Frequently Asked Questions

What insurances do you accept?
We currently accept all major insurances.

Does the physician use fluoroscopy?
Yes.  Fluoroscopy, or live motion X-ray, allows physician to provide safer, and more efficacious procedures.  The physicians have had extensive training in fluoroscopy and do all procedures under fluoroscopy.

Is the physician a specialist?
Yes.  Dr. Empey is an MD, or medical doctor that has completed his training in anesthesiology and has subspecialized in pain medicine by completing a pain fellowship at the Mayo Clinic.  This is the highest level of training that a pain specialist can have.  Dr. Wells earned his Doctor of Medicine degree from the University of Louisville where he also stayed on to complete his training in anesthesiology and is a board certified anesthesiologist.

Do you provide medical management in addition to interventions?
Yes.  We are committed to provide each patient with medical management in addition to interventions.  With each patient, we discuss all options for pain control and often will send patients for physical therapy.

Where are my procedures performed?
Most of our procedures are performed right in the St. George or Mesquite office in our state-of-the-art fluoroscopic Suites.  But some procedures may be performed in an ASC outpatient surgical center.

Can I receive sedation for the procedure?
Yes.  We offer conscious sedation that minimizes pain and discomfort through the use of pain relievers and sedatives.  A period of amnesia may erase any memory of the procedure.  You must have fasted, nothing to eat or drink for 4 hours prior to the procedure.

Do I need to stop my blood thinner prior to the injection?
Yes.  This is required in order to decrease your chance of complication.  You need to obtain permission to stop this medication from the prescribing physician.

Coumadin (warfarin)
Stopped 5 days prior to procedure
Plavix (clopidogrel)
Pletal (cilostazol)
Pradaxa (dabigatran etexilate)
Stopped 7 days prior to procedure
Persantine (dpiyridamole)
Stopped 14 days prior to procedure
Effient (prasugrel)
Ticlid (ticlopidine)
Stopped 10 days prior to procedure
Stopped 14 days prior to procedure
Stopped 24 hours prior to procedure
Aspirin 325mg
Aspirin 81mg
Stopped 7 days priorfor cervical epidural or spinal cord stimulator
Stopped 1 day prior to procedure


How many injections may I receive?
The Epidural Steroid Injections are generally scheduled in a series of 3, with time between injections being 3-4 weeks.  Not all 3 injections are generally required to obtain adequate pain relief.
You may  obtain a total of 3 Epidural Steroid Injections within a 6 month period, and a total of 4-5 per year, depending on the amount of steroid used in each procedure.  This will be determined by the providers.

What are some common side effects of the steroid that is used?

  • Increase in blood sugars
  • Water retention
  • Increased muscle cramping
  • Increase in blood pressures
  • Flushing (hot flashes)
  • Insomnia

All of these are transient and generally only last for a few days.


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