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Jenai Castaneda, PA-C, is a physician assistant at the Sports Medicine and Orthopaedic Institute in Victorville, California.

He sees patients of all ages in the office, performing exams to make a diagnosis or to prescribe medications or therapy. Mr. Castaneda also assists the surgeon team during orthopedic procedures for tendon repairs, wound closures, and fractures.

Mr. Castaneda completed his Bachelor of Science with honors at the California State University (CSUSB), San Bernardino, before earning his master’s degree with honors at Western University of Health Sciences (WesternU) in Pomona, California.

Between September 2019 and September 2020, Mr. Castaneda completed several medical rotations, gaining valuable experience in pediatrics, cardiology, family medicine, internal medicine, OB/GYN, general surgery, and orthopedic surgery.

Before joining the Sports Medicine and Orthopaedic Institute team, Mr. Castaneda worked as a physician assistant in a surgical practice in Apple Valley, California.

When he’s not at work, Mr. Castaneda enjoys spending time with his toddler, Adriel.

A southern Californian native, Dr. Lai completed his medical training at Tufts University where he subsequently served as a clinical instructor. He is board certified in Physical Medicine and Rehabilitation. He also holds board certifications in Pain Medicine and Independent Medical Examiners. 

Dr. Lai’s primary goal is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Dr. Lai’s professional interests include interventional pain management, neuromusculoskeletal disorders, electrodiagnostics, industrial and occupational rehabilitation. His approach to caring is based on improvement in quality of life through improvement in function.

Dr. Lai understands that physicians today must have superb clinical expertise, plus an understanding of business advocacy systems to help patients access the insurance, medical care, and the support required when facing an injury in order to help people improve their quality of life.

Shinto Koshy, MD, is a board-certified physician specializing in physical medicine and rehabilitation. He sees patients at Centers of Rehabilitation and Pain Medicine, which has locations in Placentia and Rancho Mirage, California. 

Dr. Koshy completed his physical medicine and rehabilitation residency training at the State University of New York Downstate. He completed his interventional spine Fellowship here at Centers of Rehabilitation and Pain Medicine.

Dr. Koshy is an active member with the American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, American College of Healthcare Executives, and the American Society of Interventional Pain Physicians. 

His philosophy of care is a comprehensive approach that focuses on prevention, educating patients about their pain, and giving patients the opportunity to make the right choices regarding their healthcare.

To schedule an appointment with Dr. Koshy or another member of the team at Centers of Rehabilitation and Pain Medicine, call the nearest office or request one online today.

Dr. Vishal Thakral is double board certified in Physical Medicine and Rehabilitation and Sports Medicine with a subspecialty in Musculoskeletal Sonography. Dr. Thakral specializes in musculoskeletal and orthopedic injuries related to the joints and spine. Dr. Thakral's medical interests include sports medicine utilizing musculoskeletal ultrasound-guided procedures to perform regenerative treatments for all joints including the hand, wrist, pelvis, shoulder, knee, hip, foot, ankle, and spine injuries.

After earning his medical degree from West Virginia School of Osteopathic Medicine, Dr. Thakral completed a residency in Physical Medicine and Rehabilitation at The Johns Hopkins Hospital. U.S. News ranked John Hopkins as one of the top five hospitals in the nation. Following his residency, Dr. Thakral completed two fellowships focusing on orthobiologics integrating regenerative therapies in treating diverse orthopedic conditions.

Dr. Thakral's mission is to ensure patients are on the correct path of treatment whether that be conservative options first or identifying the correct pain-generating source before needed surgery and the recovery that follows. Part of Dr. Thakral's goal is to help patients understand all the available options for them to be star advocates for themselves and to take control of their health. He also serves as a Clinical Assistant Professor at Western University teaching aspiring physicians about interventional orthopedics.

PROFESSIONAL INTERESTS

Chronic musculoskeletal pain
Nerve conduction study and electromyelography

PROFESSIONAL CERTIFICATION

Diplomate, American Board of Physical Medicine and Rehabilitation, 2010 - Now
Board Certification in Physical Medicine and Rehabilitation Specialty, 2010 – Now

PROFESSIONAL LICENSURE

Medical Licensure in California, 10/22/2008 - Now

MEDICAL TRAINING

Physical Medicine & Rehabilitation Residency
8/2003 – 10/2007
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania

MEDICAL AND POSTGRADUATE EDUCATION

Doctor of Medicine Degree and Master of Business Administration Degree
1997 – 2003
Combined Program with Tufts University School of Medicine, Brandeis University, and Northeastern University.
Boston, Massachusetts

English
Chinese – Mandarin and Taiwanese

A southern Californian native, Dr. Lai completed his medical training at Tufts University where he subsequently served as a clinical instructor. He is board certified in Physical Medicine and Rehabilitation. He also holds board certifications in Pain Medicine and Independent Medical Examiners. 

Dr. Lai’s primary goal is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Dr. Lai’s professional interests include interventional pain management, neuromusculoskeletal disorders, electrodiagnostics, industrial and occupational rehabilitation. His approach to caring is based on improvement in quality of life through improvement in function.

Dr. Lai understands that physicians today must have superb clinical expertise, plus an understanding of business advocacy systems to help patients access the insurance, medical care, and the support required when facing an injury in order to help people improve their quality of life.

Dr. Shinto Koshy completed his Physical Medicine and Rehabilitation residency training at the State University of New York Downstate and is board certified. He completed his Interventional Spine Fellowship at Centers for Rehabilitation and Pain Medicine.

Dr. Koshy is an active member with the American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, American College of Healthcare Executives, and the American Society of Interventional Pain Physicians. His philosophy of care is a comprehensive approach while focusing on prevention, educating patients about their pain, and giving patients the opportunity to make the right choices with their healthcare.

Dr. Shinto Koshy completed his Physical Medicine and Rehabilitation residency training at the State University of New York Downstate and is board certified. He completed his Interventional Spine Fellowship at Centers for Rehabilitation and Pain Medicine.

Dr. Koshy is an active member with the American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, American College of Healthcare Executives, and the American Society of Interventional Pain Physicians. His philosophy of care is a comprehensive approach while focusing on prevention, educating patients about their pain, and giving patients the opportunity to make the right choices with their healthcare.

A southern Californian native, Dr. Lai completed his medical training at Tufts University where he subsequently served as a clinical instructor. He is board certified in Physical Medicine and Rehabilitation. He also holds board certifications in Pain Medicine and Independent Medical Examiners. 

Dr. Lai’s primary goal is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Dr. Lai’s professional interests include interventional pain management, neuromusculoskeletal disorders, electrodiagnostics, industrial and occupational rehabilitation. His approach to caring is based on improvement in quality of life through improvement in function.

Dr. Lai understands that physicians today must have superb clinical expertise, plus an understanding of business advocacy systems to help patients access the insurance, medical care, and the support required when facing an injury in order to help people improve their quality of life.

With the philosophy that a thorough physical exam is crucial for successful treatment, Dr. Germanovich takes a hands-on approach to the diagnosis and treatment of pain conditions.

He uses a multi-modal treatment approach for every patient starting with therapeutic exercises, manual manipulation, heel lifts, aqua therapy and medications. If basic treatments fail, Dr. Germanovich utilizes precise spine, joint, tissue and nerve injections using ultrasound, fluoroscopy and CT guidance. For complex clinical pain syndromes he may implant spinal cord stimulation and intrathecal drug delivery systems.

Dr. Germanovich’s particular areas of interest are postural biomechanics and musculoskeletal pain due spinal and pelvic misalignment in conditions such short leg syndrome or psoas syndrome.  He is an expert on chest wall pain due to slipped rib syndrome. In addition to his traditional medical education, Dr. Germanovich utilizes osteopathic manual techniques for an accurate diagnosis and effective treatment.

Dr. Germanovich is an active member of many professional Pain Medicine and Anesthesiology societies.

Education

University of Illinois

• Undergrad Degree (Biological Sciences and Germanic Studies)
• Master’s Degree (Physiology and Biophysics)
• Midwestern University / Chicago College of Osteopathic Medicine – Medical degree

Residency

Advocate Health (University of Illinois)

• Anesthesiology residency
• Served as a Chief Resident
• Learned unique ultrasound and computed tomography – guided interventional  techniques and participated in numerous studies in areas of pain medicine and anesthesiology

Fellowship

University of California Los Angeles

• “Best of the West” fellowship program
• Interventional pain management medicine fellowship
• Learned a wide variety of novel interventional techniques for the treatment of  acute and chronic pain.

Specialty

• Pain Management
• Anesthesiology

Special Expertise

• Postural Biomechanics, regenerative medicine (stem cells and plasma), treatment of degenerative joint and disk disease.
• Migraine and Tension Headache
• Facial Pain
• Abdominal Pain
• Nerve-related Pain
• Cancer-related Pain

Eric Y. Chang, MD, of Restore Orthopedics and Spine Center in Orange, California, is an interventional physiatrist specializing in rehabilitation, regenerative medicine, sports medicine, and wellness, who offers a variety of treatments for neuropathic and musculoskeletal pain conditions. He has particular expertise in treating patients with compression fractures, sciatica, neuropathy, spasticity, myofascial pain, and scoliosis, as well as nonoperative neck and low back pain.

Dr. Chang received his bachelor’s degree at Yale University in New Haven, Connecticut, then attended medical school at Albert Einstein College of Medicine in New York City. Dr. Chang headed to the west coast, completing his residency in physical medicine and rehabilitation at the University of California, Los Angeles in conjunction with the Veterans Administration Greater Los Angeles Healthcare System. Due to his interest in patients with spinal disorder-related pain, he also completed an anesthesia-based ACGME pain medicine fellowship at the University of California, Irvine.

During his medical training, Dr. Chang received a K12 mentored career development award through the National Institute of Child Health and Human Development and the National Institutes of Health to study behavioral hypersensitivities of lower back pain.

Dr. Chang performs a wide array of interventional procedures in the neck and low back, as well as advanced procedures, such as spinal cord stimulators, intrathecal drug delivery pumps, and electromyography. He also uses newer regenerative therapies, such as platelet-rich plasma and stem cell therapy, to treat osteoarthritis and chronic injuries.

Specialty

• Rehabilitation & regenerative medicine

Subspecialty

• Sports medicine
• Pain treatment
• Wellness

Special Expertise

• Non-operative neck and low back pain
• Spasticity, myofascial pain, scoliosis/kyphosis, compression fractures, sciatica, and neuropathic pain conditions.
• Performs a multitude of interventional procedures in the neck and low back along with advanced procedures such as spinal cord stimulators and intrathecal drug delivery pumps
• He also brings his knowledge of regenerative therapies (Plasma Rich Platelets, Stem Cells Therapy) for osteoarthritis and chronic injuries

Education

• Yale University – Undergraduate degree
• Albert Einstein College of Medicine, New York – Medical degree (Distinction in musculoskeletal disorders)

Residency

UCLA / Veterans Administration Greater Los Angeles Healthcare System

• Physical Medicine & Rehabilitation

Fellowship

UC Irvine

• Completed an Anesthesia-based ACGME Pain Medicine fellowship to pursue his interest in neuropathic pain and spasticity among patients with spinal disorders

Dr. Chang also received a K12 mentored career development award through the National Institutes of Health and the National Institute of Child Health & Human Development to study behavioral hypersensitivities of low back pain, using rodent models to correlate advanced degenerative disc disease and the biochemical mediators of pain in the spine.