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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

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.

Bio coming soon!

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. 

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.