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As an Interventional Pain Medicine physician, Dr. Friedman has significant experience treating various conditions, including chronic pain, joint pain, and personal injuries.

He utilizes a combination of advanced treatments, like neuromodulation, focused interventional therapies such as PRP or steroid injections,and precision medicine to reduce inflammation, increase mobility, and encourage the body’s healing process.

Dr. Friedman proudly holds membership in several professional organizations, including the American Board of Physical Medicine and Rehabilitation (ABPMR), the International Spine Intervention Society (SIS), the American College of Sports Medicine (ACSM), and the American Neuromodulation Society (NANS).

When he isn't developing care plans or meeting with patients, Dr. Friedman enjoys sharing his knowledge with others. 

He developed and directed the Pain Management program for the PM&R Department at the Johns Hopkins Hospital in Baltimore, Maryland and he taught medical fellows and residents at Johns Hopkins University (JHU). His work has been published in various books and medical journals.

Dr. Friedman welcomes anyone seeking relief from chronic pain to CoreSmart today.

Dr. Lawrence Paul Kirschenbaum is an accomplished interventional pain management specialist in our Palm Beach Gardens, Florida location. He is board-certified by the American Board of Anesthesiology with subspecialty board certification in Pain Medicine.

Dr. Kirschenbaum graduated from New York Medical College in Valhalla, New York and went on to complete an Anesthesiology residency at Long Island Jewish Medical Center in New Hyde Park, New York. His residency was followed by a Pain Medicine Fellowship at the University of Virginia Medical Center in Charlottesville, Virginia, and a fellowship in Neuroanesthesia / Electrophysiologic Monitoring at the University of California Medical Center in San Diego, California.

Dr. Kirschenbaum went on to become Director of Pain Medicine at The Mount Sinai Medical Center in New York, New York. He was then recruited by Bridgeport Hospital in Bridgeport, Connecticut to develop a comprehensive pain program. He subsequently joined Orthopaedic Specialty Group in Fairfield, Connecticut to develop their interventional pain management program. He was a partner and Director of Interventional Pain Management at that practice until relocating to Florida in January 2023. He has joined Florida Pain Management Institute to continue his practice of interventional pain management.

He remains an Associate Clinical Professor at the Yale University School of Medicine.

Adam E. Shestack, MD, is the medical director at Florida Pain Management Institute in Delray Beach and Boynton Beach, Florida. Dr. Shestack is dual board-certified in anesthesiology and pain medicine with advanced expertise in the diagnosis and treatment of low back and neck pain, musculoskeletal and nerve pain disorders, cancer pain, sports injuries, CRPS/RSD, and chronic pain syndromes. He offers innovative medical solutions and a comprehensive approach to pain management.​ 

Dr. Shestack earned his bachelor’s degree in business administration from the University of Wisconsin. He went on to complete his pre-medical training in the post-baccalaureate program at Columbia University in New York. Dr. Shestack received his Doctor of Medicine from Ross University School of Medicine, where he graduated with high honors. He completed his internship at Albert Einstein College of Medicine, Jacobi Medical Center, followed by a residency in Anesthesiology at New York Presbyterian-Weill Cornell Medical Center. He then completed an interventional pain medicine fellowship at the Tri-Institutional Pain Medicine fellowship program at New York Presbyterian-Weill Cornell Medical Center, Hospital for Special Surgery and Memorial-Sloan Kettering Cancer Center. 

Prior to becoming the medical director at Florida Pain Management Institute, Dr. Shestack was the director of outpatient pain medicine services at the Syosset and Plainview Hospitals and was a pain management specialist at North Shore University Hospital in Manhasset, New York.​ He developed and implemented ketamine infusion therapy protocols for the outpatient treatment of chronic neuropathic pain syndromes and for inpatient acute postoperative pain management. He also developed the Outpatient Pain Management Mental Health Center in conjunction with psychiatry and addictionology services for the management and treatment of addiction in the setting of chronic pain.​ 

Dr. Shestack has worked with The New York Times for articles on comprehensive pain management and with The Doctors Company for articles on the current opioid crisis. He has also been interviewed for radio broadcasts.​ He is an active member of the American Society of Interventional Pain Physicians, American Pain Society, American Society of Anesthesiologists, and the Florida Medical Association.

Dr. Scott M. Kowalski, DO, is a board-certified, fellowship-trained specialist in physical medicine and rehabilitation (PM&R) and interventional pain management. With over a decade of experience, Dr. Kowalski is dedicated to helping patients reduce pain, enhance mobility, and improve quality of life. He currently serves at Medicus Spine & Joint in Jacksonville and Gainesville, Florida, as well as Brunswick and Savannah, Georgia  where he provides expert care in pain management and rehabilitation.

Education and Training

Dr. Kowalski earned his Doctor of Osteopathic Medicine from Michigan State University College of Osteopathic Medicine, following a Bachelor’s in Biology from Alma College, where he graduated magna cum laude. His postdoctoral training includes a Physical Medicine and Rehabilitation Residency, where he served as Chief Resident, and an Interventional Pain Management Fellowship at Wayne State University and the Detroit Medical Center.

Practice History

Dr. Kowalski brings valuable experience from his previous roles at reputable institutions, including:

• Coastal Spine & Pain in Jacksonville, FL, specializing in PM&R and pain management
• Orthopedic Associates of Port Huron in Michigan, where he practiced for over eight years
• Michigan Neurology Associates, where he provided neuromuscular and pain management care

Specialized Procedures and Skills

Dr. Kowalski is skilled in various interventional pain management techniques, including:

• Spinal Injections
• Nerve Blocks
• Radiofrequency Ablation
• Neuromodulation

He combines these techniques with a holistic approach to care, addressing each patient’s unique needs to restore function and reduce pain effectively.

Professional Affiliations

Dr. Kowalski is an active member of several professional organizations, including:

• American Osteopathic Medical Association
• American Academy of Pain Medicine
• North American Neuromodulation Society
• Florida Medical Association

Credentials and Licenses

Dr. Kowalski holds active licenses in Florida and Georgia, with an NPI number and extensive certifications that reflect his dedication to excellence in PM&R and pain management.

For appointments with Dr. Kowalski at Medicus Spine & Joint, please contact [Medicus Contact Information]. Dr. Kowalski is committed to providing compassionate, personalized care to help patients manage pain and reclaim their quality of life.

South Florida Interventional Orthopedics and Spine has one office in Davenport, Florida, and another in Miami. Led by double board-certified physical medicine and rehabilitation physician Seth Kaufman, DO, he and his team focus on using conservative treatments to help their patients avoid surgery unless it’s absolutely necessary. The practice provides the local communities with accurate diagnosis and high-quality treatment.

Dr. Kaufman believes that a physiatrist (a doctor who specializes in medical solutions to musculoskeletal disorders) is the best person for patients to see before consulting an orthopedic surgeon. As he says, when patients have chest pain, they don’t go to a cardiothoracic surgeon but a cardiologist. 

Similarly, a patient with a headache would visit a neurologist rather than a neurosurgeon, while a person with stomach pain would go to a gastroenterologist before calling on a colorectal surgeon. Using this logic, it makes sense for patients to first see Dr. Kaufman for their neck, back, or sports injury pain before seeing an orthopedic surgeon.

Patients can be confident of the highest quality treatment. Dr. Kaufman has extensive experience and has undergone fellowship training. 

He has also worked extensively with some of the most highly trained spine surgeons in the world. Those surgeons included staff members at the Mayo Clinic (which has campuses in Rochester, Minnesota; Jacksonville, Florida; and Scottsdale and Phoenix, Arizona), Duke University in Durham, North Carolina, and Johns Hopkins University in Baltimore, Maryland.

South Florida Interventional Orthopedics and Spine specializes in the nonoperative treatment of neck, lower back, and musculoskeletal pain. They use nonsurgical techniques to treat arthritis, herniated discs, spinal stenosis, sciatica, as well as neck, back, shoulder, hip, and knee pain. 

Treatments include epidural steroid injections, facet blocks, hyaluronic acid injections, rhizotomy (radiofrequency ablation), and precision medicine treatments like PRP (platelet-rich plasma). On the rare occasions that these treatments don’t work, Dr. Kaufman refers patients to the appropriate specialists.

South Florida Interventional Orthopedics and Spine is firmly committed to a patient-centered, conservative approach to treating musculoskeletal disorders. Call their Davenport or Miami office today or book an appointment online to benefit from their expertise.