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MUSIC | Sleep | Memory
Sleep - it is best to treat the underlying cause (insomnia, pain, anxiety, quiet room , less phone use/change to black and white screen, lack of exercise, etc). Discuss these options with your PCP.
SUPPLEMENTS FOR SLEEP:
Melatonin – 1–3 mg, 30 minutes before bed. Magnesium – 200–400 mg, 30 minutes before sleep.
GABA – 500–750 mg, 30 minutes before bed. L-Theanine – 100–200 mg, 30 minutes before sleep.
Valerian Root – 400–900 mg, 30 minutes before bed. Ashwagandha – 300–500 mg, 1 hr b/f sleep.
Chamomile Extract – 200–400 mg, before bed.
VIDEOS FOR SLEEP: DEEP SLEEP FOR RAINY NIGHT
Ginkgo Biloba – 120–240 mg/day
Boosts circulation, enhances memory and focus.
Mnemonic: “Get Incredible Neurons Keeping Old-time memories.”
Lion’s Mane Mushroom (extract) – 500–1000 mg/day
Stimulates nerve growth and brain regeneration.
Mnemonic: “Learn Information Over New Study.”
Omega-3 Fatty Acids (DHA/EPA) – 1000–2000 mg/day
Supports brain structure and cognitive performance.
Mnemonic: “Our Minds Engage Great Answers.”
Bacopa Monnieri (standardized extract) – 300–600 mg/day
Improves memory, reduces stress, enhances learning.
Mnemonic: “Brain Activity Clearly Operates Properly After.”
Acetyl-L-Carnitine (ALCAR) 🔋 Brain energy & age-related memory Dose: 500–2,000 mg daily (split dose recommended)
ACH PRECURSORS.... Choline (as Alpha-GPC or CDP-Choline) – 250–600 mg/day Essential for neurotransmitters and memory function.
Mnemonic: “Cognitive Highways Operate Logically In Neural Efficiency.”
L-Theanine 🌿 Calm focus, stress reduction Dose: 100–200 mg (often taken with caffeine)
L-Tyrosine ⚡ Focus & memory under stress Dose: 500–2,000 mg (30–60 min before mental tasks)
L-Serine 🧬 Neuroprotection, brain development Dose: 500–2,000 mg daily (studied in neurodegenerative conditions)
Lecithin (Phosphatidylcholine source) 🧠 Supports acetylcholine, brain cell health Dose: 1,200–3,600 mg daily (often in capsules or granules)
music for mood ...
happy, relaxed, et al
AFROBEATS | ALTERNATIVE ROCK MIX | AMBIENTALIST | EVANESCENCE | ANITA BAKER
HANDPAN #2 | HIP-HOP INSTRUMENTALS - 80-90s LOFI 90s | HOUSE - DEEP HOUSE
GOSPEL - I GO TO THE ROCK
ISOLATED | JAZZ | MEDITATION | MIGRAINE |
PORTUGUESE - CALEMA #1 #2 #3
R&B NATHAL ALLEN SAX - R&B CLASSICS
==========================================
Need productivity music to enter THE ZONE | FLOW STATE?
ASMR Calm: ASMR stands for Autonomous Sensory Meridian Response. It's a tingling sensation that some people experience in response to certain visual, auditory, or tactile stimuli. ASMR Calm uses these types of stimuli in their videos, often including ambient music, which can be relaxing and conducive to focus, even if you don't experience ASMR itself.
Chillhop Music: This is the full channel name. They specialize in lofi hip hop, which is popular for studying and working.
Idealism: This is the full channel name. They are known for lofi hip hop mixes that are often used for concentration.
The Sound of Nature: This is the full channel name. They provide nature sounds like rain, ocean waves, and forest sounds.
YellowBrickCinema: This is the full channel name. They offer long classical music pieces and compilations suitable for focus and study.
TYPES OF PAIN -> TESTS -> TREATMENTS
Most Common Types of Pain =
LBP - HAs - Joint - Neuropathic - FBM - Whiplash (acute)
Neck - Abd/Pelvic - Post-Op - CA - Dental/Face | PAIN RESEARCH
XRAY MRI EMG NCV | Cracking Joints | Sciatic N. |
1️⃣ Lower Back Pain (Most Common) | ~30-40% of adults at some point in life | Leading cause of disability worldwide | Causes: Muscle strain, herniated discs, arthritis (Spine | Knee), spinal stenosis.
DX: Spinal Stensosis - Cervical Lumbar
LUMBAR - FACET MBB RFA | ESI (LESI w/o ctr) |TFESI |SACROILIAC JOINT|CAUDAL
CERVICAL- FACET MBB RFA | ESI (CESI w/o ctr) |ONB | TPI |TH-ESI
2️⃣ Headaches & Migraines | ~15-20% of the population regularly [Tension 40% / Migraine 10% ] | Includes tension headaches, migraines, cluster headaches | Causes: Stress, dehydration, neurological disorders, hormonal changes. WHIPLASH (HEADACHE) |
3️⃣ Joint Pain (Arthritis & Osteoarthritis) | ~25% of adults | Common in knees, hips, hands, shoulders | Causes: Aging, wear-and-tear, autoimmune conditions (rheumatoid arthritis).
NON-STEROID TREATMENTS
Topical Treatments
CBD/THC Topicals – Apply 2–3 times daily as needed (20–30 mg per dose).
Diclofenac Gel (Voltaren 1%) – Apply 2–4 g up to four times daily.
Capsaicin Cream (0.025–0.1%) – Apply 3–4 times daily (initial burning sensation expected).
Therapies & Physical Treatments
Acupuncture – 1–2 sessions per week (based on response).
TENS Therapy – Use 15–30 min per session, up to 2–3 times daily.
Paraffin Wax Therapy – Heat wax to 125–130°F, dip hands 5–10 times, wrap, and leave for 15–20 min, repeat daily or as needed.
Hand Exercises – 5–10 min, twice daily (stretching, grip strength, and mobility drills).
Supplements & Natural Remedies
CBD - OTC is supplement - buy only at a reviewed, reputable company - usually 25-50 mg per dose 2-3x per day
Omega-3 (Fish Oil, EPA/DHA) – 1,000–3,000 mg daily.
Curcumin (Turmeric w/ Black Pepper Extract) – 500–1,500 mg daily, divided into 2–3 doses.
Collagen Peptides – 5–10 g daily (powder or capsules).
Magnesium Lotion (or Oral Supplement) – Apply 1–2 times daily OR take 200–400 mg magnesium glycinate orally.
LUPUS | LIVING WITH LUPUS | ANTI-INFLAMMATORY DIET | RESEARCH = CANNABIS AND AUTOIMMUNE DZ CANNABIS AND LUPUS
LUPUS AND DIET | LUPUS + NUTRITION |
4️⃣ Neuropathic Pain (Nerve Pain, Sciatica, Neuropathy) | ~10-15% of the population | Includes sciatica, diabetic neuropathy, post-herpetic neuralgia, carpal tunnel syndrome | Causes: Diabetes, nerve compression, injury, chemotherapy.
5️⃣ Musculoskeletal Pain (Fibromyalgia, Myofascial Pain, Chronic Pain Syndrome) | ~10-12% of adults | Widespread pain, often linked to stress or nervous system dysfunction | Causes: Muscle overuse, central nervous system disorders, psychological stress.
6️⃣ Neck Pain | ~10-12% of adults | Often work-related or posture-related | Causes: Poor posture, whiplash, arthritis, disc herniation.
7️⃣ Abdominal & Pelvic Pain (IBS, Endometriosis, Menstrual Pain) | ~10-15% of the population | Common in women and people with digestive disorders | Causes: Inflammatory conditions, hormonal imbalances, digestive disorders.
8️⃣ Post-Surgical & Post-Traumatic Pain | ~10-15% of surgery patients | Can develop into chronic pain | Causes: Nerve damage, scar tissue formation, inflammation.
9️⃣ Cancer Pain | ~30-50% of cancer patients (70-90% in late-stage cases) | Often severe and persistent | Causes: Tumor growth, nerve compression, chemotherapy side effects.
🔟 Facial & Dental Pain (TMJ, Toothache, Trigeminal Neuralgia) | ~5-10% of the population | Often related to nerve disorders or jaw misalignment | Causes: Tooth decay, jaw misalignment, nerve dysfunction (trigeminal neuralgia).
PHYSICAL THERAPIES
HEADACHES
TMS FOR MIGRAINE | DEPRESSION (5m)
NECK PAIN
CERVICAL COLLAR | NECK - CHIN TUCK
BACK PAIN
PATIENT - LUMBAR BRACE
FOR DOCTORS - LUMBAR SPINE LINE | KNEE BRACE | ROM HINGED BRACE | WRIST BRACE | TLSO | PEAK SCOLIOSIS BRACE |
NEUROPATHY | FOOT PAIN
PATIENT VIDEOS:
PROVIDER VIDEOS
ANKLE BLOCKS - ANATOMY (2m) | BLOCK(8 m) |
ASRA - USE ICE & 30Gs (Replace 25Gs for comfort)
+/- water soluble steroid + 5 ml (Instead of 15 ml, for surgeries)
If PLANTAR FASCIITIS add surgical prep x2, ice, 30g, 2-3 ml
SHOULDER PAIN
SHOULDER PAIN - EXERCISES FOR Shoulder: #1 Mayo | #2 Pendulum
SHOULDER PAIN - SLEEP POSITION #1 #2 #3 #4 (exercises)
PROVIDER VIDEOS
EXAM - SHOULDER ROM UE VIDEO
KNEE PAIN
VIRTURAL REALITY
EXERCISES
FOOT | PLANTAR FACIITIS - EXERCISES #1
INJECTION THERAPY [ PART 1 ]
ASA PHYSICAL STATUS I-VI [ASA READ] NITROX PLUS
Anxiolysis|Sedation|Anesthesia Overview - go to conscious sedation(New!)
SPINE:
CERVICAL- FACET MBB RFA | ESI (CESI w/o ctr) |ONB | TPI |TH-ESI
LUMBAR - FACET MBB RFA | ESI (LESI w/o ctr) |TFESI |SACROILIAC JOINT|CAUDAL
NEVRO - Nevro channel SCS TRIAL [ download print 4 pages] - Detailed/40min
NERVE BLOCKS | TRIGGER POINT:
MIGRAINE NERVE BLOCKS: ONB |SPG block | Botox
UE NERVE BLOCKS | JOINT INJECTIONS
| SHOULDER | ELBOW | WRIST
LE NERVE BLOCKS | INJECTIONS
LATERAL FEMORAL CUT. NERVE
https://thepainsource.com/procedure-lateral-femoral-cutaneous-nerve-block/
KNEE PAIN:
Surgeries - Mobi-c Minimally Invasive TLIF TLIF
Sample info on Artificial Discs
MORE ON NITRONOX ...
AVOID IN 1ST AND 2ND TRIMESTER, OFTEN GIVEN FOR LABOR PAIN.
IT [ PART 2 = REGENERATIVE ]
ANTI-INFLAMMATORY DIET (video)
( CLICK HERE FOR RESOURCES II - ANTI-AGING | ANTI-CANCER | ET AL )
NEW! - Antioxidant Smoothie Ingredients: 1/2 cup blueberries (fresh), 1/2 cup pomegranate seeds (or juice) 🍷, 1/2 cup kale leaves 🥬, 1/4 cup broccoli sprouts (or sub with 1 tsp broccoli sprout powder) 🥦, 1/2 tsp turmeric powder (with a pinch of black pepper for absorption) 🌿, 1/2 tsp Ceylon cinnamon 🌰, 1/2 inch fresh ginger (ginger paste) , 1 cup brewed and cooled green tea or matcha powder (matcha preferred) 🍵, 1/2 banana (optional, for natural sweetness) 🍌, 1/2 cup ice 🧊.
Prostate-Protective Power Smoothie - Blueberries (1/2 cup), pomegranate juice or seeds (1/2 cup), kale leaves (1/2 cup), broccoli sprouts or sprout powder (1/4 cup or 1 tsp), lycopene supplement (10–15 mg, opened or taken before smoothie), turmeric powder (1/2 tsp), black pepper (pinch), Ceylon cinnamon (1/2 tsp), fresh ginger (1/2 inch or 1 tsp paste), brewed and cooled green tea or matcha powder (1 cup or 1/2 tsp), banana (1/2, optional), ice (1/2 cup).
HIGH BLOOD PRESSURE:
Limit high blood pressure (HTN) with daily hibiscus tea (2-3 cups), about 250ml of beet juice, and by following the DASH diet rich in fruits, vegetables, and low sodium.
INSULIN MED
Medical Cannabis | Disposing of Opioids | CBD
Narcan | Using Opioids Safely | Opioid Medication | Ibuprofen | Anti-Anxiety
ANTI-INFLAMMATORY DIET - HEALTHLINE -
CAUSES OF INFLAMMATION (30 MIN)
Understanding Ratios & Potency
CBD:THC ratios show the relative amounts of Cannabidiol (CBD) to Tetrahydrocannabinol (THC). A 1:1 ratio means equal parts; 20:1 means 20 parts CBD per 1 part THC. THC-only primarily contains THC. Potency is the total amount of cannabinoids (like CBD + THC) per volume (e.g., per mL). 1 oz ≈ 30mL.
Potency Examples (Lowest to Highest Total mg/mL)
500mg Total Cannabinoids in 1 oz (approx. 16.7mg per mL)
THC-Only: ≈ 0mg CBD / 16.7mg THC per mL [ HIGHEST POTENCY]
1:1 Ratio: ≈ 8.35mg CBD / 8.35mg THC per mL
10:1 Ratio: ≈ 15.2mg CBD (16.7 * 10/11) / 1.5mg THC (16.7 * 1/11) per mL
20:1 Ratio: ≈ 15.9mg CBD (16.7 * 20/21) / 0.8mg THC (16.7 * 1/21) per mL [ LOWEST POTENCY ]
600mg Total Cannabinoids in 1 oz (20mg per mL)
THC-Only: 0mg CBD / 20mg THC per mL
1:1 Ratio: 10mg CBD / 10mg THC per mL
10:1 Ratio: ≈ 18.2mg CBD (20 * 10/11) / 1.8mg THC (20 * 1/11) per mL
20:1 Ratio: ≈ 19.05mg CBD (20 * 20/21) / 0.95mg THC (20 * 1/21) per mL
In summary, the 500mg/1oz tincture is lower potency overall (~16.7mg/mL) than the 600mg/1oz tincture (20mg/mL). The specific ratio then determines how much of that total potency is CBD versus THC in each milliliter serving.
MENTAL WELLNESS & MEDITATION
Natural Anxiety Options
CBD (25–100 mg/day) – Available in drops/tinctures; helps calm the brain and reduce anxiety.
L-Theanine (200–400 mg/day) – From green tea; promotes calm focus without making you drowsy.
Magnesium (200–400 mg/day) – A calming mineral that helps your body and brain relax.
Ashwagandha (300–600 mg/day) – A natural root that lowers stress hormones like cortisol.
Rhodiola (200–400 mg/day) – Helps your body stay strong under stress and boosts mental energy.
Lemon Balm (300–600 mg/day) – A gentle herb that soothes anxiety and helps with sleep.
MEDITATION VIDEOS
MORE ADVANCED | 2 HR VIDEO
STATISTICS ON MENTAL HEALTH
Anxiety Disorders: Approximately 19.1% of U.S. adults experience anxiety disorders annually.
Specific Phobias: Affect about 9.1% of U.S. adults annually.
Major Depressive Disorder: About 8.3% of U.S. adults have had at least one major depressive episode in the past year.
Social Anxiety Disorder: Approximately 7.1% of U.S. adults experience social anxiety disorder each year.
Attention-Deficit/Hyperactivity Disorder (ADHD): While often associated with children, ADHD affects about 4.4% of U.S. adults.
Post-Traumatic Stress Disorder (PTSD): Experienced by about 3.6% of U.S. adults annually.
Bipolar Disorder: Affects approximately 2.8% of U.S. adults each year.
Generalized Anxiety Disorder (GAD): Affects about 2.7% of U.S. adults annually.
Panic Disorder: Approximately 2-3% of U.S. adults experience panic disorder in a given year.
Obsessive-Compulsive Disorder (OCD): Approximately 1.2% of U.S. adults are affected each year.
EDUCATIONAL VIDEOS
Generalized Anxiety Disorder (GAD) Living With Social Anxiety Disorder Anxiety in Children
Phobia (Specific) Social Anxiety Disorder (Social Phobia)
Depression Living With Depression Depression in Children Psychotherapy (Talk Therapy)
Cognitive Behavioral Therapy (CBT)
Attention Deficit Hyperactivity Disorder (ADHD) in Adults (ADHD in Children)
Post Traumatic Stress Disorder (PTSD)
Bipolar Disorder (Overview) Living With Bipolar Disorder Panic Disorder
Panic Attack | Obsessive-Compulsive Disorder (OCD)
Clinical Trials for Mental Health Research Traumatic Events and Mental Health
Substance Use Disorders and Mental Health Taking Care of Your Mental Health in College
Mental Illness Mental Illness Warning Signs Cognitive Behavioral Therapy (CBT)
Getting the Most From Talk Therapy | Medical Marijuana (Medical Cannabis)
AWARENESS MONTHS
January
Mental Wellness Month: Recognized by organizations such as Mental Health America (MHA) and the National Alliance on Mental Illness (NAMI).
February
National Eating Disorders Awareness Week: Promoted by the National Eating Disorders Association (NEDA).
Rheumatoid Arthritis Awareness Day (February 2): Recognized by the Rheumatoid Patient Foundation.
March
Self-Harm Awareness Month: Supported by various mental health organizations to raise awareness about self-injury.
Dissociative Identity Disorder Awareness Day (March 5): Acknowledged by mental health advocacy groups.
Brain Injury Awareness Month: Led by the Brain Injury Association of America (BIAA).
April
Stress Awareness Month: Recognized by health organizations to highlight the impact of stress.
World Semicolon Day (April 16): Supported by mental health advocates to symbolize hope and love for those struggling with mental health issues.
May
Mental Health Awareness Month: Initiated by Mental Health America (MHA) in 1949.
National Anxiety Month: Recognized by organizations focusing on anxiety disorders.
Children’s Mental Health Awareness Week: Promoted by the National Federation of Families for Children’s Mental Health.
Arthritis Awareness Month: Led by the Arthritis Foundation.
International Fibromyalgia Awareness Day (May 12): Supported by the National Fibromyalgia Association.
International May 12th Awareness Day: Recognized by organizations focusing on ME/CFS and related conditions.
June
National Migraine and Headache Awareness Month: Promoted by the National Headache Foundation.
Pride Month: Celebrated by LGBTQ+ organizations and allies.
National PTSD Awareness Month: Recognized by the U.S. Department of Veterans Affairs.
July
Bebe Moore Campbell National Minority Mental Health Awareness Month: Established by NAMI to highlight mental health disparities.
International Self-Care Day (July 24): Promoted by the International Self-Care Foundation.
September
Suicide Prevention Awareness Month: Recognized by organizations like the American Foundation for Suicide Prevention (AFSP).
Pain Awareness Month: Led by the American Chronic Pain Association.
Rheumatic Disease Awareness Month: Promoted by the American College of Rheumatology.
National Spinal Cord Injury Awareness Month: Recognized by the United Spinal Association.
October
Mental Illness Awareness Week (First full week of October): Established by NAMI.
World Mental Health Day (October 10): Observed by the World Health Organization (WHO).
National Depression Screening Day: Promoted by Screening for Mental Health, Inc.
November
National Family Caregivers Month: Recognized by the Caregiver Action Network.
Transgender Awareness Week (November 13–19): Supported by GLAAD and other LGBTQ+ organizations.
International Survivors of Suicide Loss Day: Organized by the American Foundation for Suicide Prevention (AFSP).
Note: World Semicolon Day is observed annually on April 16 to raise awareness about mental health, suicide prevention, and self-injury. It also recognizes people who have survived suicide and those who are struggling with mental illness.
What is the significance of the semicolon?
The semicolon represents a choice to continue living, rather than ending one's life.
The semicolon separates two clauses, rather than ending one, which symbolizes hope and perseverance.
RESOURCES
Self-Help Groups
Self-Help Groups
Additional Resources
Additional Resources
Treatment Quitline: (800) 227-2345
Center for Substance Abuse Prevention (CSAP)
Center for Substance Abuse Treatment (CSAT)
Controlled Substance Schedule
Johnson Intervention Support
National Association of Alcoholism and Drug Abuse Counselors
NIDA Notes Newsletter
Principles of Drug Addiction Treatment: A Research Guide
Safe and Drug-Free Schools Program
Drug Abuse Warning Network
Smoking, Vaping, and Tobacco-Related Resources
Smoking, Vaping, and Tobacco-Related Resources
Toll-Free Quitlines:
Florida Department of Health: 1-877-U-CAN-NOW (1-877-822-6669)
The American Cancer Society: 1-800-227-2345
Local and state quitlines: 1-800-QUIT-NOW
Web Resources:
Smokefree.gov – Step-by-step quit smoking guides, SmokefreeTXT mobile service
CERVICAL FACET PATTERNS
CERVICAL FACET PATTERNS
CERVICAL FACET PATTERNS
CERVICAL FACET PATTERNS
DISC BULGE VS HERNATION
Disc Bulge (DB) – Mild <3 mm, Moderate 3-5 mm, Severe >5 mm | ICD-10: M51.26 (L), M50.30 (C), M51.24 (T)
Disc Herniation (DH) – Protrusion 2-6 mm, Extrusion >6 mm | ICD-10: M51.26 (L), M50.20 (C), M51.24 (T)
Central Canal Stenosis (CCS) –
C-spine <10 mm (severe), 10-13 mm (moderate);
L-spine <12 mm (severe), 12-15 mm (moderate) | ICD-10: M48.02 (C), M48.04 (T), M48.06 (L)
Foraminal Stenosis (FS) – Significant narrowing <3 mm | ICD-10: M99.33 (C), M99.34 (T), M99.35 (L)
Facet Hypertrophy (FH) – Thickening >3 mm | ICD-10: M47.812 (C), M47.814 (T), M47.816 (L)
Ligamentum Flavum Hypertrophy (LFH) – Thickening >2-4 mm | ICD-10: M47.12 (C), M47.14 (T), M47.16 (L)
Spondylolisthesis (SPL) – Grade I: 0-25%, Grade II: 26-50%, Grade III-IV: >50% | ICD-10: M43.12 (C), M43.14 (T), M43.16 (L)
Spondylosis (SP) – Degenerative disc changes with osteophytes (1-3 mm) | ICD-10: M47.812 (C), M47.814 (T), M47.816 (L)
Osteophyte Complex (OC) – Bone spurs contributing to narrowing | ICD-10: M25.78 (C/T/L)
Thoracic Kyphosis (TK) – Hyperkyphosis >40-45° curvature | ICD-10: M40.09
Lumbar Lordosis Abnormality (LLA) – Loss of normal curvature | ICD-10: M40.56
Thoracic/Lumbar Radiculopathy (TR/LR) – Nerve root compression | ICD-10: M54.16 (L), M54.14 (T), M54.12 (C)
Cervical Myelopathy (CM) – Spinal cord compression | ICD-10: M47.12
OTC TOPICALS | KNEE PAIN | NEUROPATHY
OTC TOPICALS (CHECK WITH YOUR PRIMARY CARE DOCTOR PRIOR TO STARTING)
Menthol: Apply thin layer, 3–4x/day
Methyl Salicylate: No heat pads, 3x/day,
Lidocaine Patch: 12 hrs on, 12 hrs off,
Lidocaine Cream: Thin layer, max 4x/day
Diclofenac Upper: 2g, 4x/day, max 8g, Diclofenac Lower: 4g, 4x/day, max 16g, Diclofenac: Use card, not with NSAIDs
Capsaicin: Use 3–4x/day, not eyes, Capsaicin: Burning normal, consistent use needed
Camphor: Avoid broken skin, apply 3x/day
KNEE PAIN:
Diclofenac (Topical or Oral)
Diclofenac is a potent NSAID, inhibiting COX-1 and COX-2 enzymes, reducing prostaglandin synthesis, and alleviating pain and inflammation in knee structures.
Ice (Cryotherapy)
Cryotherapy reduces cellular metabolism, vasoconstricts blood vessels, and decreases inflammatory mediator release, effectively reducing acute swelling, pain, and tissue damage post-injury.
Compression (Knee Sleeves or Wraps)
Compression supports joint stability, minimizes swelling through fluid restriction, improves proprioception, and enhances venous return, promoting quicker recovery post-injury.
Elevation
Elevation enhances lymphatic drainage and venous return by leveraging gravity, reducing extravascular fluid accumulation, and mitigating localized inflammation and edema in the knee.
Platelet-Rich Plasma (PRP) Injections
PRP utilizes autologous concentrated platelets to release growth factors like PDGF and TGF-β, accelerating tissue regeneration, reducing inflammation, and promoting cellular repair in knee injuries.
Corticosteroid Injections
Corticosteroids inhibit pro-inflammatory cytokines, reducing synovial inflammation, suppressing immune response, and providing analgesic effects, particularly for acute inflammatory flare-ups in knee injuries.
BLOOD THINNERS & PROCEDURES
**** Important Reminder ****
**** Important Reminder ****
Do not stop taking your anticoagulant until you have been cleared to do so by the medical provider prescribing that medication.
Anticoagulants
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
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)
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
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.
ANTICOAGULANTES y PROCEDIMIENTOS
**** Recordatorio Importante ****
No deje de tomar su anticoagulante hasta que haya sido autorizado por el proveedor médico que le recetó ese medicamento.
Anticoagulantes
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
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)
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
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.
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. 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.
AAPC | ICD-10 | CPT
AAPC | ICD-10 | CPT
https://thepainsource.com/icd-10-codes-for-physical-medicine-and-pain-management/
https://thepainsource.com/homepage/cpt-codes-pmr-pain-management-billing-and-coding/
SI JOINT INJECTION = 27096 + 77002 [ see aapc above, medicare , pain source ]
BILLING | CODING - INJECTIONS V04.23.2025
PAIN CPT CODES - PAIN SOURCE
American Academy of Professional Coders = AAPC | icd-10 / cpt codes / modifier 51 v 59
New Patient Visits [ 15 MIN ]
99201: Total time = 0 -14 minutes ✅ 99202: Total time = 15-29 minutes ✅
99203: Total time = 30-44 minutes ✅ 99204: Total time = 45-59 minutes ✅
99205: Total time = 60-74 minutes (must meet or exceed)
(Note: For 99205, additional time beyond 74 minutes can use prolonged service codes like 99417.)
Established Patient Visits: [10 MIN ]
99211: Total time = 0 - 9 minutes ✅ 99212: Total time = 10-19 minutes ✅
99213: Total time = 20-29 minutes ✅ 99214: Total time = 30-39 minutes ✅
99215: Total time = 40-54 minutes (must meet or exceed)
(Note: For 99215, if the time exceeds 54 minutes, prolonged service codes like 99417 may apply.)
Important Notes:
2021 E/M Coding Rules: Time includes both face-to-face and non-face-to-face activities on the day of the encounter (e.g., charting, reviewing records, communicating with the patient).
Prolonged Service Codes: For time exceeding these limits, CPT codes like 99417 or HCPCS code G2212 (Medicare-specific) should be added to account for prolonged services.
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