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Dr. Issachar Devine's journey into interventional pain medicine was a natural evolution of his passion for hands-on problem-solving. As an osteopathic physician, he initially used manual techniques to address pain and dysfunction, which later led him through training in general surgery before ultimately specializing in interventional pain management.

"Pain management is a rapidly evolving field, offering cutting-edge advancements that allow physicians to provide innovative solutions for both common and complex pain conditions," he said. "Chronic pain can be physically and emotionally debilitating, and my greatest reward is seeing the relief and happiness on a patient’s face when their pain is alleviated."

As part of Interventional Spine & Pain Institute, Dr. Devine brings over nine years of experience as an osteopathic physician practicing at multiple facilities across New Jersey, Pennsylvania, and Florida. He also holds a faculty appointment as OMM Lab Facilitator at Orlando College of Osteopathic Medicine (OCOM) in Winter Garden, FL, facilitating hands-on Osteopathic Manipulative Medicine instruction and mentoring students in clinical reasoning, palpatory proficiency, and procedural competency ahead of their practical exams and clinical clerkships.

He also serves as a Physician Contributor to the Broward County Opioid Fatality Review Committee in Fort Lauderdale, FL, a multidisciplinary committee convened under Florida's Opioid Fatality Review framework to examine opioid-related deaths and inform county-level prevention, treatment-access, and harm reduction strategy.

He earned a Doctor of Osteopathic Medicine and a graduate certificate in biomedical sciences from Philadelphia College of Osteopathic Medicine, and a Bachelor of Science in finance and management information systems from La Salle University, both in Philadelphia, PA. He completed a General Surgery internship at Hackensack Meridian Health Palisades Medical Center in New Jersey, followed by a residency in Neuromusculoskeletal Medicine and a fellowship in Interventional Pain and Spine in Fort Lauderdale and Miami, Florida, along with a Harvard Medical School Executive Certification in Artificial Intelligence (AI) in Healthcare.

Dr. Devine specializes in kyphoplasty, basivertebral nerve ablation, and regenerative treatments such as platelet-rich plasma (PRP) therapy and Viadisc. "These innovative treatments offer promising solutions for chronic pain and degenerative conditions," he said. "I am passionate about helping patients with osteoporosis prevent compression fractures and improve long-term spinal health, and I incorporate fluoroscopy- and ultrasound-guided techniques to enhance precision, along with Botox therapy for migraines and spasticity to improve patients’ quality of life."

Having trained in an area where pain and addiction were prevalent, Dr. Devine has developed a balanced, patient-centered approach to pain management. "My goal is not just to manage pain — but to resolve it whenever possible. I view pain management as a spectrum."

He takes a stepwise approach: conservative therapies first (physical and occupational therapy, osteopathic manipulation, manual therapy, topical or over-the-counter medications), then minimally invasive interventions (ultrasound- and fluoroscopy-guided injections, regenerative medicine, radiofrequency ablation), with surgery reserved as a last resort. "I emphasize a multidisciplinary approach, incorporating therapy, psychological support, and wellness strategies to help patients regain a balanced, pain-free life," he said. "I believe trust and communication form the foundation of an effective doctor-patient relationship. Some patients build trust quickly, while others take time, and I make it a priority to create an environment where patients feel heard, respected, and actively involved in their treatment plans."

Dr. Devine's approach to patient-centered care is to educate patients on their condition and available options, empower them to make informed decisions, and collaborate with other specialists for comprehensive, team-based treatment. "Ultimately, my goal is to guide patients toward long-term pain relief and improved quality of life through personalized and compassionate care," he said.

Dr. Devine is driven by the ability to solve complex pain problems and improve his patients' quality of life. "Pain can be debilitating and discouraging, and I take pride in helping patients regain their function and well-being," he said. "I enjoy the problem-solving aspect of pain management — each case is like a puzzle, and I am dedicated to finding the most effective solutions. I also enjoy teaching and mentoring, encouraging trainees to think critically and develop a solution-oriented mindset in patient care."

Outside of work, Dr. Devine is an avid Philadelphia sports fan, with his favorite teams being the Eagles and 76ers. He also enjoys learning about new technologies, playing basketball, singing, and dancing. He can also be found traveling to explore and learn about different countries and cultures, spending time outdoors including hiking, going to the beach, and staying active.

Michael Esposito, MD, founded the Interventional Spine & Pain Institute – located in Vero Beach and Palm Bay, Florida – in order to create a multidisciplinary, patient-centric practice to treat a wide range of acute and chronic pain syndromes. Dr. Esposito is double board-certified in pain medicine and anesthesia by the American Board of Anesthesiology and is an expert in all aspects of pain medicine. 

Dr. Esposito leverages his pain medicine specialty to help patients manage even the most complex pain, treating a wide variety of pain types with comprehensive, personalized, and evidence-based care. He treats chronic and acute pain, including cancer pain, neurological pain, and musculoskeletal pain, while offering each patient a personalized interventional treatment plan that may include tailored physical therapy, medication, and fluoroscopic/ultrasound-guided interventional pain and spine procedures. These procedures include implantable spinal cord and peripheral nerve stimulators, radiofrequency ablation, targeted intrathecal drug delivery systems, kyphoplasty, lumbar decompression, and more. 

Dr. Esposito’s journey began at the University of Pennsylvania in Philadelphia, where he earned his Bachelor of Arts degree, graduating with Honors, before attending Georgetown University School of Medicine in Washington, DC. There, he completed his Doctor of Medicine degree before moving on to complete his residency in anesthesiology in the Department of Anesthesia and Critical Care at The University of Chicago Hospital in Chicago, Illinois, where he also served as Chief Resident. Dr. Esposito went on to complete an interventional pain medicine fellowship at Massachusetts General Hospital, a Harvard Medical School teaching hospital, in Boston, Massachusetts, where he also worked as an anesthesiologist at Massachusetts General Hospital serving veterans in the same capacity at the Veterans Affairs West Roxbury Hospital.

With a passion for teaching, Dr. Esposito extends his expertise to others by serving as an Assistant Professor of anesthesiology at the University of Central Florida and is a resource for medical students, residents, and fellows. He also serves as a key board member for several professional societies, regional organizations, and national boards that are dedicated to advancing treatments in the field of pain medicine. He’s also actively involved in research to find new, minimally invasive ways to treat spinal pain and has served as principal investigator, expert faculty, peer reviewer, and lecturer for several clinical research studies, well-respected journals, and at various nation-wide conferences. Dr. Esposito has greatly contributed to the advancements in pain management technology, patient education forums, and improved patient outcomes, garnering numerous accolades, awards, and recognition for his work, reinforcing his tireless dedication and commitment to advancing treatments in the field of pain medicine.

Most importantly, Dr. Esposito cares about YOU! He is committed to bringing you the most advanced medical options tailored specifically to your needs, options that will allow you to move beyond the pain.

Dr. Esposito has called the Atlantic Coast of Florida his home since 2014, and when he’s not helping his patients live pain-free lives, Dr. Esposito enjoys spending quality time with friends and family, outdoor activities on the water, and staying engaged in extracurricular activities in the community. 

Christopher Weeden, MD, is one of the distinguished physicians at the Interventional Spine and Pain Institute, which has locations in Vero Beach and Palm Bay, Florida. Board certified in Anesthesiology by the American Board of Anesthesiology, Dr. Weeden completed his residency and pain medicine fellowship at Emory University School of Medicine. His extensive training encompasses a broad range of pain management techniques, which he employs to provide patient-centered care aimed at alleviating pain.

Dr. Weeden, a native of Tallahassee, Florida, earned his undergraduate degree in mathematics and chemistry from Emory University. He then obtained his Doctor of Medicine degree from the University of Central Florida College of Medicine in Orlando. Following this, Dr. Weeden returned to Atlanta for his residency in anesthesiology and subsequent pain medicine fellowship at Emory University School of Medicine, where he received both academic and practical training in aspects of interventional pain medicine.

His expertise includes a multidisciplinary approach to treating various pain conditions, such as acute and chronic post-surgical pain, neuropathic pain, musculoskeletal pain, and cancer-related pain. With his training placing a special emphasis on cancer-related pain and advanced therapies, Dr. Weeden employs a range of multidisciplinary and targeted interventions to address diverse pain issues effectively.

Dr. Weeden is dedicated to enhancing his patients functionality and quality of life, focusing on activities that bring them joy. His treatment strategies include comprehensive and interventional pain therapies, such as implantable spinal cord and peripheral nerve stimulators, lumbar decompression, ablations, and kyphoplasty.

Outside of his professional pursuits, Dr. Weeden enjoys spending time with his family and dogs, exploring Disney, and playing golf. He is also a passionate sports enthusiast and values attending sporting events.