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Dr. Fitzpatrick is orginally from West Chester, PA. After completing his undergraudate studies at Johns Hopkins, he earned his M.D. from Drexel University College of Medicine. He completed his residency at Walter Reed Army medical Center, where he later serves as an attending physician prior to joining MVRMA in 2011. Dr. Fitzpatrick's clinical interest include electrodiagnosis, non-operative spine care, neuromuscular diseases, musculosketetal medicine, and spasticity. He is board certified in PM&R, electrodiagnostic medicine and neuromuscular medicine..

George Drakes, MD, is a board-certified physical medicine and rehabilitation specialist and interventional pain management physician highly specialized in pain relief. Dr. Drakes is the Medical Director and Founder of Metro Spine PC, with offices in Clinton and Oxon Hill, Maryland.

Inspired by a family that promoted healthy living and medicine, Dr. Drakes pursued a career in Pain Medicine and Rehabilitation with a passion for impacting the lives of those living with pain. He attended Wayne State University School of Medicine in 1986 and completed his residency in 1990 at the Rehabilitation Institute of Michigan — a Wayne State University-affiliated hospital.

Dr. Drakes is a fellow of the American Academy of Physical Medicine and Rehabilitation. Upon completing his residency, Dr. Drakes practiced at the Reading Rehabilitation Hospital in Pennsylvania and was a lecturer at the University of Pennsylvania, teaching residents rotating at Reading Rehabilitation Hospital.

He has held positions as Medical Director and Chief of the Rehabilitation Division at Maryland General Hospital in Baltimore, MD, a satellite of Bryn Mawr Rehabilitation Center in Pennsylvania. He was the medical director of that satellite facility from 1991 to 1993 and managed all aspects of rehabilitation, including head injury and spinal cord injuries.

Dr. Drakes later held the position of associate medical director of Rehabilitation at Greater Southeast Community Hospital while also directing his private practice, Community Physical Medicine and Pain Center, in downtown Silver Spring. 

Since founding Metro Spine Pain Centers in 1993, Dr. Drakes has continued to be active in teaching, lecturing, and inspiring others while also participating in the day-to-day care of his patients.

He held the position of Assistant Clinical Professor at George Washington University and provided medical students with hands-on learning experiences at Metro Spine Pain Centers. He is also a public lecturer on pain management in Barbados.

Dr. Drakes is also an accomplished business leader, expanding Metro Spine Pain Centers to four current office locations in the metro DC area and founding the Caribbean Pain Institute, a pain treatment center in Barbados.

When not directing Metro Spine Pain Centers and the Caribbean Pain Institute and caring for patients, Dr. Drakes holds an active interest in car restoration, playing golf, and tennis, swimming, traveling, and spending time with his wife, Wilma, and sons, G.Hudson, Alandre, and Benjamin.

Dr. Tsuji trained at the University of Hawaii, Hilo, and University of Hawaii, Manoa campuses where he earned a Bachelor of Arts in Chemistry, and Master’s in Biochemistry.

He moved from the tropics to the cold of Illinois where he received his Doctorate of Medicine at the Chicago Medical School. Longing for warmer climates, he entered the Naval Service and was stationed at San Diego Medical Center for his surgical internship. In the Navy, Lieutenant Commander Tsuji was the Medical Officer on USS Acadia, Senior Medical Officer on USS Fort McHenry, and the Head of Sports Medicine at Navy Boot Camp back in North Chicago.

After leaving the Navy he finished a Physical Medicine and Rehabilitation Residency at Sinai & Johns Hopkins before returning to milder climates. On the Big Island of Hawaii he completed an Interventional Spine and Sports Medicine Fellowship. Dr. Tsuji is Board Certified in Pain Medicine.

As an integral member of the Orthopedic & Wellness team, Matthew Roh, MD, is proud to provide the very best in pain management and PM&R to patients at the Frederick, Waldorf, and Germantown, Maryland clinics.

Board-certified in Pain Management and in Physical Medicine and Rehabilitation, Dr. Roh received his medical degree from Drexel University in Philadelphia. Across the city’s river, he went on to study internal medicine with an internship at Hahnemann University Hospital.

Dr. Roh then attended one of the nation’s leading physical medicine and rehabilitation programs at Baylor College of Medicine in Houston, where he completed his residency. While there, he studied extensively at the Institute for Rehabilitation and Research.

Embodying the philosophy and mission of Orthopedic & Wellness, Dr. Roh treats every patient with compassion. Dr. Roh is especially interested in musculoskeletal rehabilitation and pain management. He also is passionate about regenerative medicine, sports medicine, hormone replacement therapy, peripheral joint injections, and interventional spinal medicine.

In his spare time, he enjoys lifting weights and playing blues and rock on his electric guitar.

MEDICAL PROFILE

Experienced, effective, knowledgeable and dedicated Physiatrist, focused on rehabilitation and nonsurgical treatment of acute and chronic pain, including arthritis; bone, nerve and muscle injuries; nervous system disorders; and sports-related injuries, among others. Work with state-of-the-art technology to diagnose the nature and extent of injuries and prescribe treatment to maximize patients’ functional outcome and restore them to the highest level of function and a pain-free life.

Fluent in Spanish (read/ write/speak)

EDUCATION

Doctor of Medicine
Eastern Virginia Medical School (EVMS), Norfolk, VA 1996

BS in Physical Education, Exercise Physiology, Minor in Biology and Chemistry (cum laude)
Virginia Polytechnic Institute and State University, Blacksburg, VA 1989

TRAINING

Residency

Physical Medicine and Rehabilitation
Veterans Administration Medical Center, San Juan, PR 1998-2001

Residency

Physical Medicine and Rehabilitation
Internship-Trauma Surgery, Neurosurgery, Orthopedics, Internal Medicine and Geriatrics
University of Texas Health Science Center, San Antonio, TX 1996-1998

PROFESSIONAL EXPERIENCE

MEDICAL DOCTOR(PHYSIATRIST)
NATIONAL SPINE AND PAIN CENTERS
ALDIE, VA 7/2020 – Present

Responsible for opening a new center in Aldie, VA. Managing rehabilitation and pain management protocols and the practice. Preform EMG/NCS. Diagnose and treat a wide variety of acute and chronic pain disorders. Treatment using medication management, interventional pain management (cervical, thoracic, lumbar ESI, MBB, RFA, Reactive 8, and others), prolotherapy, ultrasound guided injections, fluoroscopic guided injections, Botox injections for spasticity, migraines and dystonia, electromyography guided injections, trigger point injections, orthotic prescribing and bracing. Preform independent medical evaluations. Permanent impairment ratings using the American Medical Association guidelines. Responsible for the day-to-day office operations, staff, scheduling and supplies.

MEDICAL DOCTOR(PHYSIATRIST)
TOWN CENTER ORTHOPEDICS
RESTON, VA - CENTREVILLE VA 10/2003 – 7/2020

Established and managed a rehabilitation and pain management practice. Developed and instituted protocols for better patient care and safety. Preform EMG/NCS. Diagnose and treat a wide variety of acute and chronic pain disorders. Treatment using medication management, interventional pain management, prolotherapy, platelet rich plasma, ultrasound guided injections, fluoroscopic guided injections, Botox injections for spasticity, migraines and dystonia, electromyography guided injections, trigger point injections, bracing. Proscribe orthotics and prosthetics, working with local orthotists/prosthetists. Preform independent medical evaluations. Permanent impairment ratings using the American Medical Association guidelines.

CONSULT PRIVILAGES

RESTON HOSPITAL, RESTON VA 10/2003 - Present

RESTON SURGICAL CENTER, RESTON, VA 10/2005 – 7/2020

Fluoroscopically guided intralaminar, transforaminal, facet injections and caudal injections.

MEDICAL DOCTOR (PHYSIATRIST)
MATILDE BRENES HOSPITAL, BAYAMON, PR 8/2001 – 6/2003

Inpatient consult services and hospital follow-up clinic with concentration in joint replacements, strokes, ulcers and amputations. Medical physician for the diabetic wound clinic.

MEDICAL DOCTOR (PHYSIATRIST)
ASHTAR PYSICAL THERAPY CENTER, VEGA ALTA, PR 8/2001 – 6/2003

Outpatient services focusing on diagnosis and treatment of acute and chronic musculoskeletal disorders.

MEDICAL DOCTOR (PHYSIATRIST)
PHYSICAL THERAPY CENTER, LAS PIEDRAS, PR 8/2001 – 6/2003

Outpatient services with concentration in musculoskeletal, chronic pain, EMG/NCS and permanent impairment
ratings.

MEDICAL DOCTOR (EMERGENCY ROOM PHYSICIAN)
SOUTHWEST MEDICAL ASSOCIATES, INC., ROCKPORT, TX 8/1997 – 6/1998

CERTIFICATIONS

Board Certified
Diplomat of the American Board of Physical Medicine and Rehabilitation 2002,2012,2022

LICENSURE

Virginia Medical license

HONORS AND AWARDS

Northern Virginia Top Doctors
Washingtonian Top Doctor 2012-2017
Patient’s Choice Award

PROFESSIONAL AFFILIATIONS

American Academy of Physical Medicine and Rehabilitation
American Academy of Pain Medicine

REFERENCES

Dr. Gaurav Bhatia, DMV Spine and Pain (571) 276-0425
Ms. Kathleen Kennedy, owner Kennedy and Co. (703) 283-3321
Dr. Thomas Fleeter, Town Center Orthopeadics (703) 407-6909
Dr. Marina Protopapas, National Spine and Pain (443) 622-5868

Dr. Fitzpatrick is orginally from West Chester, PA. After completing his undergraudate studies at Johns Hopkins, he earned his M.D. from Drexel University College of Medicine. He completed his residency at Walter Reed Army medical Center, where he later serves as an attending physician prior to joining MVRMA in 2011. Dr. Fitzpatrick's clinical interest include electrodiagnosis, non-operative spine care, neuromuscular diseases, musculosketetal medicine, and spasticity. He is board certified in PM&R, electrodiagnostic medicine and neuromuscular medicine..

Austin Underwood, MD, specializes in sports medicine, nerve testing, and rehabilitation medicine. He treats patients at Arthritis & Sports | Orthopaedics, Physical Therapy & Wellness in Sterling and South Riding, Virginia. 

After graduating from medical school at Georgetown University School of Medicine in Washington, D.C., Dr. Underwood completed his residency training at Virginia Commonwealth University’s Department of Physical Medicine and Rehabilitation (PM&R) in Richmond, Virginia. The medical field of PM&R specializes in maximizing the performance of patients in both elite and everyday activities. 

After residency training, Dr. Underwood completed his sports medicine fellowship at John Peter Smith Hospital in Fort Worth, Texas. He has served as a team physician for high schools and universities, including the NCAA Division 1 TCU Horned Frogs and Longwood University Lancers.

Specific conditions which Dr. Underwood treats include (but are not limited to) acute and chronic musculoskeletal injuries, joint pain, tendonitis, sacroiliac disorders, back pain, sciatica, spine arthritis, disc disease, and nerve injuries. To treat these, he utilizes a range of specialized procedures, including epidural steroid injections, nerve blocks, joint injections, trigger point injections, and regenerative medicine techniques such as platelet-rich plasma (PRP) injections. These procedures are performed in-house, utilizing x-ray and ultrasound guidance for pinpoint accuracy.

At Arthritis & Sports | Orthopaedics, Physical Therapy & Wellness, Dr. Underwood’s interventional procedures offer additional non-surgical options to patients. His diagnostic testing will help patients determine the severity of injuries and identify conditions contributing to their pain.

 Credentials

• Board Certification
  American Board of Physical Medicine & Rehabilitation
  
  
• Education & Training
  Fellowship - John Peter Smith Hospital, Sports Medicine
  Residency - Virginia Commonwealth University Health System, Physical Medicine & Rehabilitation
  Medical Degree - Georgetown University School of Medicine

Publications

• Commentary on: Effect of Screen Time on Recovery from Concussion (In Print)
  Kirk K, Underwood J.
  
  
• Performing a Pre-Participation Examination in Adaptive Athletics (Ongoing)
  Caldwell M, Underwood J, Bhalakanlou E, Dec K.
  
  
• The Athlete with Physical Disability (In Print)
  Dec K, Underwood J. (2022). In Netter’s Sports Medicine 3rd edition; Chapter 14. Chicago, Il: Elsevier.
  
  
• When Trigger Points Don’t Go Away- Reconsider the Diagnosis!
  Underwood J, Tsukanov D. 2019 AAPM&R Annual Assembly Abstracts. PM R. 2019 Nov;11 Suppl 2:S1-S187.
  
  
• The Patient-Centered Medical Home in Spinal Cord Injury: A Cohort Study
  Underwood J, Groah S. Georgetown University School of Medicine Research Day. 2017 Mar.
  
  
• Cerebral Nocardiosis in a Patient on Chronic Methotrexate: A Case Report
  Willis S, Underwood J, Malhotra R. AAP Case Report. 2017 Jan.

Hospital Affiliations

Dr. Underwood provides all of his medical treatment in-house!