Patients with significant untreated or poorly treated psychological problems, such as depression, anxiety disorder, malingering, personality disorder.
Primary Care
In general, there are few side effects from the steroid injection because the dose is small and carefully controlled. Diabetics should be aware that blood sugar levels may rise temporarily following the injection (usually 5-7 days). We recommend diabetics check their blood sugars more frequently during this time and notify their primary care physicians if not able to keep their blood sugar under control. Rare, but potential complications of an epidural injection include infection, bleeding, nerve injury and allergic reactions. If the covering of the spinal cord is punctured, a severe headache may result. If untreated, the headache may last for days or weeks. The pain physician will discuss these matters with you prior to the procedure, as well as any other questions or concerns.
Emergency Care
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
Neurodestructive Procedures (radiofrequency ablation or chemical neurolysis) - destruction of a nerve to alleviate pain. These procedures are most commonly performed on paravertebral facet joint nerves (cervical, thoracic, lumbar or sacral).
Our LCA Pain Clinics use a multidisciplinary approach to healing, which may include referrals to a surgeon, behavioral counselor, wellness coach, physical therapy, massage therapy, stress management or nutritional services, in addition to interventional treatments such as oral medications and injections.
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.