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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.

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.

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.

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.

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.

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.

At United Spine and Joint Center, the team focuses on collaborative treatment options for patients suffering from back, neck, and musculoskeletal pain. Servicing Leesburg and Lansdowne, VA. patients receive an expert evaluation, education, and treatment for a full spectrum of spinal disorders.

Jon Mader, MD is the board-certified Medical Director of United Spine and Joint Center, where he provides treatments backed by the latest research supporting spine care and non-opioid options. Dr. Mader attended the University of Wisconsin where he earned a Bachelor’s degree in Biology and Psychology. He went on to earn his Medical Doctorate at St. George’s University School of Medicine.

This was followed by a prestigious residency at Tufts Medical Center in Physical Medicine and Rehabilitation. As his interest in spinal treatments deepened, Dr. Mader pursued a fellowship in interventional spinal rehabilitation at the New England Baptist Hospital, part of the renowned Harvard University Care Group. While in his fellowship, he participated in several research projects and obtained extensive training in advanced and minimally invasive spinal disorder treatments.

As a patient at United Spine and Joint Center, you can expect an evidence-based approach to non-surgical and non-opiate treatments of various spinal disorders. After a thorough evaluation with Dr. Mader, you will become educated about the problem, diagnosis, and treatment options available to you. Dr. Mader will help you make an informed decision about your care that reflects your needs and goals.

As an Interventional Pain Management and Physical Medicine and Rehabilitation Specialist, Dr. Mader has the advanced training and extensive knowledge to provide non-surgical and non-opiate treatment methods for numerous spinal disorders.

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..

Alexander Behnaz, MD, NP, is a dual-boarded interventional pain specialist and physiatrist. Dr. Behnaz brings advanced expertise and experience from his previous practice at a major orthopedics group in the DMV. He looks forward to serving patients in Falls Church, Alexandria, and throughout Northern Virginia at Integrated Spine and Pain Services.

Driven by a deep understanding of the profound impact of pain on patients’ daily lives, Dr. Behnaz finds the study of pain to be a fascinating and essential field. Through his experience and fellowship training, he gained extensive expertise in utilizing advanced techniques to alleviate pain and enhance patients’ quality of life. He emphasizes improving patients’ pain and function, adopting a multimodal, whole-patient approach to ensure accurate diagnosis, tailored treatment, and compassionate care.

Dr. Behnaz completed his fellowship training in Interventional Pain at the University of Pittsburgh Medical Center (UPMC). Dr. Behnaz completed a residency in Physical Medicine and Rehabilitation (PM&R) at Sentara Norfolk General and Portsmouth Naval Hospital, where he honed his skills in diagnosing and treating a wide range of musculoskeletal and neurologic conditions. Prior to that, he worked at the National Institutes of Health (NIH).

In his spare time, Dr. Behnaz enjoys cycling, long-form improv, and traveling.

Stephanie Clop, MD, is a board-certified physiatrist focusing on physical medicine and rehabilitation at Integrated Spine and Pain Services in Falls Church and Alexandria, Virginia. Dr. Clop dedicates her practice to state-of-the-art treatments of acute and chronic pain.

Dr. Clop graduated cum laude with a Bachelor of Science in Physical Education and Exercise Physiology and a minor in biology and chemistry at Virginia Polytechnic Institute and State University in Blacksburg, Virginia. She completed her Doctor of Medicine at Eastern Virginia Medical School in Norfolk, Virginia.

She completed a physical medicine and rehabilitation residency and an internship in trauma surgery, neurosurgery, orthopedics, internal medicine, and geriatrics at the University of Texas Health Science Center in San Antonio, Texas.

Dr. Clop finished another physical medicine and rehabilitation residency at San Juan Veterans Medical Center in San Juan, Puerto Rico. She then worked as an emergency room physician at Southwest Medical Associates in Rockport, Texas.

Dr. Clop was a physiatrist at several practices, including Physical Therapy Center in Las Piedras, Puerto Rico, Ashtar Physical Therapy Center in Vega Alta, Puerto Rico, and Matilde Brenes Hospital in Bayamon, Puerto Rico.

She worked at Reston Surgical Center in Reston, Virginia, and currently has consulting privileges at Reston Hospital. After practicing as a physiatrist at Town Center Orthopedics in Reston, Virginia, Dr. Clop joined National Spine & Pain Centers in Aldie, Virginia.

She was honored as a NorthernVirginia top doctor, a Washingtonian best doctor from 2012 to 2017, and received a Patient's Choice Award. Dr. Clop is a diplomat of the American Board of Physical Medicine and Rehabilitation, and a member of the American Academy of Physical Medicine and Rehabilitation and the American Academy of Pain Medicine.

Dr. Clop holds her medical licensure in Virginia and is fluent in Spanish and English.

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.