Pain Management Specialists
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Pain Management Specialists
Our practice is a proud member of Privia Medical Group - a physician-led, multi-speciality, national medical group. The nation's top primary care physicians and specialists came together to form Privia Medical Group and share in the mission of providing better, more coordinated care to patients. Our group focuses on taking accountability for the health and wellness of the patients we serve.

We use some of the latest advances in medicine to help our patients remain healthy and better manage disease by offering our patients access to innovative health management technologies, proactive team-based care, and an evidenced-based, patient-centered approach.
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Over the last two decades, a tremendous emphasis has been placed on the use of opioid pain medications for chronic pain. The ensuing dramatic increase in the use of opioids has unfortunately been followed by equally dramatic increases in the rates of prescription drug addiction, overdose and death.
Dr. Hough is a native of the Washington area. He attended Swarthmore College and the University of Rochester School of Medicine and Dentistry. He completed his anesthesiology residency and pain management fellowship at Harvard Medical School/Beth Israel Deaconess Medical Center. After serving three years in the US Air Force, he returned home in 2001.
Mrs. Janssen has spent her entire career, over a decade, in the field of pain management, first as a registered nurse at George Washington University Hospital, and later a Nurse Practitioner in private practice. She received her Bachelor's Degree in Nursing from St. Mary's College in Notre Dame, Indiana, and her Master's degree at Goerge Mason University in Virginia.
Do you suffer from back, neck, or limb pain that won't go away despite following a comprehensive treatment program? If so, board-certified interventional pain management physicians Stuart Hough, MD, and Ramani Peruvemba, MD, can help.

At Pain Management Specialists in Rockville and Frederick, Maryland, they specialize in using state-of-the-art neuromodulation treatments such as the Nevro Senza HF10 high-frequency spinal cord stimulator and the Proclaim DRG Neurostimulator System.Call Pain Management Specialists today to find out more or book an appointment online.
For many people with acute and chronic pain, pain medicine is an important part of a comprehensive care plan. However, opioids aren't appropriate for most people suffering from pain, including chronic pain. At Pain Management Specialists, board-certified interventional pain management physicians Stuart Hough, MD, and Ramani Peruvemba, MD, include pain medicine in individualized treatment plans but only prescribe opioids when absolutely necessary.
Reviews (10)
David Liu
David Liu
Jan 14, 2022
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I would like to express my gratitude to Dr Hough and his team for the excellent work to help me on my severe back pain. After reviewing my CT scanning result, he pointed out the likely cause of the pain and tell me how to reduce and eliminate it. I followed his instruction and my back pain is totally gone now!
It is a fortune for most of the patients with pains that we have Dr Hough to be here and to help us!
Thank you Dr Hough!
Sincerely,
David
James Fremont
James Fremont
Dec 20, 2021
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When I made the appointment with Dr. Hough for 12/9/21, I was expecting a reasonably courteous encounter. However, throughout my appointment, he was terse, abrupt, and by abruptly yanking my shirt up without warning or without asking me to do it, and by almost ripping one of my shoes off, I feel that he exhibited a great lack of respect. These actions, plus his manipulations of my legs, without explanation, made me feel abused and somewhat bullied. It costs nothing to exhibit courtesy and empathy to a patient, so why could he not do this?
Dresden Laszlo
Dresden Laszlo
Oct 24, 2021
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Dr Peruvemba is thorough when i have my exam. He takes his time to listen to me and my concerns and has helped me tremendously over the years. He has gone out of his way to look at alternative treatment, to give me more choices in determining my care.
Cee Tyler
Cee Tyler
Oct 20, 2021
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Four years ago, I was hesitant to start any type of pain management. My orthopedic physician referred me to Dr. Peruvemba. He was very knowledgeable of my condition, how to treat as well. I appreciate that Dr.Peruvemba has excellent bedside manners, understanding /listening to my concerns as a patient.
Currently I have returned to Dr. Peruvemba for another back issue.
The service is still excellent, and the office staff provides courteous and efficient care. Thanks Pain Mgmt. Specialist for providing quality care.
Iris Slattery
Iris Slattery
Oct 18, 2021
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Dr Peruvemba and his staff have always been caring, courteous, and kind. Their helpfulness and efficiency is greatly appreciated and I wish all doctors 'operated' like they do.
Douglas Hull
Douglas Hull
Jul 30, 2021
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I have to say, this is the most professional, personable, and caring staff, I’ve ever been around! Dr P has literally saved my life through his expertise and knowledge of how to treat failed back surgery and chronic pain. Thank you for caring so much about my condition, and helping to relieve the pain
Simthia Stewart
Simthia Stewart
Jun 20, 2021
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Dr. S. Hough is a straight forward, knowledgeable, accurate, cautious and a very experienced pain specialist. He listens to you, takes your health concerns seriously, examines and documents. Then Dr. Hough comes up with the best treatment plan for you to help you become as healthy and mobile as possible. He has treated me and helped me from debilitating issues twice. Each time he and his assistant assured me that I was in good hands. I couldn't ask for a better team than Dr. Hough's staff. They go above and beyond to make sure your questions and concerns are answered. During my treatments I have
Debbie McD
Debbie McD
Jun 16, 2021
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Excellent! I have been going to Pain Mgmt. Specialist for years and, as most patients are nervous about seeing new Dr's, I was no different. I had been seeing a different pain mgmt practice and I felt that I was not being heard. I felt that medication was being suggested rather than listening to my concerns for that. I didn't want that, but rather wanted to try alternative measures. With that being said, I sought out for a different practice. I was referred by a close friend to this practice.... I was completely surprised on my 1st consultation, starting with the staff, and everyone in between
Tess Venkat
Tess Venkat
Jun 13, 2021
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I was very happy with the practice. The three persons I had contact with were extremely patient and compassionate. Dr. P took his time to listen to my mom and thoroughly explained her condition to her and what he suggests to help with her back pain. The receptionist was very pleasant. Last but not least, Evan was amazing. He showed so much understanding towards my mother. His care and love towards the patient was vey evident. Great job!
Ben Daughtry
Ben Daughtry
Jun 12, 2021
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Dr Hough manages my chronic pain condition in a very comprehensive, clinically oriented and professional manner while also being extremely caring & concerned for my well being & quality of life. I feel very fortunate to be included in his practice as I consider his total approach to my care to be that provided by an outstanding physician!