See below for responses to FAQ about your treatment at the Pain Centre.

Administration

What documents do I bring with me when I come to the hospital?

Always bring the following documents with you:

  • your identity card
  • insurance form
  • work form
  • test results or reports (ECG, labs, X-rays, heart specialist consultation)

Allergies

I am allergic to specific medication, disinfectants and/or contrasts. Do I need to notify anyone of this?

It is important that you let us know beforehand if you are allergic or sensitive to any particular medication, disinfectants (iodine), adhesives, latex, contrasts or other substances. In order to avoid bothersome and potentially dangerous side effects, we can avoid these products and make appropriate accommodations.

Driving

Can I drive after my treatment?

Because you are not allowed to drive for the first 12 hours after a treatment, it is best that you have a driver. If you like, you may request a cab.

Diabetes

What do I need to look out for if I am diabetes patient?

The day of your procedure, you will take all your medications as usual. You do not need to be fasting. If your blood sugar level is too low, you may consume something with sugar. Cortisone is used for many procedures at the Pain Clinic. Cortisone is known to raise blood sugars. For this reason, the first three days after the procedure, it is requested that you keep strict control of your blood sugars. If there are severe and/or long-lasting fluctuations, please contact your GP for additional measures.

Signs that your blood sugars are elevated:

  • extreme thirst
  • dry tongue
  • frequent urination
  • fatigue
  • blurry vision
  • nausea
  • occasional drowsiness

Rest assured that we use an appropriate dose of Cortisone in case someone has diabetes.

Eating and drinking

Do I need to be fasting for the procedure?

It is important to know that you do not need to be fasting for the procedure (unless it has been specifically requested).
We do recommend that you not eat any heavy meals up to three hours before the treatment.

Medication

May I take my medication before a treatment?

All medication, except blood thinners, may be taken.

What should I do if I take blood thinners?

Most blood thinners need to be stopped before receiving a treatment in the pain clinic. Depending on the reason you take blood thinners, it may be that they could be replaced by injections in your abdomen.
For specific questions, please ask your referring physician or your GP.

Below you will find a list of the most common blood thinners:

  • Asaflow®, Aspégic®, Cardioaspirine®, Aspirine®, Dispril®, (incomplete list, consult your physician for any questions) do not need to be stopped as long as the daily dose is less than 500 mg per day. On the day you are to get the injection, they should NOT be taken.
  • Marcoumar®, Sintrom®, Marevan® should be stopped seven days beforehand, or as per instructions by your GP. Subcutaneous injections could be given instead temporarily. A coagulation factor test (INR) is often needed. Please bring this result with you to the hospital or have it done in the hospital before your procedure.
  • Ticlid®should be stopped ten days beforehand. Plavix®, Brillique® and Efient®seven days. Substituting with subcutaneous injections is useless.
  • Xarelto®, Eliquis®and Pradaza®need to be stopped a minimum of 48 hours beforehand.
  • Fraxiparine®, Clexane®, Fraxodi®can be administered up to 24 hours before the injection (the last injection should be the morning of the day before the treatment.) The next injection may be given six hours, at the earliest, after the treatment. After the procedure, these injections can be given three days afterwards in combination with your normal blood thinners. One week later, you will undergo an INR check at your GP’s.
    Contact your attending physician if you:
    • have reduced kidney function
    • have had a thrombosis
    • have had a heart attack
    • have had a stent implanted

Pregnancy

If there is a chance you are pregnant, or if you are pregnant, you must first let the (pain) nurse or physician know. Specific treatments require X-rays, which can be harmful to your baby. In this case, we modify your pain management plan.