Pain Management

Premier Orthopaedic Associates is a trusted provided of physical medicine and rehabilitation (PM&R) and pain management. We offer the highest quality pain management services utilizing non-surgical and surgical methods to help you live your best life. Our interventional pain management specialists are Kimberly Y. Smith, MD, Chiara Mariani, MD, Laurence N. Fitzhenry, MD, Niti D. Cooper, DO and Trina M. Lisko, DO. Our specialists are board certified, highly trained physicians who work as a team to determine the best approach to restoring a patient's mobility.

PREMIER Pain Management, Physical Therapy and Rehabilitation

Trigger Point Injections

EMG Nerve Conduction Testing

Tips for Managing Chronic Pain at Home


Meditation can help your brain release endorphins, natural pain relievers. Muscles and tissues around your joints become more relaxed. By managing your thoughts you bring your mind to a calmer state so you’ll feel less pain.

Reduce stress

Stress causes your muscles to tense or spasm, which increases pain. When you feel stressed, levels of the hormone cortisol rise. This can cause inflammation and pain over time.


Exercise is crucial to maintain good health. It’s especially important for individuals with arthritis. It increases strength and flexibility, reduces joint pain and helps combat fatigue.

Eat Healthy

When you have the proper nutrients you provide your body with the tools it needs to reduce inflammation. Reduce your sugar intake, highly processed foods, fatty/greasy foods which promote inflammation, making chronic pain worse.


Therapeutic massage may relieve pain by way of several mechanisms, including relaxing painful muscles, tendons and joints; relieving stress and anxiety; and possibly helping to “close the pain gate” by stimulating competing nerve fibers and impeding pain messages to and from the brain.

Kimberley Y. Smith

MD, FAAPMR/FAAPM, Double Board Certified Pain Medicine and Physical Medicine & Rehabilitation

Chiara Mariani

MD, FAAPMR, Board Certified, Fellowship Trained Physical Medicine and Rehabilitation

Laurence N. Fitzhenry, IV

MD, Board Certified Anesthesiology & Pain Management, Fellowship Trained Pain Medicine

Trina M. Lisko

DO, FAAPMR, Triple Board Certified, Physical Medicine&Rehabilitation, Electrodiagnostic, Sports Medicine, Fellowship Trained Sports and Spine Medicine

Niti D. Cooper

DO, Board Certified, Fellowship Trained Anesthesiology & Interventional Pain Management

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