8904

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