Pain & Physical Medicine

Pain & Physical Medicine

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CalvertHealth Pain & Physical Medicine focuses on the diagnosis and treatment of conditions affecting the musculoskeletal system (muscles, bones, tissues and/or nervous system) and the chronic pain that often results from those conditions. We Work to diagnose the underlying cause of pain and develop treatment plans geared toward restoring optimal function and improving the patient’s quality of life.

 

You should seek the services of a physiatrist if you experience any of the following on an acute or chronic basis:

  • Arthritis – inflammatory joint disease
  • Bursitis – inflammation of the bursae
  • Disc herniation
  • Localized pain and/or chronic inflammation (neck, shoulder, back, elbow, knee)
  • Musculoskeletal pain (affecting bones, muscles, ligaments, tendons and nerves)
  • Myofascial pain syndrome (layer of fibers just below the surface of the skin)
  • Neurological disorders (affecting the nervous system)
  • Osteoarthritis
  • Radiculopathy (pinched or depressed nerve)
  • Repetitive stress disorder (carpal tunnel)

 

CalvertHealth Pain & Physical Medicine is part of the multidisciplinary team at the Center for Neuroscience at CalvertHealth that also includes Chesapeake Neurology Associates and neurosurgeons from MedStar Georgetown University Hospital’s Neurosurgery Department. The three practices share office space in the Medical Arts Center, 130 Hospital Road, Suite 101.

Our Services

Our Pain and Physical Medicine providers incorporate a variety of non-surgical and interventional treatments as well as injections to relieve pain. Additionally, they provide specialized testing in-house such as electromyogram (EMG) or nerve conduction study (NCS) to pinpoint the cause and identify the best treatment choices.

At CalvertHealth Pain & Physical Medicine, we provide specialized care for a wide range of medical conditions and disorders that cause physical pain and disability, including:

  • Cervical, Thoracic and Lumbar Disorders
  • Shoulder, Back and & Knee Pain
  • Arthritis – inflammatory joint disease
  • Bursitis – inflammation of one or more bursae (small sacs) of synovial fluid in the body
  • Cancer Pain – may arise from the tumor itself; from treatments and diagnostic procedures; or from skin, nerve and other changes caused by the body's immune response or hormones released by the tumor.
  • Complex Regional Pain Syndrome (CRPS) – formerly Reflex Sympathetic Dystrophy or Causalgia (a burning pain), a chronic progressive disease characterized by severe pain, swelling and changes in the skin.
  • Disc Herniation (cervical, thoracic & lumbar) – a medical condition affecting the spine due to trauma, lifting injuries, or idiopathic causes, in which a tear in the outer, fibrous ring of an intervertebral disc
  • Musculoskeletal Pain – affects the bones, muscles, ligaments, tendons, and nerves. It can be acute (having a rapid onset with severe symptoms) or chronic (long-lasting). Musculoskeletal pain can be localized in one area or widespread.
  • Myofacial Pain Syndrome - characterized by chronic pain caused by multiple trigger points and fascial (layer of fibrous tissue) constrictions.
  • Neurological Disorders – any disorder of the body’s nervous system
  • Osteoarthritis – when the cartilage in your joints becomes worn down. This is also known as degenerative joint disease.
  • Radiculopathy (cervical, thoracic & lumbar) refers to a set of conditions in which one or more nerves are compressed causing pain, numbness and or weakness.
  • Repetitive Stress Disorders – an injury to a part of the body that is caused by overusing or exerting to much stress on that body part.
  • Scoliosis – a medical condition in which a person's spine is curved from side to side.
  • Sports Injuries – injuries that occur in athletic activities
  • Tendonitis – inflammation of a tendon

Procedures Provided

Our physiatrists offer a broad spectrum of diverse therapies to manage pain and to enhance functional ability. Our services include:

 Diagnostics:

  • Electromyography (EMG)
  • Nerve Conduction Study (NCS)
  • Interventional Injections Blocks for Diagnostics Discogram

Evaluations:

  • Workers Compensation
    • Return to Work Evaluations
    • Impairment & Disability Evaluations
    • New Patient Assessment & Evaluations
  • Second Opinion Evaluations

 

Non-Surgical Treatments:

  • Assessment and ordering of Assistive devices such as braces
  • Ordering Physical Therapy, Occupational Therapy & Massage Therapy
  • Ordering Heat, Cold and Traction Therapy Medication
  • Management of Pain Prolotherapy

 

Injections:

  • Trigger Point Injections Joint Injections – Hip, Knee and SI Joint
  • Soft Tissue Injections
  • Botox Injections

 

Interventional Treatments:

  • Transforaminal, Epidural & Selective Nerve Root Blocks
  • Sacroiliac Intra-Articular Injection
  • Zygapophysial Intra-Arttcular Injection
  • Medical Branch Nerve Block
  • Radiofrequency Denervation/Neurotomy
  • Provocative Discography
  • Intradiscal Electrothermal Annuloplasty
  • Sympathetic Block
  • Spinal Cord Stimulator Trials

 

Percutaneous Non-Spinal Procedures:

  • Selective Peripheral Nerve Blocks
  • Carpal Tunnel/Ulnar Nerve Blocks

Our Providers

Amy Larson, PA-C


Amy Larson, PAC, is an integral member of the CalvertHealth PMPM team and works closely with the physicians to help carry out the patient’s treatment plan with follow-up appointments, monitoring their care and condition, ordering and interpreting lab tests, providing patient education and writing prescriptions.

She has worked in the area of pain management since 2009 and received her certification as a physician assistant from Anne Arundel Community College and a master’s of medical science from St. Francis University in Pennsylvania.

Prior to becoming a physician assistant, she worked as an engineer, receiving her undergraduate degree in electrical engineering from The Catholic University of America in Washington, DC. She currently is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants and has her certification through the National Commission on Certification of Physician Assistants (NCCPA).

Amy enjoys the opportunity to work in the area of pain management to help patients cope with their chronic pain and to help them function better to lead a productive life.

Joseph V. Ferraro, MD


Board-certified in Physical Medicine and Rehabilitation and Pain Management

Dr. Ferraro started his career in Internal Medicine but was quickly drawn to the musculoskeletal system and Physical Medicine and Rehabilitation (PM&R). PM&R looks to treat the whole body and identify the core issue, not just diagnose based on the symptoms presented. This personal approach allows Dr. Ferraro to individualize the treatment plan to the specific patient, not the general diagnosis.

In addition to his board certification in PM&R, Dr. Ferraro is board certified in Pain Management, a sub-specialty that dovetails well with PM&R.

Dr. Ferraro is trained in the full spectrum of advanced PM&R and Pain Management diagnostic and treatment options, including injections, interventional treatments, non-surgical treatments, assistive devices, and percutaneous non-spinal procedures and nerve blocks. His goal is to help patients relieve pain, restore optimal function and improve their overall quality of life.

A native Floridian, Dr. Ferraro came to Maryland in 2008 to join a practice in Annapolis. “I was eventually asked to expand the practice into Calvert County and split my time between there and here. The longer I’m here, the more I appreciate what CMH and the county offer and I’m happy being here full time. Everyone is very down to earth here and open to discussing their issues. We decide the treatment plan together which allows the patient to fully participate in their health. That’s really what I want.”

Mariesa Kinch, CRNP


Mariesa Kinch, CRNP has been in Healthcare for over 20 years and brings to us her passion for family health and elder care as well as her understanding that an educated patient is a healthier patient. She joined CalvertHealth Physical Medicine and Pain management after spending 10 years at the Charlotte Hall Veterans Home where she performed physical exams and assessments on residents of the long term care, assisted living and acute care/short term rehabilitation units.

While serving as the Nurse Practitioner for a private internal medicine practice in Waldorf, Ms. Kinch performed physical examinations and evaluations for workmen’s compensation and sports injuries.

Since joining CalvertHealth Physical Medicine and Pain Management in 2015, Mariesa has become known for her caring and compassionate patient care. “Many of my patients in Charlotte Hall suffered from chronic pain from old war injuries, so I got to see firsthand how debilitating it can be. I see it as my job to help my patients regain mobility and function and that generally means helping them deal with their pain.”

Robin Medic, MD


Board-certified in Physical Medicine and Rehabilitation

Dr. Robin Medic is board certified in physical medicine & rehabilitation and specializes in the diagnosis and treatment of musculoskeletal disorders and pain syndromes. She is a graduate of Pennsylvania State University College of Medicine and completed her PM&R residency at Virginia.

Commonwealth University-Medical College of Virginia. She is also trained to perform electromyography (EMG) and nerve conduction studies for further diagnosis of nerve and muscle conditions.

“As a physiatrist, I take a comprehensive approach to patient care that looks at the whole person,” said Dr. Medic, “not just one symptom or condition.”

She went on to add, “My goal is to work with you to create a treatment plan that carefully and effectively approaches your pain, injury or disability in the healthiest and most effective manner.”

“This means taking your whole body into account,” said Dr. Medic, “such as your nerves, muscles and bones, to treat injuries and illnesses that affect how you move and accurately pinpoint problems to enhance performance without surgery.”