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Dr. Mark D. Klaiman is the co-founder of Point Performance. He received his Doctorate in Medicine from the Sackler School of Medicine at Tel Aviv University and completed his residency in Physical Medicine and Rehabilitation at Columbia University. He is board certified and has been a fellow of the American Academy of Physical Medicine and Rehabilitation since 1994. Upon completion of his residency, Dr. Klaiman was a visiting associate in the Department of Rehabilitation Medicine at the National Institutes of Health. He has lectured extensively over the years and has numerous writings and publications focused on the evaluation and management of musculoskeletal soft tissue injuries. Dr. Klaiman received his medical acupuncture training through the American Academy of Medical Acupuncture in 1995 and is recognized as a leading provider of medical acupuncture in the Washington DC region.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Lucia Moutoux, MSN, FNP-BC, is a board-certified Nurse Practitioner with extensive expertise
in interventional pain management and interventional pulmonology. With 17 years of experience
at Mercy Medical Center, she has cultivated a deep commitment to providing exceptional patient
care. Lucia began her healthcare career as an X-ray technologist, later earning a Bachelors in
Radiological Sciences from Adventist Health University. She then advanced her education,
obtaining a Bachelor of Science in Nursing from the University of Maryland Global Campus and
a Master of Science in Nursing focusing on family practice from Walden University.
Born in Tuscany, Italy, Lucia brings a global perspective and a compassionate approach to her
role at Pain Management Associates LLC in Greenbelt, Maryland, where she strives to enhance
the lives of her patients through personalized care and evidence-based practices.

Lucia Moutoux, MSN, FNP-BC, is a board-certified Nurse Practitioner with extensive expertise
in interventional pain management and interventional pulmonology. With 17 years of experience
at Mercy Medical Center, she has cultivated a deep commitment to providing exceptional patient
care. Lucia began her healthcare career as an X-ray technologist, later earning a Bachelors in
Radiological Sciences from Adventist Health University. She then advanced her education,
obtaining a Bachelor of Science in Nursing from the University of Maryland Global Campus and
a Master of Science in Nursing focusing on family practice from Walden University.
Born in Tuscany, Italy, Lucia brings a global perspective and a compassionate approach to her
role at Pain Management Associates LLC in Greenbelt, Maryland, where she strives to enhance
the lives of her patients through personalized care and evidence-based practices.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Prime Regenerative and Pain Management is a specialist clinic, treating the population of Stafford, Fredericksburg, and King George, Virginia. Lead physician Dev Sen, MD, is a board-certified doctor in pain management and physical medicine and rehabilitation, who has more than 20 years of experience in helping patients who have neuromusculoskeletal conditions and chronic pain problems.

Dr. Sen brings his expertise in pain medicine, physiatry, regenerative medicine and electrodiagnostic medicine to the region, where he’s been the leading clinician in his field for several years. For the first time in this area, Dr. Sen will be offering services that include bone marrow aspiration using state of the art X-Ray guidance, and harvesting  of stem cells with cutting edge technology centrifuge devices, These concentrated stem cell solution is then injected back into the injured, degenerated or diseased part of the patient’s body using fluoroscopy and ultrasound guidance.

Prime Regenerative and Pain Management also specializes in treating injuries sustained during the working day as well as EMG/Nerve conduction studies.

The philosophy of Prime Regenerative and Pain Management is to treat the whole patient and address the underlying causes of their health issues, rather than medicating to cover the symptoms. Dr. Sen and his staff use a comprehensive approach that draws on a range of modalities, such as interventional injections, pharmacotherapy, physical therapy, and regenerative medicine.

Prime Regenerative and Pain Management welcomes all members of the community and offers innovative treatment options such as epidural injections, transforaminal injections, radiofrequency ablations, spinal cord stimulator, facet joint injections, lumbar sympathetic block, stellate ganglion blocks, Stem cell, and PRP injections.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Khyanne McCutchen, APRN, FNP-C, is a born native of New York and moved to Baltimore, Maryland as a young child. She’s had a long-time goal to work in the medical field. She began and ended her formal education at historically black colleges and universities (HBCU’s).In 2010, she graduated with a 4.0 GPA from Sojourner Douglass College with a licensed practical nursing certification. Sojourner Douglass College was the only HBCU in Maryland that offered the LPN-BSN bridge program.In 2012, she completed the bachelor program graduating Cum Laude, earning a bachelor of science in nursing degree. In 2017, she entered the accelerated nurse practitioner program at Coppin State University. After two years, she graduated with a master’s in science of nursing, specializing in Family Nurse Practitioner.

Throughout her registered nursing career, she has worked in a variety of specialties that have molded her into well-rounded health professional. Ms. McCutchen’s first year and a half of her nursing career were spent in long-term care with a focus on skilled nursing and physical rehabilitation. In 2013, she transitioned from long-term skilled nursing to sub-acute in a hospital setting. This specialty is where she acquired skills in rehabilitation, which focused on surgical post-op, physical therapy, occupational therapy, acute and chronic disease
2 years later, in 2015, Ms. McCutchen switched specialties to emergency medicine where she remained for six years. She gained extensive training to evaluate, treat and manage emergent, acute, and chronic medical conditions to a variety of patient populations. She has also served as a preceptor for new graduates and mental health coordinator for a hospital-wide committee.

Her nurse practitioner experience includes medicated assisted treatment (MAT) and independent contracting. She now specializes in pain management and MAT and serves the community with which she is familiar. She provides quality care to patients to help them live a meaningful quality of life by managing their pain with a non-invasive approach.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Khyanne McCutchen, APRN, FNP-C, is a born native of New York and moved to Baltimore, Maryland as a young child. She’s had a long-time goal to work in the medical field. She began and ended her formal education at historically black colleges and universities (HBCU’s).In 2010, she graduated with a 4.0 GPA from Sojourner Douglass College with a licensed practical nursing certification. Sojourner Douglass College was the only HBCU in Maryland that offered the LPN-BSN bridge program.In 2012, she completed the bachelor program graduating Cum Laude, earning a bachelor of science in nursing degree. In 2017, she entered the accelerated nurse practitioner program at Coppin State University. After two years, she graduated with a master’s in science of nursing, specializing in Family Nurse Practitioner.

Throughout her registered nursing career, she has worked in a variety of specialties that have molded her into well-rounded health professional. Ms. McCutchen’s first year and a half of her nursing career were spent in long-term care with a focus on skilled nursing and physical rehabilitation. In 2013, she transitioned from long-term skilled nursing to sub-acute in a hospital setting. This specialty is where she acquired skills in rehabilitation, which focused on surgical post-op, physical therapy, occupational therapy, acute and chronic disease
2 years later, in 2015, Ms. McCutchen switched specialties to emergency medicine where she remained for six years. She gained extensive training to evaluate, treat and manage emergent, acute, and chronic medical conditions to a variety of patient populations. She has also served as a preceptor for new graduates and mental health coordinator for a hospital-wide committee.

Her nurse practitioner experience includes medicated assisted treatment (MAT) and independent contracting. She now specializes in pain management and MAT and serves the community with which she is familiar. She provides quality care to patients to help them live a meaningful quality of life by managing their pain with a non-invasive approach.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Prime Regenerative and Pain Management is a specialist clinic, treating the population of Stafford, Fredericksburg, and King George, Virginia. Lead physician Dev Sen, MD, is a board-certified doctor in pain management and physical medicine and rehabilitation, who has more than 20 years of experience in helping patients who have neuromusculoskeletal conditions and chronic pain problems.

Dr. Sen brings his expertise in pain medicine, physiatry, regenerative medicine and electrodiagnostic medicine to the region, where he’s been the leading clinician in his field for several years. For the first time in this area, Dr. Sen will be offering services that include bone marrow aspiration using state of the art X-Ray guidance, and harvesting  of stem cells with cutting edge technology centrifuge devices, These concentrated stem cell solution is then injected back into the injured, degenerated or diseased part of the patient’s body using fluoroscopy and ultrasound guidance.

Prime Regenerative and Pain Management also specializes in treating injuries sustained during the working day as well as EMG/Nerve conduction studies.

The philosophy of Prime Regenerative and Pain Management is to treat the whole patient and address the underlying causes of their health issues, rather than medicating to cover the symptoms. Dr. Sen and his staff use a comprehensive approach that draws on a range of modalities, such as interventional injections, pharmacotherapy, physical therapy, and regenerative medicine.

Prime Regenerative and Pain Management welcomes all members of the community and offers innovative treatment options such as epidural injections, transforaminal injections, radiofrequency ablations, spinal cord stimulator, facet joint injections, lumbar sympathetic block, stellate ganglion blocks, Stem cell, and PRP injections.

Tristan Shockley, MD, is a sought after board-certified pain medicine doctor with a passion for helping men and women eradicate pain and restore their quality of life. He specializes in nonsurgical interventional pain medicine, prolotherapy, weight management, and physiatric treatments. His main office is at the CHOICE Pain & Rehabilitation Center office Dundalk, though he frequently meets with patients at their other Maryland locations in Olney, Rosedale, Hyattsville, Lanham, Pikesville, and Gaithersburg.

Equipped with the most advanced and innovative technologies, Dr. Shockley pinpoints the source of pain, makes a precise diagnosis, and treats the underlying issue with fluoroscopic and ultrasound-guided procedures. With an overarching goal to help men and women restore optimal function, Dr. Shockley dedicates much of his energy to patient education, preparing those he treats for regenerative physical therapy. 

After graduating magna cum laude with his bachelor’s degree from Howard University in Washington, D.C., Dr. Shockley entered Howard University College of Medicine, where he completed his medical degree. Following an internship in Arizona, he received specialty training at Sinai Hospital of Baltimore.  

Certified by the American Board of Physical Medicine and Rehabilitation, Dr. Shockley is committed to providing safe, effective, and comprehensive care to every patient he sees at CHOICE Pain & Rehabilitation Center.

Khyanne McCutchen, APRN, FNP-C, is a born native of New York and moved to Baltimore, Maryland as a young child. She’s had a long-time goal to work in the medical field. She began and ended her formal education at historically black colleges and universities (HBCU’s).In 2010, she graduated with a 4.0 GPA from Sojourner Douglass College with a licensed practical nursing certification. Sojourner Douglass College was the only HBCU in Maryland that offered the LPN-BSN bridge program.In 2012, she completed the bachelor program graduating Cum Laude, earning a bachelor of science in nursing degree. In 2017, she entered the accelerated nurse practitioner program at Coppin State University. After two years, she graduated with a master’s in science of nursing, specializing in Family Nurse Practitioner.

Throughout her registered nursing career, she has worked in a variety of specialties that have molded her into well-rounded health professional. Ms. McCutchen’s first year and a half of her nursing career were spent in long-term care with a focus on skilled nursing and physical rehabilitation. In 2013, she transitioned from long-term skilled nursing to sub-acute in a hospital setting. This specialty is where she acquired skills in rehabilitation, which focused on surgical post-op, physical therapy, occupational therapy, acute and chronic disease
2 years later, in 2015, Ms. McCutchen switched specialties to emergency medicine where she remained for six years. She gained extensive training to evaluate, treat and manage emergent, acute, and chronic medical conditions to a variety of patient populations. She has also served as a preceptor for new graduates and mental health coordinator for a hospital-wide committee.

Her nurse practitioner experience includes medicated assisted treatment (MAT) and independent contracting. She now specializes in pain management and MAT and serves the community with which she is familiar. She provides quality care to patients to help them live a meaningful quality of life by managing their pain with a non-invasive approach.

Dr. John Huffman, MD is a pain management physician practicing at Interventional Pain and Regenerative Medicine Specialists in Arlington, Virginia on the campus of the Virginia Hospital Center. He is certified by the American Board of Anesthesiology (1994 - present) with an additional Pain Medicine Certification (1996 - present). 

Dr. Huffman completed his anesthesiology residency and pain medicine training at George Washington University Hospital in Washington, DC. He was named chief resident during his final year of training, after which he remained on staff teaching as an assistant professor of anesthesiology and pain medicine until 1997.

Prior to joining Virginia Hospital Center, he served as the Medical Director of Pain Management at Holy Cross Hospital in Silver Spring, Maryland, for over 22 years. His responsibilities included managing a staff of more than 25 medical professionals.

Dr. Huffman has extensive experience in all areas of pain medicine and has a special interest in Intrathecal Drug Delivery and Spinal Cord Stimulation, both procedures are surgically implantable technologies for use in the treatment of chronic pain. He has taught and published extensively on interventional pain management techniques and treatment of chronic pain. He remains active in research and routinely maintains his continuing medical education.

Dr. Huffman strongly supports a multi-disciplinary approach to patients suffering from chronic pain and recognizes the unique and individual nature of each patient’s pain and tailors their treatment accordingly. He believes in honesty and trust as the foundation for the patient-physician relationship.

Outside of medicine, Dr. Huffman enjoys spending time with his dog Hope, exercising, cooking, design, and travel.

Dr. Kapteyn received his Doctor of Osteopathic Medicine from West Virginia School of Osteopathic Medicine in Lewisburg, WV, followed by a medical internship at Henry Ford Hospital in Detroit, Michigan. Dr. Kapteyn then pursued his residency at Georgetown University and the National Rehabilitation Hospital in Washington D.C. He further honed his expertise through fellowship training in interventional pain at the University of Wisconsin, Madison. Dr Kapteyn is board certified in Physical Medicine and Rehabilitation, pain medicine, and board eligible Hospice and Palliative care. A multidisciplinary, balanced approach to pain medicine is a hallmark of his care to bring improvement in function.
From 2009 to 2013, Dr. Kapteyn served as the Medical Director of Pain Medicine at Drake Hospital, a University of Cincinnati Hospital, where he served and at times led the medical executive committee and represented Drake on the drug planning and development committee. Kapteyn subsequently entered private practice with Orthopedic Associates Muskegon, where he worked until 2023. During his career, he also worked as a physician consultant with Hydrocision, and as the physician lead in the development of TenJet for minimally invasive tenotomies. Additionally, Dr. Kapteyn worked in hospice and palliative care with Harbor Hospice,and served as an independent director and science consultant on the board of NewAge Beverages from 2017-2020. NASDAQ ticker NBEV.
Dr. Kapteyn has gained recognition for his skills in minimally invasive ultrasound guided procedures, including carpal tunnel release and trigger finger releases, as well as TenJet for elbow tenotomy, hip, shoulder, and achilles tendon. In addition to spinal injections, Dr Kapteyn performs procedures such as basi-vertebral nerve ablation, interspinous vertiflex for spinal stenosis, spinal cord stimulation, peripheral nerve stimulation, kyphoplasty and radiofrequency ablation. He performs neurolytic blocks for sympathetic nerve pain, and he is also experienced with pain pumps, Botox treatments, including for migraine prophylaxis, prolotherapy, orthobiologics, for both chronic tendon and joint pain, and Biote for bio-identical hormone optimization. 

Dr. Kapteyn has numerous contributions to medical research. including NIH research on neurophysiological correlates in chronic stroke patients. He also served as a lead investigator for the PUGET study, which examined the outcomes of tenotomies for medial and lateral epicondylitis. He participated in CITRUS

study with SonexHealth, observing outcomes of ultrasound guided carpal tunnel release. Furthermore, he participated in research on a novel migraine prophylactic treatment for chronic migraine headaches with Healthy Extracts, publishing “A Unique medium chain triglyceride-containing micronutrient complex: Effects on chronic migraine headache”. World Journal of Advanced Research. Dr. Kapteyn’s expertise and compassionate approach to care gained him a reputation of being a “physician’s physician,” as other physicians in the field often consult him for medical advice, guidance and treatment.
Outside the office

A Grand Rapids, MI native, Dr. Kapteyn loves the warm weather and vibrant culture of the nations capital, Washington, DC, and is excited to return. He enjoys ballroom dancing, performing vocally, performing recently with the Williamsburg Symphony, he enjoys both HIIT and tabata exercising, golfing, cooking, gardening and hiking and mountain biking. He has three college-aged daughters and was married to Nancy Kapteyn for 25 years until she passed away from breast cancer. In her memory, Dr. Kapteyn encourages contributions to the National Breast Cancer Foundation.