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At aCELLerated Interventional Orthopedics, pain management specialist, Brian Rich, MD, provides comprehensive spine and pain management services to adults at two conveniently located offices in Decatur and Wichita Falls, TX. Dr. Rich brings more than 14 years of experience as an endurance athlete and competitive cyclist to the practice. This interest and passion carry over to his efforts in interventional pain and orthopedics.

Upon earning his medical degree, Dr. Rich completed a family practice residency with a focus on sports medicine. During his time as a resident, Dr. Rich treated various levels of athletes, including hockey players and other athletes at two Division I colleges in Louisiana.

Afterward, Dr. Rich completed a sports medicine residency at the University of Oklahoma Tulsa, where he still serves as a clinical assistant instructor today.

It was during his fellowship that Dr. Rich decided to focus on interventional pain management. He uses his previous sports medicine experience to help people find relief. Dr. Rich’s primary goal is to help each individual achieve the highest level of function possible, just as he did when treating athletes.

He’s an active member of all major interventional pain societies, as well as neuromodulation societies. In addition, Dr. Rich is skilled in fluoroscopic-guided procedures and musculoskeletal ultrasound-guided procedures.

Adults can receive comprehensive care for various musculoskeletal issues, including hip pain, knee pain, back pain, neck pain, and shoulder pain. Dr. Rich also offers minimally invasive treatments, including sacroiliac joint fusion, interspinous fusion, radiofrequency ablation, and peripheral nerve stimulation.

Outside of meeting with patients, Dr. Rich regularly attends national conferences and journal club conferences with his peers. He welcomes anyone seeking comprehensive pain relief to aCELLerated Interventional Orthopedics today.

Douglas Constant, MD, is a board-certified pain management physician at the 360 Orthopedic locations in Sarasota and Lakewood Ranch, Florida. He specializes in interventional treatments of the neck and spine and has a special interest in all forms of spinal injections, including epidural and facet injections and ablations. Dr. Constant performs advanced procedures such as Vertiflex and MILD (Minimally Invasive Lumbar Decompression) for spinal stenosis, spinal cord stimulation, and peripheral nerve stimulation (PNS), including SPRINT, Nalu, and Nevro systems. He also offers the Intracept procedure, treats vertebral compression fractures with kyphoplasty, and manages pelvic fractures with sacroplasty. Additionally, he provides Botox therapy for chronic migraine headaches.

Dr. Constant obtained his Bachelor of Science degree from the United States Naval Academy and received his Medical Degree from Tulane University School of Medicine. He completed his Anesthesiology Residency at the University of Alabama at Birmingham (UAB), where he was selected by his peers and faculty as Chief Resident. He then went on to complete his pain fellowship at Harvard Medical School. He is board-certified in anesthesiology and pain medicine.

Procedures Performed by Dr. Douglas Constant, MD:

• Botox therapy for chronic migraine headaches
• Epidural injections
• Facet injections
• Intracept
• MILD (Minimally Invasive Lumbar Decompression)
• Peripheral nerve stimulation (PNS), including SPRINT, Nalu, and Nevro system
• Radiofrequency ablations (RFA)
• Spinal cord stimulators
• Treatment of pelvic fractures (sacroplasty)
• Treatment of vertebral compression fractures (kyphoplasty)
• Vertiflex
• Rhizotomy (RFL)

To schedule an appointment with Dr. Constant and the team at 360 Orthopedics, call the nearest office or request an appointment online today.

Meet Dr. McGehee

F.O. McGehee IV, MD, is a board-certified anesthesiologist and interventional pain management physician at Permian Basin Pain Management in Midland, Texas.

A third-generation physician and Texan with deep roots in Houston, Dr. McGehee has called Midland home since 2006. After obtaining his undergraduate degree from Baylor University, he completed medical school at the University of Texas Health Science Center in San Antonio. Dr. McGehee pursued anesthesia out of medical school and completed a four-year anesthesia residency at Emory University in Atlanta, Georgia. While at Emory, he developed a strong interest in pain management, and the following year, Dr. McGehee went on to complete a fellowship in interventional pain management at the University of Texas Southwestern in Dallas, Texas. Dr. McGehee holds double board certifications – he is board certified by the American Board of Anesthesiology in Anesthesiology and Interventional Pain Management.

Dr. McGehee’s focus and goal for his patients is to help them return to a functional and enjoyable way of life. Unfortunately, that doesn’t always mean being 100% pain-free, but that is why he believes in having open and transparent communication with his patients. Dr. McGehee wants his patients to not only fully understand what is causing their pain and symptoms but what treatment options are available to them. With his extra year of fellowship training, Dr. McGehee has a vast array of interventional procedures and techniques to offer his clients to help them achieve their goals. His primary areas of focus are the spine and joints.

Dr. McGehee has gained national notoriety by partnering with Dr. Peter Wehling of Orthogen AG in Germany and his revolutionary regenerative medicine treatment - The Regenokine® Program. This treatment has produced positive results in patients of all ages and abilities with degenerative conditions where other treatments have failed in the past. As a result, the Regenokine® Program has become very popular with professional athletes around the world. Dr. McGehee has become the go to guy with numerous NBA players and teams along with Olympic athletes.

Dr. McGehee is happily married with three children he dotes after. He is known by all for his fun-loving sense of humor and down-home bedside manner. Outside of work, he enjoys playing golf and tennis, as well as watching sports. He sometimes thinks he can still play basketball and football. His most cherished time is vacationing with family and friends.

Treatment Philosophy: Everyone has the right to honest and direct care performed to the best of my ability. I started my medical profession as a nurse’s aide (CNA). After deciding to pursue nursing, I chose the quickest path which was an associate’s degree. While I was quite skilled, I noticed bachelor’s nurses possessed some knowledge that I couldn’t identify which I later realized during my bachelor’s education was the ability to think critically. As an associate degree prepared nurse, I knew that to do but not necessarily why it was done a certain way. From there I was hooked. Education: AS Administrative Assistant, Husson College Associate in Nursing, University of Maine at Augusta Bachelor’s in Nursing, Husson College Master’s in Nursing, University of Southern Maine Family Nurse Practitioner, University of Southern Maine

Dr. Castellanos possesses an impressive set of medical credentials, including: Certificate of double board certification by the American Academy of Medical Specialties in Physical Medicine and Rehabilitation and Interventional Pain Management. He also held the position as an Assistant Professor of Neurological Sciences at the Florida International University, but always had another goal within medicine in his thoughts. Dr. Castellanos decided to follow his true passion, which is the clinical application of stem cell therapies and now has more than 15 years of experience in stem cells and the field of Regenerative Medicine. In addition, Dr. Castellanos has developed several highly specialized products, tools and even patented techniques to help you be at the forefront of your medical practice. Ramón Castellanos, MD | Fundador-CEO USA StemCell

Edward Novik, MD, DABA, DABPM, is a board-certified pain medicine specialist at Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. With over 34 years of experience in the medical field, he demonstrates extensive knowledge in anesthesiology, pain management, and internal medicine.

Before relocating to the United States, Dr. Novik earned his medical degree from Samarkand State Medical School in Uzbekistan. He later completed an internal medicine residency at St. John’s Episcopal Hospital in Far Rockaway and an anesthesiology residency at SUNY Health Science Center in Brooklyn, New York.

In addition to his work at Union Spine and Pain Management, Dr. Novik serves as a pain management specialist at Overlook Hospital in Summit, New Jersey, and Trinitas Hospital in Elizabeth, New Jersey. 

He has served on staff at Middlesex Surgery Center, Millburn Surgery Center, and Union Endocenter in New Jersey. He also worked as an attending anesthesiologist and pain management specialist at Union Hospital in New Jersey.

Dr. Novik is fellowship-trained in interventional pain management and is a diplomate of the American Board of Anesthesiology. He is also a member of the American Society of Anesthesiology, the New Jersey State Society of Anesthesiology, the International Spine Intervention Society, and the American Society of Interventional Pain Physicians.

Dr. Novik’s reputation extends beyond his professional accomplishments. Patients consistently commend him for his compassionate and empathetic approach, praising his ability to provide a positive experience for all individuals in his care. 

Dr. Timothy Bednar is a Texas native who earned his degree in Biomedical Science from Texas A&M University, graduating summa cum laude, and his medical degree from the University of Texas Medical Branch. He completed a General Surgery internship at Baylor College of Medicine, followed by an anesthesiology residency (2015) and pain medicine fellowship (2017) at UTMB, where he also served as an Assistant Professor. Dr. Bednar joined Greater Austin Pain Center in 2017. Outside of work, he enjoys running, scuba diving, watching sports, and spending time with his wife and family.

Dr. Kristin Jarzombek grew up in Grapevine, Texas and went to Grapevine High School. She obtained her undergraduate degree in Psychology from Texas A&M University, graduating summa cum laude in 2010. She earned her medical degree from the University of Texas Medical Branch in Galveston, Texas in 2014. Dr. Jarzombek completed her Anesthesiology residency in 2018 and her fellowship training in Pain Management in 2019 at the University of Alabama Birmingham. She then returned back to Texas to join Dr. Silberberg and Dr. Bednar at Greater Austin Pain Center in September 2019. Dr. Jarzombek enjoys spending her free time cooking, running, exploring Austin, and spending time with her husband and three kids.

Dr. Alexander Hynes is a Colorado native who moved to Texas in 2017. He earned his Bachelor of Science in Chemistry and Biology from Colorado State University–Pueblo and a Master of Biomedical Sciences from the University of Medicine and Dentistry of New Jersey. He completed medical school at NYIT College of Osteopathic Medicine. He went on to complete his anesthesiology residency (2021) and pain medicine fellowship (2022) at UT Health San Antonio, where he served as Chief Resident and was named Resident of the Year. He also received multiple honors for humanism and teaching and served as an assistant professor during his training. Dr. Hynes joined Greater Austin Pain Center in 2022. Outside of work, he enjoys time with family, frisbee golf, cooking, and watching sports.

Through active listening and thoughtful questioning, I aim to diagnose and treat your pain at the source utilizing the most recent advances in medicine. I am passionate about utilizing evidence-based regenerative medicine techniques for healing the body. I graduated from Texas A&M University and obtained my MD at The University of Texas Medical School at Houston.

Joshua Macklin, MD, DABA, DABPM is an established physician at Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. He specializes in interventional procedures for the relief of neck and back pain.

Dr. Macklin began his education at Binghamton University in New York, receiving his Bachelor of Arts in psychology. He discovered his passion for health care and pursued his medical degree at St George’s University School of Medicine in True Blue, Grenada. 

After achieving his medical degree, Dr. Macklin completed an internal medicine internship at Long Island College Hospital, followed by his anesthesiology residency at SUNY Health Science Center in Brooklyn. 

He was later recognized as an outstanding resident at Kings County Hospital and served as an attending anesthesiologist at Raritan Bay Medical Center for several years.

Dr. Macklin is a diplomate of the American Board of Anesthesiology and the American Board of Pain Medicine. He is a member of the Spine Intervention Society, the American Board of Anesthesiology, the American Society of Anesthesiologists, and the New Jersey State Society of Anesthesiologists.

Beyond his professional achievements, Dr. Macklin is known for his compassionate and patient-centered approach to health care. He enjoys connecting with patients and working alongside the team at Union Spine and Pain Management. 

I strive to provide safe, effective pain management treatments. I strive to enable patients function to their maximum ability.