© 2016 CAPRI Central Alberta Pain & Rehabilitation Institute

Post-Treatment Expectations: You've been treated, now what?

EXPECT POST-INJECTION SORENESS.  You may experience added stiffness, soreness, pain and discomfort in the area(s) you had treated for a few days or weeks following treatment.  Although some patients report no increase in pain, you may experience some increase in pain, or “flare-up”, especially during the first 24 hours after treatment.  Our therapies stimulate healing by causing local inflammation, so soreness is a normal response, please do not panic.


PLEASE COORDINATE HAVING SOMEONE ELSE DRIVE YOU HOME FOLLOWING YOUR PROCEDURE. There may be some increased soreness following an injection that could inhibit your ability to drive safely.


DO NOT USE ANTI-INFLAMMATORY OR CHOLESTEROL-LOWERING (STATINS) MEDICATIONS OR ICE ON THE INJECTION SITE(S) FOR AT LEAST FOUR WEEKS AFTER TREATMENT.  Medicines such as aspirin*, ibuprofen, Naproxen, or Aleve (either oral or topical) including natural anti-inflammatories, like turmeric, and/or ice may inhibit the inflammatory process required to initiate the regeneration process and thus can limit the benefits of treatment. Statins (Crestor, Lipitor, Pravachol, and Zocor) should be avoided as they have been shown to be harmful to the cells used in regenerative therapies.  Topical creams should also be avoided for 4 weeks after treatment. Corticosteroid injections should be avoided for 3 months after treatment. You may use heat for 15 minutes at a time along with gentle stretching to relieve discomfort. Using acetaminophen, narcotic pain medicines, or muscle relaxants may also relieve pain without interfering with the effect of the treatment.  

*Baby aspirin (81mg) for heart health is OK to use.


IT IS CRITICAL TO REST TO ALLOW YOUR TISSUE TO HEAL. We recommend that you rest for a minimum of three days after treatment, which means minimal weight-bearing activity, this includes operating motor vehicles. After this time period we would like you to ease yourself back into normal activity of daily living as tolerated. Avoid heavy exercise or impact sports for the first month after treatment. Physical activities such as walking, cycling, swimming and gentle stretches such as yoga are encouraged as tolerated after two weeks. A common setback is that people will feel better soon after the treatment and then overdo it by deciding to catch up on all the manual work they need to do, such as yard work or housework.


VERY IMPORTANT!  Call the CAPRI Clinic Emergency Contact number (403-550-3447) if you develop signs of infection such as redness, heat and swelling at the site of an injection or aspiration. Infection is an extremely rare complication of these therapies but requires prompt treatment if suspected.  Infection responds very quickly to antibiotic therapy and is not serious if treated immediately. However, if left untreated, infection can very quickly become serious. In the unlikely event that you cannot get a response from the emergency contact number, proceed to the nearest hospital emergency room to rule out “septic joint”.



BE PATIENT WITH THE HEALING PROCESS AND CURB UNREALISTIC EXPECTATIONS. Although some patients notice a reduction in pain within a few days after treatment, most start to notice pain relief between 3-6 months.  Most often, maximal pain relief is not experienced until 6 months after treatment. Repeating the treatment may be necessary to optimize benefits, especially for old chronic injuries or advanced, “bone-on-bone” arthritis.



THINK POSITIVELY! WE ARE ROOTING FOR YOU! We are in this with you and want you to be out of pain and back in the game!