Frequently Asked Questions

Frequently Asked Questions

Your initial consultation with us will likely result in the suggestion that you try a medication, an injection, or other types of therapy in order to relieve your pain. Different things work for different people and different types of pain.Pain usually results from irritation and inflammation of nerves, muscles, bones, or other solid tissue organs. Each of these different types of pain must be treated in a different manner.

 

Various types of oral medications are used to help relieve the inflammation of the involved tissues and injection therapies are used for certain conditions in order to target the area that the pain originates from. These medications and injections are often pared with treatments such as mood therapy, sleep medicine, physical therapy, and acupuncture in order to maximize your pain relief and functional restoration. All of these integrative therapies combine with more standard treatments in order to maximize your chance to pursue enjoyable activities. More information on all of the types of treatments used for pain will be provided to you during your visit.

KC Pain Centers recently made the transition to electronically filling controlled substance medications. This is now allowed by almost all states including Missouri and Kansas. The switch to electronically sending these prescriptions was done for the following reasons.

  1. Improved efficiency: Significant amount of time is saved on prescriptions that are written wrong or issues with the paper prescription.
  2. No more lost or misplaced prescriptions.
  3. Increased security and safety for both the providers and patients.

With this transition we ask that you follow the following rules to help make this process as smooth as possible.

  1. You need to make your refill appointment two (2) weeks prior to the date you run out of meds.
  2. Your prescription is sent to the pharmacy after you doctor signs off on the prescription. This can take time after your appointment. You prescription will be there prior to your due date.
  3. If you are due for a refill and for some reason it is not at the Pharmacy, have the pharmacy contact our office. You do not need to call the office. This can cause a delay in getting your medications sent.

*Same Day Refills: Please allow 24-48 hours for the prescription to reach your pharmacy. You might want to call ahead to make sure it is there before making the trip.

If you have any questions or comments please call 816-763-1559 and ask to speak to a nurse.

BEFORE STOPPING ANY BLOOD THINNERS SPEAK TO YOUR PRESCRIBING DOCTOR FIRST

In general, patients are often on blood thinners to prevent strokes or heart attacks. For your safety, blood thinners are commonly stopped prior to completing many of our procedures.

You may continue NSAIDS for ALL procedures. NSAID’s include ibuprofen, Motrin, Advil, Aleve, naproxen, Mobic, diclofenac, meloxicam, Indocin, Celebrex. If you take a daily aspirin you will want to discuss with your provider when and if to discontinue use.

You can continue the blood thinners listed below for: facet joint injections, medial branch blocks, radiofrequency ablation, sacroiliac joint, hip, shoulder, bursa, knee joint injections and trigger point injections.

You are required to STOP the blood thinners listed below for: epidural steroid injections, spinal cord stimulators, and sympathetic blocks. Prior to stopping your blood thinner, please speak with your prescribing physician and obtain clearance to STOP the medication for the duration listed below. If the blood thinner you are on is not listed below, please speak with your physician/provider at KC Pain Center for further information.

Blood Thinners:

  • Warfarin/Coumadin/Jantoven/Marfarin: Must be off 5 days
  • Plavix/Clopidogrel : Must be off at least 7 days
  • Ticlid/Ticlopidine: Must be off at least 14 days
  • Aggrenox/ASA+Dipyridomole: Must be off at least 7 days
  • Lovenox/Epoxaparin: Must be off for 24 hours.
  • Pletal/Ciostazol: Must be off at least 7 days
  • Pradaxa/Dabightran: Must be off at least 7 days
  • Heparin/Persantine/Depyridamole: Must be off at least 24 hours.
  • Effient/Parasurgrel: Must be off at least 7 days
  • Arixtra/Fondaparinux: Mustbe off at least 7 days
  • Trental/Pentoxifylline: Must be off at least 7 days
  • Elmiron/Pentosan Polysulfate: Must be off 2 days
  • Xarelto/Rivaroxaban: Must be off 5 days (per Dr.)
  • Brilinata/Ticagrelor: Must be off at least 10 days
  • Eliquis/Apixaban: Must be off at least 3-5 days
  • Savaysa/Edoxaban: Must be off at least 3-5 days

To help your first visit run smoothly, we ask that you print and complete your patient information forms in advance. Feel Free to contact us with any questions.

Checklist

  • Patient intake forms
  • Photo identification
  • Current insurance card
  • List of current medications with directions and dosage
  • List of allergies and reactions
  • Medical history
  • Referring physician’s notes, if applicable
  • Past MRI, CT or x-ray scans, or nerve conduction studies, if applicable
  • Copay or required down payment
  • Worker’s compensation form, if applicable

In most cases, if you are just receiving an injection (epidural, nerve block, or trigger point, etc.) you will not need a driver.  However, if you are having a major procedure such as a pain pump or spinal cord simulator you should have a driver.

Most people are able to go back to work the next day. It usually depends on your individual pain and comfort level. However, it is important to follow all discharge directions following your appointment or procedure.

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