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Dr. Tsuji trained at the University of Hawaii, Hilo, and University of Hawaii, Manoa campuses where he earned a Bachelor of Arts in Chemistry, and Master’s in Biochemistry.

He moved from the tropics to the cold of Illinois where he received his Doctorate of Medicine at the Chicago Medical School. Longing for warmer climates, he entered the Naval Service and was stationed at San Diego Medical Center for his surgical internship. In the Navy, Lieutenant Commander Tsuji was the Medical Officer on USS Acadia, Senior Medical Officer on USS Fort McHenry, and the Head of Sports Medicine at Navy Boot Camp back in North Chicago.

After leaving the Navy he finished a Physical Medicine and Rehabilitation Residency at Sinai & Johns Hopkins before returning to milder climates. On the Big Island of Hawaii he completed an Interventional Spine and Sports Medicine Fellowship. Dr. Tsuji is Board Certified in Pain Medicine.

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. 

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.

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..

Dr. Tsuji trained at the University of Hawaii, Hilo, and University of Hawaii, Manoa campuses where he earned a Bachelor of Arts in Chemistry, and Master’s in Biochemistry.

He moved from the tropics to the cold of Illinois where he received his Doctorate of Medicine at the Chicago Medical School. Longing for warmer climates, he entered the Naval Service and was stationed at San Diego Medical Center for his surgical internship. In the Navy, Lieutenant Commander Tsuji was the Medical Officer on USS Acadia, Senior Medical Officer on USS Fort McHenry, and the Head of Sports Medicine at Navy Boot Camp back in North Chicago.

After leaving the Navy he finished a Physical Medicine and Rehabilitation Residency at Sinai & Johns Hopkins before returning to milder climates. On the Big Island of Hawaii he completed an Interventional Spine and Sports Medicine Fellowship. Dr. Tsuji is Board Certified in Pain Medicine.

Dr. John Huffman, MD is a pain management physician practicing at Interventional Pain and Regenerative Medicine Specialists in Arlington, Virginia on the campus of the Virginia Hospital Center. He is certified by the American Board of Anesthesiology (1994 - present) with an additional Pain Medicine Certification (1996 - present). 

Dr. Huffman completed his anesthesiology residency and pain medicine training at George Washington University Hospital in Washington, DC. He was named chief resident during his final year of training, after which he remained on staff teaching as an assistant professor of anesthesiology and pain medicine until 1997.

Prior to joining Virginia Hospital Center, he served as the Medical Director of Pain Management at Holy Cross Hospital in Silver Spring, Maryland, for over 22 years. His responsibilities included managing a staff of more than 25 medical professionals.

Dr. Huffman has extensive experience in all areas of pain medicine and has a special interest in Intrathecal Drug Delivery and Spinal Cord Stimulation, both procedures are surgically implantable technologies for use in the treatment of chronic pain. He has taught and published extensively on interventional pain management techniques and treatment of chronic pain. He remains active in research and routinely maintains his continuing medical education.

Dr. Huffman strongly supports a multi-disciplinary approach to patients suffering from chronic pain and recognizes the unique and individual nature of each patient’s pain and tailors their treatment accordingly. He believes in honesty and trust as the foundation for the patient-physician relationship.

Outside of medicine, Dr. Huffman enjoys spending time with his dog Hope, exercising, cooking, design, and travel.

Dr. Kapteyn received his Doctor of Osteopathic Medicine from West Virginia School of Osteopathic Medicine in Lewisburg, WV, followed by a medical internship at Henry Ford Hospital in Detroit, Michigan. Dr. Kapteyn then pursued his residency at Georgetown University and the National Rehabilitation Hospital in Washington D.C. He further honed his expertise through fellowship training in interventional pain at the University of Wisconsin, Madison. Dr Kapteyn is board certified in Physical Medicine and Rehabilitation, pain medicine, and board eligible Hospice and Palliative care. A multidisciplinary, balanced approach to pain medicine is a hallmark of his care to bring improvement in function.
From 2009 to 2013, Dr. Kapteyn served as the Medical Director of Pain Medicine at Drake Hospital, a University of Cincinnati Hospital, where he served and at times led the medical executive committee and represented Drake on the drug planning and development committee. Kapteyn subsequently entered private practice with Orthopedic Associates Muskegon, where he worked until 2023. During his career, he also worked as a physician consultant with Hydrocision, and as the physician lead in the development of TenJet for minimally invasive tenotomies. Additionally, Dr. Kapteyn worked in hospice and palliative care with Harbor Hospice,and served as an independent director and science consultant on the board of NewAge Beverages from 2017-2020. NASDAQ ticker NBEV.
Dr. Kapteyn has gained recognition for his skills in minimally invasive ultrasound guided procedures, including carpal tunnel release and trigger finger releases, as well as TenJet for elbow tenotomy, hip, shoulder, and achilles tendon. In addition to spinal injections, Dr Kapteyn performs procedures such as basi-vertebral nerve ablation, interspinous vertiflex for spinal stenosis, spinal cord stimulation, peripheral nerve stimulation, kyphoplasty and radiofrequency ablation. He performs neurolytic blocks for sympathetic nerve pain, and he is also experienced with pain pumps, Botox treatments, including for migraine prophylaxis, prolotherapy, orthobiologics, for both chronic tendon and joint pain, and Biote for bio-identical hormone optimization. 

Dr. Kapteyn has numerous contributions to medical research. including NIH research on neurophysiological correlates in chronic stroke patients. He also served as a lead investigator for the PUGET study, which examined the outcomes of tenotomies for medial and lateral epicondylitis. He participated in CITRUS

study with SonexHealth, observing outcomes of ultrasound guided carpal tunnel release. Furthermore, he participated in research on a novel migraine prophylactic treatment for chronic migraine headaches with Healthy Extracts, publishing “A Unique medium chain triglyceride-containing micronutrient complex: Effects on chronic migraine headache”. World Journal of Advanced Research. Dr. Kapteyn’s expertise and compassionate approach to care gained him a reputation of being a “physician’s physician,” as other physicians in the field often consult him for medical advice, guidance and treatment.
Outside the office

A Grand Rapids, MI native, Dr. Kapteyn loves the warm weather and vibrant culture of the nations capital, Washington, DC, and is excited to return. He enjoys ballroom dancing, performing vocally, performing recently with the Williamsburg Symphony, he enjoys both HIIT and tabata exercising, golfing, cooking, gardening and hiking and mountain biking. He has three college-aged daughters and was married to Nancy Kapteyn for 25 years until she passed away from breast cancer. In her memory, Dr. Kapteyn encourages contributions to the National Breast Cancer Foundation.

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

George Drakes, MD, is a board-certified physical medicine and rehabilitation specialist and interventional pain management physician highly specialized in pain relief. Dr. Drakes is the Medical Director and Founder of Metro Spine PC, with offices in Clinton, Takoma Park, and Oxon Hill, Maryland.

Inspired by a family that promoted healthy living and medicine, Dr. Drakes pursued a career in Pain Medicine and Rehabilitation with a passion for impacting the lives of those living with pain. He attended Wayne State University School of Medicine in 1986 and completed his residency in 1990 at the Rehabilitation Institute of Michigan — a Wayne State University-affiliated hospital.

Dr. Drakes is a fellow of the American Academy of Physical Medicine and Rehabilitation. Upon completing his residency, Dr. Drakes practiced at the Reading Rehabilitation Hospital in Pennsylvania and was a lecturer at the University of Pennsylvania, teaching residents rotating at Reading Rehabilitation Hospital.

He has held positions as Medical Director and Chief of the Rehabilitation Division at Maryland General Hospital in Baltimore, MD, a satellite of Bryn Mawr Rehabilitation Center in Pennsylvania. He was the medical director of that satellite facility from 1991 to 1993 and managed all aspects of rehabilitation, including head injury and spinal cord injuries.

Dr. Drakes later held the position of associate medical director of Rehabilitation at Greater Southeast Community Hospital while also directing his private practice, Community Physical Medicine and Pain Center, in downtown Silver Spring. 

Since founding Metro Spine Pain Centers in 1993, Dr. Drakes has continued to be active in teaching, lecturing, and inspiring others while also participating in the day-to-day care of his patients.

He held the position of Assistant Clinical Professor at George Washington University and provided medical students with hands-on learning experiences at Metro Spine Pain Centers. He is also a public lecturer on pain management in Barbados.

Dr. Drakes is also an accomplished business leader, expanding Metro Spine Pain Centers to four current office locations in the metro DC area and founding the Caribbean Pain Institute, a pain treatment center in Barbados.

When not directing Metro Spine Pain Centers and the Caribbean Pain Institute and caring for patients, Dr. Drakes holds an active interest in car restoration, playing golf, and tennis, swimming, traveling, and spending time with his wife, Wilma, and sons, G.Hudson, Alandre, and Benjamin.