Frequently Asked Questions
Below you will find frequently asked question as it pertains to personal injury cases. These are generic answers to generic questions and should not be construed as legal advice since your case may be different with different variables. If you feel like you have a case, the best idea is to speak directly to Attorney Javier Marcos to see if you have a valid case.
- NO! You should NOT talk with the insurance company, let Attorney Javier Marcos & Associates take care of talking to them.
If not, you could give information which the insurance company or the company you work for will you use against you to give you the minimum amount of money.
- The insurance company or the company where you were hurt are not your friends, they are your enemies.
- You are the victim in this accident.
- Don’t trust anyone, speak only with Attorney Javier Marcos & Associates.
- Do not accept money from anyone, speak with Attorney Javier Marcos & Associates.
- Since he will see to it that the amount of money that they offer you is the fair amount that you deserve.
- We work on a contingency basis which means we only get paid if we win your case
- You do not pay us up front. We only get a percentage of the compensation we earn for you.
- Not all personal injury lawyers are the same. We work hard to maximize the settlement amount for you.
- We are available to you 24 hours a day, seven days a week all year long. Accidents can happen at any time so we are available any time.
- We have two offices, one in Houston midtown and one in north Houston. We can also come to you or provide a virtual video meeting at your convenience. Contact us 24/7
- We can come to wherever you are, whether that is at home or at the hospital.
- We can provide virtual meetings via an online video conference using a smartphone, tablet or laptop
- We are always available by phone, Whatsapp or FaceTime.
Your Call is Important
If you’ve suffered an accident, you have a right to file a lawsuit to recover your losses, medical expenses, treatment, pain & suffering, lost wages, inability to work or function, property damages, and others. It’s important that you quickly call Attorney Javier Marcos & Associates so that you can commence your medical treatment, do not worsen your legal position, preserve evidence, and learn your rights. Attorney Free Consultation is provided by Javier Marcos and Associates, your information is 100% confidential and we’ll visit the accident site, your home, or the hospital.
Pain Management Guidelines
ALL CONSULTATIONS: Patient must bring photo ID and arrive 15 minutes early. Patient must also bring a list of their medications.
PROCEDURE DAY: If you do not follow the guidelines, we may not be able to proceed with scheduled procedure.
- Patient must bring photo ID and arrive 15 minutes early.
- Patient must bring a driver.
- Patient must stop taking blood thinners 6 days before the procedure day. Common blood thinners are alcohol, Aspirin, Ibuprofen, Advil, Excedrin, Bayer, Motrin.
- Do NOT consume food or drinks 6 hours before the injection.
- Patient must not be pregnant and/or breastfeeding.
- Patients with high blood pressure or diabetes should continue their medications and may take their medications with a small amount of water the day of the procedure.
Pain Management 101
How Injections Relieve Back Pain
For pain relief, injections can be more effective than an oral medication because they deliver medication directly to the anatomic location that is generating the pain. Typically, a steroid medication is injected to deliver a powerful anti-inflammatory solution directly to the area that is the source of pain. Depending on the type of injection, some forms of low back pain relief may be long lasting and some may be only temporary.Different Kinds of Injections for Pain Relief
Common types of injections for back pain relief include:- Epidural steroid injection
- Selective nerve root block (SNRB)
- Facet joint block
Medical Representations
Please be aware that the information provided on this sheet is to supplement the care provided by your physician. It is not intended nor implied to be a substitute for professional medical advice.Epidural Steroid Injection
An epidural steroid injection is a very common procedure with a long history of safety and success. The epidural space is a small space conveniently located next to the spinal fluid, the spinal cord, and the nerve roots. Steroid and local anesthetic medication, when injected into the epidural space, can help to calm inflamed nerve roots and other structures. When conservative therapy has failed, an epidural steroid injection can accelerate the healing process and facilitate a return to work or previous activities. In order to achieve maximum effect, often repeated injections are needed – typically three injections over 3 months. Side effects of Epidural Steroid Injections are rare and your physician will discuss them with you. You will be asked to sign a written consent prior to the procedure. Please make sure you fully understand the risks and benefits of any procedure prior to signing the consent form. Epidural steroid injections, as with most other procedures, are performed in our in-office fluoroscopy suite. X-ray or fluoroscopy is used for nearly all injections. Intravenous sedation is typically not offered but a mild oral sedative may be offered, depending on your medical condition. You will not be able to drive following your procedure, so please make arrangements for transportation. You may resume normal activities the day after the procedure, unless otherwise directed by your physician. It may take a week or more for you to feel relief. While some patients will require more advanced interventions, an epidural steroid injection is a very common, simple, and relatively safe procedure. Please contact our office if you have additional questions regarding this procedure.Selective Nerve Root Block (SNRB)
In an SNRB, the nerve is approached at the level where it exits the foramen (the hole between the vertebral bodies). The injection is done both with a steroid (an anti-inflammatory medication) and lidocaine (a numbing agent). Fluoroscopy (live X-ray) is used to ensure the medication is delivered to the correct location. If the patient’s pain goes away after the injection, it can be inferred that the back pain generator is the specific nerve root that has just been injected. Following the injection, the steroid also helps reduce inflammation around the nerve root.Facet Joint Block
In cases where the facet joint itself is the pain generator, a facet block injection can be performed to alleviate the pain. Facet block injections are a diagnostic tool used to isolate and confirm the specific source of back pain for the patient. Additionally, facet blocks have a therapeutic effect as they numb the source of pain and soothe the inflammation for the patient. The facet joints are paired joints in the back that have apposing surfaces of cartilage (cushioning tissue between the bones) and a surrounding capsule. Twisting injuries can cause damage to one or both facet joints, and cartilage degeneration associated with aging may also cause pain. In a facet block procedure, a physician uses fluoroscopy (live X-ray) to guide the needle into the facet joint capsule to inject lidocaine (a numbing agent) and/or a steroid (an anti-inflammatory medication). If the patient’s pain goes away after the injection, it can be inferred that the pain generator is the specific facet joint capsule that has just been injected. If the facet block procedure is effective in alleviating the patient’s low back pain, it is often considered reasonable for the procedure to be done up to three times per year. There are very few risks associated with this technique.Practice Areas
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Schedule your free video or in-person consultation today. We can come to you or come by our office.
Principal Location
Javier Marcos 45 North Freeway
10700 North Fwy
Houston, TX 77037
Phone: (713) 999-4444
Satellite Location
Javier Marcos Westheimer
228 Westheimer Rd
Houston, TX 77006
Phone: (713) 999-4444
FREE CASE EVALUATION
(713) 999-4444
Let's Get Started
Schedule your free video or in-person consultation today. We can come to you or come by our office.