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Board Certified Anesthesiologist
Fellowship Trained Interventional Pain Specialist
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INJECTION VIDEOS
THORACIC = EPIDURAL HERNIATED DISC KYPHOSIS
LUMBAR FACET LUMBAR MEDIAL BRANCH BLOCK -> LUMBAR RFA
VIDEOS: PAIN | VIEWMEDICA VIDEOS | PAIN MANAGEMENT
| IMG | Dr Newton (1st Website site)
CAREGIVERS:
MORE INJECTION VIDEOS
HEADACHE = OCCIPTIAL NERVE BLOCK
MUSCLE SPASMS = TRIGGER POINT
KNEE = KNEE INJECTION PRP STEM CELLS
DIAGNOSES
DX TESTS XRAY, MRI, CT EMG/NCT
MORE VIDEOS HERE V10.13
CLINICS:
New Patient (99202–99205): No visit within 3 years. Time/complexity drives code:
99202 = 15–29 min 99203 = 30–44 99204 = 45–59 99205 ≥ 60 min.
Established (99212–99215): Seen within 3 years.
99212 = 10–19 min 99213 = 20–29 99214 = 30–39 99215 ≥ 40 min.
Use 25 modifier for E/M + procedure same day.
Medical necessity: pain causing measurable loss (ROM, ADL, work), imaging correlation, and failure of conservative care ≥ 6 weeks (PT, NSAIDs).
Example: persistent L5 radiculopathy despite PT → qualifies for ESI (meets medical necessity).
Need a presentation or education?
Anesthesia Pain Topics
Opioid Alternatives - Pain Diagnosis
Medical Cannabis - Pain Treatments
Contact: DrTerelNewton@gmail.com
Disclaimer: Information provided is for reference only and does not imply affiliation or endorsement with the mentioned individuals, companies, products, services, treatments, and websites. For informational purposes only - contact your medical provider for health and medical advice. Content accuracy, completeness, and timeliness are not guaranteed. Inclusion of information and websites does not constitute endorsement. Users should exercise caution when accessing external content. The third party links are not under our controlled and we do not monitor them so we cannot be responsible for any damages from using those links. See your medical, legal, finance, tax, spiritual and other professionals for discussion, guidance, planning, recommendations and greater understanding of the risks, benefits, options and ability to apply any information to your situation.
Relaxation Music: Afro Beats Sax N. Allen I NAllen II ENYA 90s
Brain FM Green💡 EDM Focus Focus/work
Neo Soul Bachata Luke Combs | Mix Calema (Port) EM FOREST
1. Popular Music (Uplifting & Familiar Energy)
Commercial, feel-good songs with steady beats and optimistic lyrics that reduce stress through familiarity and rhythm.
Avicii – Wake Me Up → https://youtu.be/IcrbM1l_BoI
Coldplay – Viva La Vida → https://youtu.be/dvgZkm1xWPE
Maroon 5 – Sunday Morning → https://youtu.be/S2Cti12XBw4
Ed Sheeran – Perfect (Acoustic Version) → https://youtu.be/2Vv-BfVoq4g
🎧 Purpose: Enhances mood and distraction through melody and memory association.
2. Jazz / Blues (Smooth & Engaging Flow)
Warm harmonies and gentle swing patterns that promote relaxation while keeping the mind lightly engaged.
Miles Davis – So What → https://youtu.be/zqNTltOGh5c
Dave Brubeck – Take Five → https://youtu.be/vmDDOFXSgAs
Norah Jones – Don’t Know Why → https://youtu.be/tO4dxvguQDk
Louis Armstrong – What a Wonderful World → https://youtu.be/CWzrABouyeE
🎷 Purpose: Encourages steady breathing and soothing focus.
3. Folk / Acoustic (Grounded & Comforting)
Simple harmonies and heartfelt lyrics that evoke calm, nostalgia, and emotional grounding.
Simon & Garfunkel – The Sound of Silence → https://youtu.be/4zLfCnGVeL4
Fleetwood Mac – Landslide → https://youtu.be/WM7-PYtXtJM
John Denver – Annie’s Song → https://youtu.be/_pJUe3y3gD4
Tracy Chapman – Fast Car → https://youtu.be/uTIB10eQnA0
🎵 Purpose: Creates a sense of safety and connection during uncomfortable procedures.
4. World / Regional Music (Warm, Rhythmic, Soulful)
Vibrant yet gentle rhythms from global traditions that elevate energy without overstimulation.
Bob Marley – Three Little Birds → https://youtu.be/LanCLS_hIo4
Celia Cruz – La Vida Es Un Carnaval → https://youtu.be/WXzFCS8Fz6E
Enya – Only Time → https://youtu.be/7wfYIMyS_dI
Shakira – Suerte (Whenever, Wherever) – Instrumental → https://youtu.be/WE1zJ2M5DBs
🌍 Purpose: Combines gentle rhythm and emotion to foster calm alertness and positivity.
5. Classical / Instrumental (Structured Calm & Focus)
Scientifically linked to lower heart rate and reduced stress—ideal for procedure rooms.
Vivaldi – The Four Seasons: Spring (Adagio Version) → https://youtu.be/GRxofEmo3HA
Beethoven – Moonlight Sonata (1st Movement) → https://youtu.be/4Tr0otuiQuU
Debussy – Clair de Lune → https://youtu.be/CvFH_6DNRCY
Pachelbel – Canon in D → https://youtu.be/NlprozGcs80
🎻 Purpose: Brings predictable structure and peaceful ambience to support patient comfort.
DISCUSS WITH YOUR DOCTOR 1ST ( Blood thinners | English )
https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/022307s002lbl.pdf
The half-life of Effient (prasugrel) is approximately 7 hours (range 2–15 hours), based on the elimination half-life of its active metabolite.[1] This is substantially shorter than the half-life of warfarin (36–48 hours), and also shorter than the half-lives of the direct oral anticoagulants previously discussed: dabigatran (12–17 hours), apixaban (9–14 hours), rivaroxaban (5–13 hours depending on age), and betrixaban (19–27 hours).[1-6]
**** Important Reminder - FOR REFERENCE ONLY
SEEK INSTRUCTIONS FROM YOUR DOCTORS ****
***For Spine AND HIP INJECTIONS - here are instructions to stop bloodthinners.
For SI joint injections - no need to stop your blood thinner.
Do not stop taking your anticoagulant until you have been cleared to do so by the medical provider prescribing that medication.
Anticoagulants
Coumadin (warfarin): Stop 5 days before procedure; INR must be obtained on the day of the procedure.
Pradaxa (dabigatran): Stop 4 days before procedure.
Eliquis (apixaban): Stop 3 days before procedure.
Xarelto (rivaroxaban): Stop 3 days before procedure.
Bevyxxa (betrixaban): Stop 6 days before procedure.
Antiplatelets / Platelet Inhibitors
Aspirin / Excedrin (any dose “baby” or otherwise): Stop 7 days before procedure.
Plavix (clopidogrel): Stop 7 days before procedure.
Effient (prasugrel): Stop 10 days before procedure.
Ticlid (ticlopidine): Stop 5 days before procedure.
Pletal (cilostazol): Stop 2 days before procedure.
NSAIDs (Nonsteroidal Anti-inflammatory Drugs)
Advil (ibuprofen): Stop 1 day before procedure.
Arthrotec (diclofenac): Stop 1 day before procedure.
Indomethacin: Stop 2 days before procedure.
Lodine (etodolac): Stop 2 days before procedure.
Mobic (meloxicam): Stop 4 days before procedure.
Aleve (naproxen): Stop 4 days before procedure.
Relafen (nabumetone): Stop 6 days before procedure.
Feldene (piroxicam): Stop 10 days before procedure.
Supplements
Fish oil: Stop 6 days before procedure.
Garlic: Stop 7 days before procedure.
Vitamin E: Stop 7 days before procedure.
Turmeric: Stop 7 days before procedure.
Again, confirm these timelines with the provider who prescribed your medication.
**** Recordatorio importante - SOLO PARA REFERENCIA
BUSQUE INSTRUCCIONES DE SU MÉDICO ****
Para inyecciones en la columna vertebral Y la cadera – aquí están las instrucciones para suspender anticoagulantes.
Para inyecciones en la articulación sacroilíaca (SI) – no es necesario suspender su anticoagulante.
No deje de tomar su anticoagulante hasta que haya sido autorizado por el proveedor médico que le recetó ese medicamento.
Anticoagulantes
Coumadin (warfarina): Suspenda 5 días antes del procedimiento; el INR debe obtenerse el día del procedimiento.
Pradaxa (dabigatrán): Suspenda 4 días antes del procedimiento.
Eliquis (apixabán): Suspenda 3 días antes del procedimiento.
Xarelto (rivaroxabán): Suspenda 3 días antes del procedimiento.
Bevyxxa (betrixabán): Suspenda 6 días antes del procedimiento.
Antiplaquetarios / Inhibidores de Plaquetas
Aspirina / Excedrin (cualquier dosis “baja” o normal): Suspenda 7 días antes del procedimiento.
Plavix (clopidogrel): Suspenda 7 días antes del procedimiento.
Effient (prasugrel): Suspenda 10 días antes del procedimiento.
Ticlid (ticlopidina): Suspenda 5 días antes del procedimiento.
Pletal (cilostazol): Suspenda 2 días antes del procedimiento.
AINEs (Antiinflamatorios No Esteroides)
Advil (ibuprofeno): Suspenda 1 día antes del procedimiento.
Arthrotec (diclofenaco): Suspenda 1 día antes del procedimiento.
Indometacina: Suspenda 2 días antes del procedimiento.
Lodine (etodolaco): Suspenda 2 días antes del procedimiento.
Mobic (meloxicam): Suspenda 4 días antes del procedimiento.
Aleve (naproxeno): Suspenda 4 días antes del procedimiento.
Relafen (nabumetona): Suspenda 6 días antes del procedimiento.
Feldene (piroxicam): Suspenda 10 días antes del procedimiento.
Suplementos
Aceite de pescado: Suspenda 6 días antes del procedimiento.
Ajo: Suspenda 7 días antes del procedimiento.
Vitamina E: Suspenda 7 días antes del procedimiento.
Cúrcuma: Suspenda 7 días antes del procedimiento.
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