Pre-Injection Instructions

Download Pre-Injection instructions

Back & Neck Pain

While most of our patients receive light sedation during the injection, you do have the option of opting-out. 

Fasting for patients receiving light sedation

  • You can drink clear fluids up to 2 hours before the injection.  
    • Clear fluids include: water, fruit juices without pulp, carbonated beverages, clear tea (sweetened), and black coffee (sweetened). These liquids should not include alcohol. 
  • You should fast for 6 hours after a light meal. Light meal consists of toast & clear liquid
  • You should fast for 8 hrs if the meal includes fried or fatty foods. 

American Society of Anesthesiology guidelines

For patients NOT receiving sedation

  • You do not need to fast


  • Please do not stop any medication before consulting with your primary physician
  • If you are taking blood thinning or anti-platelet medication please inform Dr. Goswami.
  • Plavix should be stopped 7 days before the injection.
  • Medication such as Coumadin should be stopped 5-6 days before the injection.  

On the day of the procedure

  • Plan to be at the surgery center at least one hour before the scheduled injection. 
  • An Anesthesiologist will interview you and explain the anesthetic plan.
  • Come with a family member and do not plan to drive on the day of the injection.
  • After the injection you will rest and recover for sometime in the recovery area.
  • Plan to have an easy day after the procedure.
  • Please schedule a follow-up appointment with Dr. Goswami at the office.

If you have any further questions or concerns, please call us at (973) 866-0336.