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You Don't Have to Live in Pain.....We Can Help!

At Spine Care of Lawton Dr. Shadid is dedicated to the treatment of chronic pain.  Treatment and care is tailored to the unique needs of each individual.  Spine Care of Lawton offers traditional and cutting edge treatment options that have proven to be effective by the most highly regarded peer reviewed medical literature.  We combine conservative treatments, physical rehabilitation, interventional procedures and minimally invasive as well as completely surgery to ensure our patients the best overall outcomes for their health and pain management.



Every patient understood an initial consultation with Dr. Shadid.  During this initial visit, medical history is review and a physical exam is performed.  X-Rays, MRIs and other studies may be used to give us a complete picture of overall health.  The diagnosis or list of possible diagnoses is then review with the patient.  The doctor may recommend further studies or treatments based on this initial evaluation.


OUR FOCUS IS ON YOU!

Aerial view of a dense green forest with a narrow path cutting through.

Pre operation instructions

Prior to your appointment

1.) If you have any type of infection, recent illness or have been prescribed antibiotics 7 days prior to your injection please notify the office at 580.699.295 immediately.  For your safety we will not perform any procedures while you are ill and will need to reschedule.


2.) All blood thinning medications, including over the counter medications must be discontinued 5-7 days prior to your procedure date.  Please do not hesitate to contact our office at 580.699.2495 if you have any doubts was to whether a medication is a blood thinner.


The following is a list of blood thinners as a reference:

~ Plavix

~ Pradaxa

~ Coumadin

~ Xarelto

~ Effient

~ Warfarin

~ Heparin

~ Lovenox

~ Aspirin

~ Ecotrin

~ Ibprofen

~ Mobic

~ Meloxicam

~ Advil

~ Mortin

~ Aleve

~ Naproxen

~ Naprosyn

~ Celebrex

~ Bextra

~ Excedrin

~ Bufferin

~ Fiorinal

~ Relafen

~ Dipyridamole

~ Ticlodipine

~ Aggrenox

~ Presantine


Over the counter Herbs:

~ Dong Quai

~ Ginko

~ Vitamin E

~ Ginger

~ St. John's Wort

~ Grape See Extract

~ Garlic

~ Ginseng

~ Feverfew


3.) Nothing to Eat or Drink 6 Hours before your procedure.  

       You may take your medications, other than blood thinners, with a sip of water.



DAY OF PROCEDURE


1.) You must bring a driver with you.  YOU MAY NOT DRIVE YOURSELF.

Your driver must be present at check-in or your procedure will be cancelled.


2.) No smoking on the day of your procedure.


3.) Current Medications for blood pressure and/or diabetes management

  ~ Please make sure to take your blood pressure and/or diabetic medications the day of your procedure with a small sip of water.  Please check with your doctor about insulin intake if you are fasting.


Aerial view of a dense green forest with a narrow path cutting through.

AFTER YOUR PROCEDURE

Aerial view of a dense green forest with a narrow path cutting through.

Different injection procedures will have all, some or none of the following considerations:

Numbness

Common if a local anesthetic was used.  Use caution with any area that is numb.  Do not walk or drive with a numb leg or apply heat or ice to the area until feeling has returned.

Soreness

Common at the injection site after any type of injection.  You may put ice on the area.

Mild Headache

May be caused from steroids if they were used.  An NSAID or Tylenol may be taken for the he ache unless you have another injection scheduled within a week.  If you have a moderate to severe headache with or without nausea and vomiting, please call our office as soon as possible.

Increase in pain level or location

This may happen in the first 24 hours after the injection/block

Hot Flashes, facial redness, mood changes, increased appetite and menstrual irregularities

These may happen for the first few days to weeks post injection/block

Increased Blood Sugar

If you are a diabetic your blood sugar may be higher than normal for the first 2-4 days after an injection/block.  Please contact your primary care provider for any advice on what to do if your blood sugar gets too high.

Activity

Injections/blocks often do not restrict activity.  Use your judgment and be carful not to overdue it just because you may be feeling better.  This can prevent re-injury.

Pain relief after steroid injections

May be noticed approximately 7-14 days after the injection/block

Please call our office at 580.699.2495 if you experience any of the following:

  • Redness, swelling or drainage around or from the injection/block site
  • Persistent bleeding from the injection/block site
  • Severe headache (with or without nausea and vomiting)
  • Fever, Chills, or Stiff Neck that was not there before the injection
  • Weakness that was not there before the injection
  • Bowel or bladder incontinence that was not there before the injection.


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