Frequently Asked Questions
Where are Coastal Spine and Pain Centers located?
Orange Park: 421 Kingsley Avenue, Suite 402, Orange Park, Florida 32073
Northside: 280 Dundas Drive, Jacksonville, Florida 32218
Jacksonville: 11555 Central Parkway, Suite 304, Jacksonville, Florida 32224
Fernandina Beach: 1865 Lime Street, Suite 101, Fernandina Beach, Florida 32034
Middleburg: 3839 County Road 218, Middleburg, Florida 32068
Beaches: 905B Beach Blvd, Jacksonville Beach, FL 32250
Riverside: 1050 Riverside Ave. Suite B. Jacksonville, FL 32204
How do I schedule an appointment with Coastal Spine & Pain Centers?
What can I expect at my first appointment?
You can expect fast, friendly phone schedulers; follow up personnel, clean office environment, pleasant attitude by the staff and your providers.
Where will my treatment occur?
We have 5 office locations to make your trip as short as possible.
What are Coastal Spine & Pain Centers hours?
Our locations are open from 8AM until 5PM.
How do I reach my doctor after business hours?
Our after-hours numbers are the same as the office numbers. The after hour call service will contact your doctor.
How can I pay my Coastal Spine & Pain Centers bill?
For billing questions, please call 904-282-6331 ext.2101.
What insurance does Coastal Spine & Pain Centers accept?
- Workers Comp
- Freedom Health
- United Healthcare
What are interventional spinal procedures?
Interventional spinal procedures are minimally invasive injection techniques performed with needles to relieve pain caused by degenerative changes in or near the neck and back.
Most spinal procedures are performed with the patient lying on the stomach. You may experience a brief prick and some temporary burning that usually lasts only a few seconds while the skin over the injection site is being numbed.
Fluoroscopy (low-dose x-ray) is then used to guide needle placement onto specific locations in your spine. More than one needle is required for some procedures. Medications, usually a combination of steroid and numbing medication, are deposited to decrease pain, inflammation and swelling that often results from arthritis, herniated disks, pinched nerves, and/or compression of the spinal cord. While the injections may help to relieve your pain they will not reverse the degenerative changes in your spine.
Can I eat before my procedure?
If you are going to be sedated or having an anesthetic, you should not eat for six hours, or drink other than sips of water for four hours prior to the procedure. If you have regular medications, take them with sips of water. Diabetic patients should consult their primary care physician to see how to adjust their diabetes medications prior to injections.
Do I need to stop any medications before my procedure?
Medications that thin the blood must be temporarily discontinued before each spinal procedure because they can cause internal bleeding and serious complications. Do not stop these medications without permission and specific instructions from our nursing staff, in conjunction with scheduling your procedure. Blood-thinning medications should be temporarily stopped only with written authorization from the outside physician who prescribed them. Injections will not be performed without authorization to stop blood thinning medications. Baby aspirin (81 mg) taken once daily does not have to be stopped before injections.
Blood thinning medications should be stopped before each procedure for the appropriate length of time as follows:
- Coumadin (warfarin): 5 days
- Plavix (clopidogrel): 7 days
- Pletal, Trental, Aggrenox: 5 days
- Ticlid (ticlopidine):14 days
- Aspirin (325 mg): Must be decreased to 81 mg daily for 10 days
- Non Steroidal Anti Inflammatory Drugs (NSAIDS): 48 hours
- Xarelto and Pradaxa: 48-72 hours
We perform on-site fingerstick INR testing immediately prior to the procedure, to make sure your blood is clotting adequately. Your injection will be cancelled if this test shows that your blood is still too thin.
All blood-thinning medications should be restarted on the day after each procedure. You may continue taking your other medications that do not thin the blood with a small sip of water prior to procedures.
Will I be awake for my procedure?
Yes, although you may be sedated or offered an anesthetic if you wish. Communication between you and our team during the procedure is important.
Why are Steroids used?
Steroids decrease pain by reducing inflammation and swelling of the joints, muscles, nerves, and spinal cord.