About Me
I’m a board-certified physician in Pain Management and Physical Medicine & Rehabilitation, and I’ve been part of the MetroHealth team since 2021. I specialize in helping patients manage pain through advanced, minimally invasive techniques, with a focus on neuromodulation therapies that target the nervous system to reduce discomfort and improve function.
My background includes both medical and scientific training—I earned my MD and PhD in Neurophysiology, and I’ve spent years researching ways to improve recovery after stroke and reduce pain through innovative nerve treatments. I completed my residency and fellowship training right here at MetroHealth/Case Western Reserve University, where I now serve as Director of Pain Medicine and Director of Research at the Pain & Healing Center.
Whether you’re dealing with chronic pain, spasticity, or recovering from injury, my goal is to provide compassionate, personalized care backed by the latest science. I believe that every patient deserves to feel heard, supported, and empowered in their healing journey.
Neuromodulation
Neuroelectrophysiology
Nerve block for pain
Nerve block for spasticity
Neuromodulation for functional recovery
Spinal cord stimulation
Peripheral nerve stimulation
Castle Connolly Top Doctor, 2024 – 2025
Training in Grantsmanship for Rehabilitation Research, 2024
Cleveland Magazine’s Annual Top Doctors 2023 – 2025
Electrode Store Best Paper Award, Fellow Category, Association of Academic Physiatrists, 02/2016
Allergan Foundation Pain Management and Spine Care Research Award, 02/2015
PubMed Publications
- Variation in outcomes after metabolic bariatric surgery: multilevel analysis to assess the contribution of patient, surgeon, and hospital factors Abstract: CONCLUSION: Variation in outcomes is mostly explained by hospital factors, rather than surgeon factors, supporting hospital-based performance feedback. The results suggest that the pre- and postoperative trajectory and perioperative care may affect MBS outcomes more than patient characteristics or surgical team performance.
- Risk of dementia following gabapentin prescription in chronic low back pain patients Abstract: CONCLUSIONS: Gabapentin prescription in adults with chronic low back pain is associated with increased risk of dementia and cognitive impairment, particularly in non-elderly adults. Physicians should monitor cognitive outcomes in patients prescribed gabapentin.
- Predictors and risk model for positive circumferential resection margin after robot-assisted total mesorectal excision: retrospective cohort study Abstract: CONCLUSION: Preoperative tumour- and procedure-related factors, rather than patient-related factors, are associated with CRM involvement after R-TME. The proposed predictive model allows preoperative calculation of the risk of positive CRM, offering valuable insights for optimizing patient selection and tailoring treatment approaches to enhance oncological outcomes.
- Evaluation of Genicular Nerve Blocks Durations With and Without Corticosteroid: A Single-blind, Randomized Controlled Trial Abstract: CONCLUSION: The addition of a corticosteroid to local anesthetic for GNB may prolong initial analgesic effects within the first postprocedure 24 hours. However, there is no analgesic difference in the weeks following a GNB between procedures done with local anesthetic only or local anesthetic and corticosteroid. These findings suggest that there is a lack of therapeutic benefit and effect on relief duration with using corticosteroids in GNBs.
- Comparable results 5 years after one anastomosis gastric bypass compared to Roux-en-Y gastric bypass: a propensity-score matched analysis Abstract: CONCLUSIONS: OAGB and RYGB yield comparable weight loss outcomes. However, OAGB had more intraoperative complications, while RYGB had more short-term complications. Both procedures show similar efficacy in diabetes mellitus remission, but OAGB is more effective in achieving hypertension remission.
- MRI genicular nerve mapping: a novel approach to sagittal genicular nerve localization Abstract: CONCLUSIONS: This study supports updated guidance on genicular rhizotomy targets. Nerve localization studies using MRI data may be a promising avenue in future nerve localization research pertinent to rhizotomy.
- Laparoscopic and robotic total mesorectal excision in overweight and obese patients: multinational cohort study Abstract: No abstract
- Clinical Examination, Diagnosis, and Conservative Treatment of Chronic Low Back Pain: A Narrative Review Abstract: Chronic low back pain is one of the most frequent reasons for medical consultation. It is important to make the correct diagnosis to select the most appropriate treatment in a stepwise approach. In this narrative review, we focus on the clinical examination, the diagnosis, and the conservative treatment of chronic non-specific low back pain. Belgian guidelines for low back pain were used as a basis, followed by a snowball search starting from two articles. Besides that, the Cochrane database was...
- Optimizing Hospital Performance Evaluation in Total Weight Loss Outcomes After Bariatric Surgery: A Retrospective Analysis to Guide Further Improvement in Dutch Hospitals Abstract: CONCLUSION: The funnel plot around the median discriminated better between hospitals with significantly worse and better performance than funnel plots for dichotomized %TWL outcomes.
- The Impact of Longer Biliopancreatic Limb Length on Weight Loss and Comorbidity Improvement at 5 Years After Primary Roux-en-Y Gastric Bypass Surgery: A Population-Based Matched Cohort Study Abstract: CONCLUSION: Patients undergoing RYGB with longer BPL achieved higher weight loss and were more likely to achieve improvement of comorbidities at 5 years.
- Functional outcomes and quality of life following open versus laparoscopic versus robot-assisted versus transanal total mesorectal excision in rectal cancer patients: a systematic review and meta-analysis Abstract: CONCLUSIONS: This systematic review and meta-analysis highlight a significant gap in the literature concerning the evaluation of functional outcomes and QoL after TME for rectal cancer treatment. This study emphasizes the need for high-quality, randomized-controlled, and prospective cohort studies evaluating these outcomes. Based on the limited available evidence, this systematic review and meta-analysis suggests no significant differences in patients' urinary, sexual, and fecal functioning and...
- Upfront resection versus no resection of the primary tumor in patients with synchronous metastatic colorectal cancer: the randomized phase III CAIRO4 study conducted by the Dutch Colorectal Cancer Group and the Danish Colorectal Cancer Group Abstract: CONCLUSIONS: Addition of upfront PTR to palliative systemic therapy in patients with synchronous mCRC without severe symptoms of the primary tumor does not result in a survival benefit. This practice should no longer be considered standard of care.
- Novel Insights Into the Intratendinous Pressure Behavior of the Achilles Tendon in Athletes Abstract: CONCLUSION: The normal intratendinous resting pressure of the Achilles tendon is higher than other musculoskeletal tissues, making it more susceptible to ischemia. During exercise, intratendinous pressure increases significantly to a level that lowers perfusion pressure, thereby compromising blood supply at already low plantarflexion forces.
- Ocular Pentastomiasis in Human Hosts Abstract: No abstract
- Multicentre cohort study evaluating clinical, oncological and functional outcomes following robotic rectal cancer surgery-the EUREKA collaborative: trial protocol Abstract: No abstract
Education & Training
Education
Fellowship
MetroHealth Medical Center (Ohio) – Postdoctoral Physician-Scientist FellowshipResidency
MetroHealth Medical Center (Ohio) – Physical Medicine & RehabilitationFellowship
MetroHealth Medical Center (Ohio) – Pain MedicineFellowship
University of Kansas Medical Center (Hays) – Postdoctoral Research FellowshipMedical Education
University of Kansas School of Medicine MDInternship
MetroHealth Medical Center (Ohio) – Physical Medicine & RehabilitationBoard Certifications
American Board of Physical Medicine & Rehabilitation - Pain MedicineAmerican Board of Physical Medicine & Rehabilitation - Physical Medicine & Rehabilitation