Dr. Bethea has worked with nurse case managers, adjusters, worker's compensation carriers, vocational rehab professionals, risk management teams, and employers, since August 2007, to return workers, who were injured on the job, back to work full time, and in an efficient manner. Dr. Bethea's treatment approach does not involve opioid (narcotic) controlled substances. She believes that this family of medications causes more harm, than good, to injured workers long term. Fortunately, other treatment options exist. Non-narcotic (non-opioid) medications, topical or oral, are available as adjuncts to modalities such as physical therapy, acupuncture, rolfing, injections, biofeedback, neuromuscular reeducation, cognitive behavioral therapy, essential oils, etc.
Dr. Bethea treats pain related to the following conditions:occipital neuralagia (head +/-neck), post-concussive headaches, radiculopathy, myelopathy, spinal stenosis, facet joint arthropathy & hypertrophy, disc bulges, annular disc tears, disc protrusions, disc extrusions, spondylolysis, spondylolisthesis, peripheral joint and spinal fractures, rotator cuff pathology, meniscal tears, labral tears, sprains, strains, complex regional pain syndrome, and sacroiliac joint pathology. Please call the office if further clarification is needed regarding what Dr. Bethea treats.
Dr. Bethea performs head, neck, back, muscle, soft tissue, and peripheral joint injections, when they are indicated. Injections are not appropriate for all injured workers.
The following procedures are examples of treatments performed in the office: Peripheral Joints ( shoulders, hips, knees, thumbs, etc.); Muscle; Peripheral Nerves (median, superficial radial, ulnar, common peroneal, etc.); Facet Joints, Medial & Dorsal Ramus Branch Blocks, Sacroiliac Joints (SI Joints), Radiofrequency Ablation (RF and aka thermal denervation), Occipital Nerve Blocks (Greater, Lesser, & Third), Epidural (Selective Nerve Roots [Transforaminal Epidural] or Midline Intralaminar [Translaminar] Approach); Sympathetic Nerve Blocks (Cervical & Lumbar) and Spinal Cord Neurostimulation Trials (SCST). Dr. Bethea refers patients, who have undergone successful 7 days SCST, to the respective medical provider (implanter).
Traditional injections usually involve steroids; however, safer solutions include the use of PRP (platelet rich plasma) and stem cells in the areas of deficit and pain. This is regenerative medicine. We have witnessed PRP successfully treat (heal, resolve) near full thickness rotator cuff tears, bicips tendon tear, severe osteoarthritis in the shoulders, hips, and knees, cervical and lumbar radiculopathy AND myelopathy, facet joint related pain, etc. We have not used stem cells in the injured workers population yet. The regenerative medical literature is in its growth phase. We expect that PRP +/- stem cells will delay the need for surgery in several patients. It will eliminate much of the use of injectable steroids. This is very important in DIABETIC injured workers!
IF Dr. Bethea believes that a specific procedure is appropriate for an injured worker, but she does not possess that particular skill set, for example prolotherapy, then Dr. Bethea will request referral to a medical provider who provides the service. Dr. Bethea would still direct the injured worker's care.
Dr. Bethea also performs worker's compensation AND disability IMEs. 2 hours of face to face contact time is blocked and spent with the injured worker or disability claimant.
A per hour fee is charged to review pertinent medical records, which are associated with an injured worker, whose care is to be established, as well as for one time IMEs. Payment of the review of records is required before scheduling the new patient visit. For IMEs, the IME payment is required up front with the review of records payment.
Please note that Disability IMEs are NOT Social Security Disability evaluations.
Please email your referrals and questions to the following email address:
You may also fax your referral to 336-579-9814.
This is frequently checked and near daily.
Please contact our office manager, Gail Revis, at 336-501-3796, between the hours of 730AM-4PM Monday through Thursday, with your questions. Office is closed noon-1230PM for lunch. Contact email: email@example.com
Dr. Bethea sees patients from the Triad, Triangle, Charlotte area, mountain and coastal areas of NC, as well as southern VA.
Thank you for allowing us to participate in the care of your injured workers. It is VERY REWARDING to see patients return to work FULL DUTY and in SHORT time frames! KEY IS EARLY TREATMENT AND PROPER DIAGNOSIS!