Keefer Medical Imaging: #205 - 180 Keefer St., Vancouver

Robson Sq. Medical Imaging: #820 - 777 Hornby St., Vancouver

Appointments: (604) 688-9428   Fax: (604) 688-5123

Pain Management

Fluoroscopy guided steroid injections are non-operative, outpatient procedures designed to provide pain relief for patients. The procedure contains the injection of steroids and local anesthetics, with the guidance of medical imaging techniques.

Steroid injections are commonly used to treat pain conditions, but poorly located injections have poor efficacy. Ultrasound or Fluoroscopy guidance helps overcome this issue by locating the intended joint and inject numbing and anti-inflammatory medications with maximum accuracy.

Steroids are a class of medications that are related to cortisone. Steroids have a powerful anti-inflammatory action. They are used to reduce the inflammation caused by a variety of diseases.

How to Prepare for a Pain Management Procedure:


  • No specific diet required for this examination.
  • Continue taking all of your current medications. Except the following: (After consultation with your treating physician) Stop taking anticoagulant drugs or blood thinner medications such as Plavix, Coumadin, Warfarin, Pradaxa, Xarelto, Eliquis 2-5 days prior to the procedure. If already on Aspirin you could continue. Bring a list of your current medications to your appointment.
  • Examination cannot be done if you have an active infection or are on treatment for one.
  • You must bring your own CORTICOSTEROID to your appointment.
  • We recommend planning arrangements for a safe ride home.
  • Avoid performing any dynamic activities using the injured area for 2 days following your injection, or as instructed by your doctor.
  • If you experience severe pain, fever, chills, infection, or develop numbness in your limbs after the injection, contact your doctor immediately.