Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
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.
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
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!
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.
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.
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.
Stuart Hough, MD, is certified by the American Board of Anesthesiology in both anesthesiology and pain management. He is proud to provide a wide range of services to patients at Pain Management Specialists in Rockville and Frederick, Maryland.
Dr. Hough earned his bachelor’s degree from Swarthmore College in Pennsylvania and his medical degree from the University of Rochester School of Medicine and Dentistry in New York. He then completed his internship in internal medicine at NYU Winthrop Hospital in Mineola, New York. Upon graduating, he completed his anesthesiology residency and his pain management fellowship at Beth Israel Deaconess Medical Center in Boston, Massachusetts. After his specialty training, Dr. Hough served in the United States Air Force (USAF) for three years, where he directed the interventional pain management clinic at Wilford Hall USAF Medical Center in San Antonio.
In 2001, Dr. Hough moved home to Maryland to enter private practice and joined Pain Management Specialists. Along with Dr. Peruvemba, he joined Privia Medical Group in 2015 as the first speciality pain management group in Privia. Privia Medical Group is a rapidly growing network of primary care and specialty medical practices operating in a coordinated fashion to deliver high value healthcare to communities across the US.
Dr. Hough's areas of expertise include, spinal pain, spinal cord stimulation, Kyphoplasty, Intracept, spinal injections, cancer pain and ultrasound-guided injections. Dr. Hough has been repeatedly recognized by his peers as a top pain management doctor in Washingtonian Magazine and Bethesda Magazine, and patients have recognized him as a top pain doctor in Consumer's Checkbook. To stay abreast of the latest advances in his field, he is a member of the American Medical Association, American Society of Anesthesiologists, American Society of Regional Anesthesia And Pain Medicine, and Maryland State Medical Society.
In addition to helping patients at Pain Management Specialists, Dr. Hough is chairman of the pain management division at Shady Grove Medical Center in Rockville, Maryland. He also regularly trains medical students and holds a faculty appointment at the George Washington University School of Medicine and Health Sciences in Washington, DC. Dr. Hough has hospital privileges at Shady Grove Medical Center, Holy Cross Hospital (Silver Spring) and Frederick Memorial Hospital.
Ramani Peruvemba, MD, is certified by the American Board of Anesthesiology in both anesthesiology and pain management. He currently sees patients at Pain Management Specialists in Rockville, Maryland and Silver Spring, Maryland.
Dr. Peruvemba is a native of the New York City area. He received his Bachelor of Arts from Washington University in St. Louis and his medical degree from New York Medical College in Valhalla. He then completed an internship in internal medicine at Montefiore New Rochelle Hospital (formerly Sound Shore Medical Center of Westchester) and an anesthesiology internship at Strong Memorial Hospital in Rochester, New York. Afterward, he completed his residency in anesthesiology at New York-Presbyterian Hospital and his interventional pain management fellowship at Mount Sinai Hospital, both in New York City.
After his specialty training, Dr. Peruvemba joined Pain Management Specialists in 2000. Along with Dr. Hough, he joined Privia Medical Group in 2015 as the first speciality pain management group in Privia. Privia Medical Group is a rapidly growing network of primary care and specialty medical practices operating in a coordinated fashion to deliver high value healthcare to communities across the US.
Dr. Peruvemba's areas of expertise include chronic regional pain syndrome, spinal cord stimulation trial and implantation, intrathecal pump implantation and management, Kyphoplasty for vertebral fractures and spinal injections. He has been recognized repeatedly by his peers as a top pain management doctor in Washingtonian Magazine and Bethesda Magazine, and has been recognized by patients as a top pain doctor in Consumers' Checkbook.
Dr. Peruvemba has hospital privileges at Shady Grove Medical Center and Holy Cross Hospital, Silver Spring. Dr. Peruvemba holds leadership positions in the American Society of Anesthesiologists and the Maryland Society of Anesthesiologists. He is active in his efforts to improve the value of medical care.
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.
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.
Board certified in Physical Medicine & Rehabilitation. Fellow of the American Academy of Physical Medicine and Rehabilitation. Diplomate of the American Academy of Pain Management. Graduate of the U. of Birmingham Med. School, UK. Active at the Harvard Postgraduate Medical Association since 2006. Founder or director of many Rehabilitation, Spine and Pain clinics. Former clinical faculty at the Department of Rehabilitation Medicine, Hopkins Medicine. Active at the Maryland State Medical Society, Montgomery County Medical Society and the International Association for Regenerative Therapy.
