Aathi Thiyaga, M.D - HARVARD Fellowship trained spine & pain management specialist caring for greater Greenville patients since 2002.

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Pain Management close to home:

Offices in Anderson, Easley-Piedmont and Greenville, SC.

Call: 864 373-PAIN(7246) Fax: 864 286 3077

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Patient Discharge Instructions:

You will be observed for about 30 minutes in the recovery room for any evidence of side effects. You will be discharged with your escort to drive you home. The night of the procedure, it is common to experience some discomfort from the site of the injection. Application of an ice pack or cold compress to the area and use of your regular pain medication is usually effective in controlling your pain. Response to the injection is variable. Some patients get rapid relief at the time of the procedure. Others may experience improvement over the course of a 1-2 days.


Every precaution is taken during the procedure to prevent any adverse reactions. If you experience any of the following symptoms after the injection, you should call Dr Thiyaga's office at 864 373 7246. If unsuccessful in reaching him immediately go to your local emergency room if the symptoms are severe:


  • Fever with shaking chills

  • New and Severe headache (especially if the headache worsens with standing and gets better when lying flat. If you have new and severe pounding headache, take plenty of fluids / caffeine containing drinks such as coke, sprite, tea, coffee. Lie flat. If headache persists for more than 48 hours call us for a possible “ epidural blood patch procedure”)

  • Nausea and/or vomiting

  • New or worsening arm/leg numbness and/or weakness

  • New or worsening bladder and/or bowel incontinence (inability to hold urine or bowel movement)

  • Difficulty in breathing

  • Severe worsening of your pain


** Note- as stated earlier, it is common to experience new discomfort from the site of injection over 1-2 days after the procedure.

You may take over-the-counter pain medications to relieve the procedure related pain, if any. Please do not make any other changes to your pain medication schedule before your follow up visit after the procedure. Changes in your medications make it difficult to monitor your response to the injection.


It is very important to keep a written record of your pain relief, following the injection. The amount of pain relief, as well as the length of time you experience relief in hours or days, are both important details for your physician to review with you during your follow up visit in the office after the procedure. A follow up visit is usually arranged by calling us 2-3 weeks after the spinal procedure. If your pain is under control, future plan could be discussed over the phone. If you continue to have any unresolved pain we may request you to make an appointment to follow up with Dr. Thiyaga. The follow up appointment is to explore additional options to maximize your treatment plan. Please give us minimum 24 hour notice to cancel your follow up appointment. Sometimes, a second spinal procedure could be scheduled without a follow up appointment. The second spinal procedure may direct medication towards a different site. Occasionally we may advice regarding the third spinal procedure.


The pain diary is an important tool which helps us to understand the progress of our treatment. Try to quantify; for example 30% or 70% improvement. You can also  keep track of your pain by rating it on a scale of 1-10, with 1 being little or no pain, and 10 being the worst possible pain. Please add additional comments on a daily basis. Remember to bring the pain diary to your follow up appointment.

  • DRIVING: You may not drive for the remainder of the day after the procedure.

  • BATHING: No tub bath and no heating pad for the remainder of the day. You may shower tonight.

  • ACTIVITY: Do not overdo today. You may perform normal activities that are not strenuous. Band-aids  may be removed the morning after the procedure.

  • DIET: You may eat as usual unless instructed differently by your doctor.

  • MEDICATIONS: You may take all your medications as usual.





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Last modified: November 11, 2012anderson clemson piedmont pain  management palmetto carolina comprehensive st francis memorial hospital spine neck back fibromyalgia Easley Liberty Pickens Upstate Anmed