Welcome to Pain Management Institute

To make an appointment for any of our locations, please call

Treatment Preparations


  1. Nothing to eat or drink. This includes gum, candy; this means nothing in your mouth, 6 hours prior to procedure
  2. Failure to abide by this may result in postponing your procedure, canceling, or treatment without sedation.
  3. Wear loose fitting clothes. Elastic waist without zipper is preferred.


  1. You may take your medications with a sip of water, with the exception of anti-coagulates and diabetic medications.
  2. You will need to stop anti-coagulates and aspirin-containing products prior to the procedure date. Please inform Dr. Anwar or the nurse for further instructions regarding this.
  3. If you are non-insulin dependant diabetic, hold your medication until after the procedure and bring the medication with you the day of the procedure.
  4. If you are insulin dependent diabetic, take half your insulin dose the morning of the procedure and bring your insulin with you the day of the procedure. (These instructions may vary depending on your situation).
  5. If you are having a cervical procedure and have dentures or partials that are removable, please bring a container for them. They will need to be removed during the procedure.
  6. For female of child bearing years, we may need to obtain a urine pregnancy test.

What to expect the day of the procedure

  1. The procedure will take place at Frankfort Surgical Center. You will receive pre and post procedure care.
  2. You will need a responsible adult to drive you home after the procedure.

What to bring

  1. Bring identification and insurance cards.
  2. Under physician supervision, conscious sedation will be provided to the patient. This sedation type induces an altered state of consciousness that minimizes pain and discomfort through the use of pain relievers and sedatives. Patients who receive conscious sedation usually are able to speak and respond to verbal cues throughout the procedure. A brief period of amnesia may erase any memory of the procedure.
  3. A radiology technician will use an X-ray machine to locate the spinal nerve. Your back will be cleaned with a special solution and then the doctor will numb the areas with some local anesthetic. You will then feel a pressure sensation as the doctor inserts each needle into the corrected locations.
  4. Once the needle is inserted into your back, the doctor will inject the medication (local anesthetic and/or low dose steroid) and then remove the needle. You will then be asked to lie down for 15-30minutes while you continue to be monitored.

After the procedure

  1. No driving 12 hours after procedure.
  2. No signing any legal documents 12 hours after the procedure.
  3. Written instructions will be given after the procedure.
  4. The injection will take up to a week to feel the full effectiveness of the procedure.
  5. You will need to follow up with Dr. Anwar approximately 2 weeks after the procedure.