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What should I do if I need more information about my condition or treatment?

Discuss any questions or concerns with your provider at your clinic visit. We suggest you come with a list of your questions in preparation for your appointment. You can also look at the Patient Education links we have provided. Click here for Patient Education

How can I reach the doctor?

The clinic is open Mon-saturday from 9AM to 5PM, . The  is closed sundays. If your call is of an urgent nature and it is after hours, call 0705250101 and follow the prompts for paging Dr. Zulfugar Yusifov. 

What should I do if my medicine is not working?

It may take some time to see the benefits of new medications; however, if you have been on your new medicine for 14 days and it isn’t helping your pain, please make an appointment in the clinic. We cannot make changes to medication or prescriptions over the phone.

I just got a new prescription. Is it safe to drive?

Many medications prescribed to treat pain, may cause fatigue, sedation or dizziness. Please do not drive the first time you take a new medication or are prescribed a higher dose of a usual medication. Most medications will reach stable blood levels after a few days, but some can take as long as a week to two weeks. If you are experiencing any side effects that may impair your ability to drive, do not get behind the wheel or operate machinery that may cause harm to you or someone else. When you receive a prescription for a new medication, we will counsel you about side effects and will provide you with information about the medication. We will also answer your questions. Often, after a few days on a new dose or medication, side effects will diminish. Usually, by two weeks on a new medication or a higher dose of a usual medication, blood levels are stabilized and side effects are minimal. If you feel sedated or dizzy from a new dose/medication, please contact your doctor. The medication or dose may be changed. After all, our goal is to have you more functional, not dizzy and sedated. Please use good judgment.

What should I expect to feel after the procedure?

The procedure site may be sore for a couple of days. Applying ice to the area for 20 minutes at a time a few times a day may be helpful in reducing any discomfort. Most people experience improvement within a couple of days, but it may take up to 2 weeks to experience full pain relief. 


Are there any restrictions on the day of the procedure?

If you are going to have a procedure done in the head, neck or upper back, you should not eat or drink after midnight the night before the procedure. You should take your usual medications in the morning, in any case, with a sip of water. For low back procedures, except for lumbar sympathetic blocks, you can eat a light meal prior to the procedure. Please tell the doctor if you are on any blood thinners, like Coumadin or Plavix as these must be discontinued up to one week before the procedure. You must check with your prescribing physician to be sure you can safely come off of these blood thinners. In some cases, the procedure will not be able to be done, because the blood thinners are too important to your health to stop them. You will need to have someone drive you home after any procedure, as they typically involve a local anesthetic. It is best to limit your activities for the remainder of the day. You should not drive a car after a procedure as your reflexes may be temporarily dulled and your muscles may be temporarily weaker. Keep the injection site clean and dry on the day of the procedure. 

Will I be given prescription medication on my first visit?

We do not usually prescribe medications on the first visit, especially opioid medications. If you are seeking medical management for your pain, please be aware that we will work with your Primary Care Physician in managing prescriptions for opioids. We do not take on patients who are exclusively looking for long-term opioid management.

What course of treatment can I expect from this clinic?

We typically perform an initial consultation and then decide on the best course of treatment. This may include injections, medications, physical therapy, behavioral therapy (pain psychology), implants, enrollment in a research studies, or even no further clinic treatment. If we recommend certain pain medications, we may ask your primary care physician to assist us in prescribing them, especially once you have achieved a stable dose of medication. We strive to schedule injections or other procedures within two weeks of the initial consultation. If we have an opening in the schedule, we may be able to schedule an injection on the same day of your initial clinic consultation.


How do I become a new patient?

To make an appointment for any of our locations, please call 0705250101

What if I have more pain after my injection?

If you received a therapeutic injection using local anesthetic (numbing medication) and a steroid, it might take three to seven days and occasionally up to two weeks for the steroid to work. If you received only numbing medicine, this is a diagnostic injection, and the pain might return when the numbing medicine wears off. Sometimes pain is not relieved with one injection. Your clinician may recommend additional injections. For steroid injections, we recommend waiting two to four weeks between injections. If you have any additional questions or concerns, please call us at 0705250101

When should I call the doctor urgently? (What is an urgent phone call?)

The office is open Monday – Friday, 8 am – 4 pm, for scheduling appointments or for follow up issues. However, there are times when you should contact your doctor urgently. You should call the doctor immediately and go to the emergency room if you experience severe back pain, numbness or weakness in your legs, or loss of bladder or bowel control after a procedure. Additionally, if you develop a fever or notice any signs of infection (redness, warmth and swelling) near the injection site, call the doctor. You should also call the doctor if you feel you are suffering from a side effect from a medication that the doctor prescribed for you. If at any time, you experience chest pain, difficulty breathing, or feel you are suffering from an allergic reaction

What can I expect at my first visit?

Your first visit will be an initial evaluation that will involve reviewing relevant information such as medical history, medications and previous treatments. You should bring in all relevant medical records, imaging reports and test results. The more information you can provide at this visit, the quicker we can develop an appropriate recommendation for managing your pain. At the first visit, we will talk with you about your medical history and perform a physical exam. We will discuss your pain and describe treatment options with you. You may be asked to have further diagnostic work up or obtain copies of medical notes or reports. With your input, a multi-disciplinary treatment program will be developed to help you return to you! For further information about your first visit, click here.