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Dr. Little has brought the Beth Israel Deaconness Havard model of pain management to Southwest Florida, with a full array of cutting-edge interventional pain procedures performed under fluoroscopic guidance. Patient education is important to us, and we have provided the below information to keep you informed. For more information, select any of the following Interventional pain procedures which are performed on-site at our Englewood location.

At Dr. Murray E. Joiner Jr. & Associates, interventional pain management and rehabilitation specialist Murray E. Joiner Jr., MD, provides adults with high-quality interventional pain management in Roanoke, Virginia, and at five satellite offices throughout Virginia and another in North Carolina.

Dr. Murray E. Joiner Jr. & Associates opened in 1991 and is the only integrative pain management practice in the area not affiliated with a hospital system. This independence allows Dr. Joiner to provide highly personalized care quickly, often within seven days of patients requesting treatment.

Dr. Joiner takes a conservative, patient-centered treatment approach. His extensive training and professional certifications allow him to provide all-encompassing pain management, from lab work and diagnostic imaging to surgery consultations and post-surgical follow-ups. There’s even an on-site wellness center that offers medical weight loss, physical therapy, and rehabilitation.

People from all over the Blue Ridge Mountains visit Dr. Murray E. Joiner Jr. & Associates to receive treatment for various musculoskeletal problems, including fibromyalgia, neck pain, joint pain, and lower back pain. Dr. Joiner also offers more specialized care, including orthopedic surgery, ultrasound-guided pain injections, spinal cord stimulation, and intrathecal pain pumps.

Dr. Joiner uses cutting-edge treatments and partners with renowned medical device manufacturers, including Medtronic and Boston Scientific.

At Dr. Murray E. Joiner J. & Associates, Dr. Joiner is skilled at diagnoses and emphasizes rapid recovery plans. Rather than simply masking pain, he makes treatment recommendations that reduce inflammation, increase circulation, and promote healing.

Call the nearest Dr. Murray E. Joiner Jr. & Associates practice today if you’re suffering from musculoskeletal pain, or book your appointment online.

Kim’s full Website and info: www.PTwithKimB.com. Kim Burns is originally from Pittsburgh, Pennsylvania and graduated from Temple University with her Doctor of Physical Therapy Degree (DPT) in 2012. She is a Board Certified Orthopedic Specialist (OCS) since 2018. What Kim loves most about being a PT is providing highly individualized interventions, exercise, and education to help clients get back to what they love doing most. Kim invests time in client education regarding anatomy and basic kinesiological concepts to ensure that clients understand exactly what is driving their condition and what the plan of action is to ensure that a client meets their goals. Kim's practice includes an extensive skill set and passion for data-driven, evidenced based interventions. She is also a certified practitioner in the Selective Functional Movement Assessment, the Functional Movement Screen, Functional Capacity Screen, Instrument Assisted Soft Tissue Mobilization including Gua Sha and Cupping.

Cecile S. Gibbs, MPT is an intuitive and caring clinician. With over a decade in a half of pelvic health care experience, Cecile's career has been spent treating and educating her community on Women's and Men's health. Her care philosophy is rooted in the belief that caring for the patients physical, mental, emotional and spiritual state is vital to successful intervention and the return of a patient to their highest level of function. When not at work, Cecile spends most of her time wrangling her two boys, working her Mary Kay business, loving on friends and family and being a foodie with her fabulous husband.

Michael Rizkalla, MD, a skilled physician with double-board certification in sports medicine and physical medicine and rehabilitation, founded Revive Spine and Pain Center in 2017. At the practice’s offices in Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, he provides a patient-centered approach to treating acute and chronic pain.

He begins each appointment by listening to patients who all too often say that they’ve been everywhere and no one listens to or helps them. After hearing and understanding each person’s unique story and completing a physical exam, Dr. Rizkalla creates a tailored treatment plan using evidence-based treatments drawn from traditional medicine, interventional medicine, physical therapy, and complementary and restorative practices.

Dr. Rizkalla received his medical degree from Ross University School of Medicine in Miramar, Florida, then finished an internship in internal medicine before completing a residency in physical medicine and rehabilitation at Harvard Medical School, Spaulding Rehabilitation Hospital in Cambridge, Massachusetts.

Dr. Rizkalla has a subspecialty in sports medicine, has fellowship training in interventional pain management, and is certified in contemporary medical acupuncture. In addition to diagnosing and treating pain, his clinical interests include spine and joint care, sports medicine, electrodiagnostic and neuromuscular medicine, and nonsurgical orthopedics.

He has extensive training in performing numerous interventional pain procedures and restorative injections, such as platelet-rich plasma (PRP) and bone marrow aspirate cells. Dr. Rizkalla is also proficient in using musculoskeletal ultrasound to diagnose and treat injuries.

Heidi graduated with a Doctor of Physical Therapy degree from Central Michigan University in 2008. One year after completing graduate school, she began her specialization in pelvic floor physical therapy through the American Physical Therapy Association Section on Women’s Health.

Heidi has spent the last thirteen years treating a wide variety of patients with pelvic floor dysfunction including prenatal/postpartum care, pelvic pain, organ prolapse, bladder and bowel dysfunction. She is passionate about women’s health and is looking to help change the narrative when it comes to the importance of pelvic health over the life span.

Outside of work Heidi loves to spend time with her husband, two children and golden retriever. She also enjoys spending time in the Upper Peninsula and Northern Michigan, practicing yoga and eating tacos as often as she can!

Julie Shein, PT, CPT is a graduate of The University of Maryland School of Physical Therapy and has been providing excellent patient care for the past 20+ years. She received her Vestibular Certification from the University of Miami in 1999 and has taught and provided vestibular evaluation and treatment for the past 15 years. . She is a member of The Vestibular Disorders Association and has penned articles on Balance and Fall Prevention and has provided regional lectures to area Physicians, PTs, Neuropsychologists, OTs, and Athletic Trainers on Physical Therapy and Post-Concussion Syndrome. She has participated in a research project looking at the benefit of physical therapy post-concussion.Julie is a neurologic physical therapist providing excellent care for persons with multiple sclerosis, Parkinsons, TBI and CVA. Julie enjoys working with persons with complicated injuries and compound diagnosis.

Michele graduated with her Master of Physical Therapy degree from Wayne State University in 2002. She began treating pelvic floor dysfunction one year after graduation. She received her pelvic rehabilitation practitioner certification in 2017 from the Herman and Wallace Institute.

Over the past 21 years she has had interests in many different aspects of pelvic floor rehabilitation. These include working with female athletes, helping women safely return to sports post-partum and women who experience urinary issues, bowel issues and/or pain daily. I love to help women continue to be as active as they can and calm fears that relate to being active with pelvic floor dysfunction. 

In her free time, she loves to spend time with her two daughters going for walks with them, watching shows together, playing games with them. She also goes to Grand Rapids as often as she can to visit her sister and nephews.

Debbie obtained a Bachelor of Science in Exercise and Sport Science as well as a Master of Education degree from the University of Georgia. After teaching Health and Physical Education for 7 years, she then received her Master of Physical Therapy degree from Winston-Salem State University followed by her transitional Doctorate in Physical Therapy from Shenandoah University. She has worked in a variety of settings in physical therapy including acute care, outpatient, nursing home, and spent many years providing home health services in Rockingham County. Along with her physical therapy career, she frequently teaches tumbling and sport-specific skills to children of all ages as well as provides personal training. As a former collegiate gymnast and cheerleader at the University of Georgia, her passion is skill development and functional physical therapy.

Mr. Raymond H. Crallé is a Physical Therapist and a Marine with over 25 years experience with Hyperbaric Oxygen in treating so called off label conditions such as stroke, cerebral palsy, athletic injury, memory related issues, concussion, and auto immune disorders. During the past 44 years, Mr. Crallé has held State and National offices with the American Physical Therapy Association, developed over 13 sports medicine centers in Florida, treating some of the world’s most prominate athletes from Polo, NFL, NHL, Golf, Tennis, water sports, etc. His long standing interest in the brain and nervous system has resulted in his hyperbaric oxygen center being the first and only in the country to be approved by the Veterans Administration to treat military TBI and concussion. This “silent wound of war” is the silent wound concerning the National Football League and other sports teams including Youth Sports.

Andy Pyatt is a dedicated physical therapist with over a decade of experience serving the Suncoast community. Originally from North Carolina, Andy earned his Bachelor of Science from the University of North Carolina at Chapel Hill and his Master of Physical Therapy from Winston-Salem State University. He moved to Florida 12 years ago and has treated thousands of patients across various settings, including home health, assisted living facilities, and outpatient clinics. His primary focus is on orthopedic rehabilitation, helping patients recover from surgeries and improve their overall quality of life. Andy takes a patient-centered approach, emphasizing education, functional movement, and long-term well-being.​

Outside of work, Andy has a passion for music, running, astronomy, and spending time at the beach.​

Education & Certification:

• Master of Physical Therapy, Winston-Salem State University​

• Bachelor of Science, University of North Carolina at Chapel Hill​