Treatment Philosophy
"Pain is the number one reason that makes people seek medical attention. Although it is often difficult to find and treat the cause of a patient’s pain, I can’t think of a more important problem to attempt to solve. It gives me the opportunity to make a patient feel like a person again."
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Treatment Philosophy
"Laughter is the best medicine. Life is most worth living when you are able to derive pleasure from it. I believe everyone, especially those afflicted by pain, should make the most out of his or her life, and humor is a vital part of that process."
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ASC Medical Director, PainCare Board Certified in Sports Medicine
Treatment Philosophy
As a pain management physiatrist, Dr. Tung's goal is to alleviate pain in order to maximize functional recovery. "My patients can get back to living their lives instead of being preoccupied with pain." Dr. Tung believes that treating pain, especially chronic pain, with medications alone is not beneficial. "Pain is multifaceted, usually having a specific 'pain generator,' a generalized central nervous system response to pain, a psychosocial component, and sometimes a related physical impairment. To effectively treat pain, we must address all of these components. As every patient's pain history is unique, the treatment plan must be individualized."
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Carmen Ackerson, MS, APRN, NP-C |
Carmen Ackerson, Certified Nurse Practitioner, has joined Greg Aprilliano and Frank Valenti to form our north country PainCare team.
Carmen has worked in both hospital and home-based patient care, and graduated from the University of New Brunswick, Canada, and Rivier College.
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Greg Aprilliano CRNA, MSNA, APRN |
Treatment Philosophy
"When a patient makes his or her way to our clinic, it is clear they are nearing the end of healthy coping abilities. It is my responsibility to help guide these patients in a positive and healthy direction. I try to do this by listening and letting them know that this a journey, it will not be a “quick fix,” and we will have to work together. Far too many times people with chronic pain syndromes are brushed aside, given narcotics and forgotten. When they return they are viewed as problem patients and ultimately branded an “issue” and abandoned. My goal is to utilize early intervention to avoid these common pitfalls and, above all, demonstrate a long-term commitment to their healing.
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Kristen Aremburg, MS, APRN, NP-C |

Kristen worked as an RN at the Spaulding Youth Center prior to receiving her APRN license. We're happy to have Kristen join our team. If you would like to make an appointment at one of our offices, click here for contact information.
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Treatment Philosophy
"I believe in treating each patient individually - avoiding the cookbook approach to medicine by more thoughtfully matching a wide range of treatment methods to the specific pain diagnosis and patient lifestyle." It is Chris' opinion that injections and blocks can be surprisingly useful as much for diagnostic as for therapeutic purposes. "You can have all the MRI's in the world and still have the wrong pain diagnosis."
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Treatment Philosophy
"I believe in treating the whole person, not just the specific complaint that brought him/her in to the center. Accordingly, I make aggressive use of adjunctive therapies in my practice rather than relying solely on conventional medications and injections." Leah firmly believes that acupuncture, nutrition, physical therapy, hypnosis, and counseling can all be extremely useful in reducing pain and improving function in a chronic pain patient, and with minimal side effects. "I often see myself as much a 'treatment choreographer' as a pure clinician."
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Hugh Cochran, CRNA, MS, APRN |
Treatment Philosophy
At one end of the spectrum pain is simple, mild, transient and quickly responds to simple treatments. At the other end of the spectrum, chronic pain manifests as myriad biological and emotional dimensions or layers that require a comprehensive, mutually agreed upon plan of care. This plan of care, more often than not, employs multiple treatment modalities.
Working together, we can interrupt the cycle of simple pain before it becomes pathologic and chronic. We can also assist the long-term pain sufferer to begin pealing back the layers of chronic pain by enacting a thorough pain management care plan.
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Catherine Coolidge, APRN, RN-BC |
Treatment Philosophy
"I believe pain is best managed by using a comprehensive multi-modality approach. It only stands to reason that complex problems usually require complex solutions. It is not just about the injections or blocks or implants or medication. In order to obtain lasting relief and long-term restoration of function, it is best to take a holistic approach utilizing both traditional and alternative treatment strategies as appropriate, and often simultaneously."
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Kelly DeFeo, CRNA, PhD, APRN |
Treatment Philosophy
"My philosophy and approach to pain management includes a holistic treatment plan. I like to use a comprehensive diagnostic approach for evaluations and use all current treatment modalities appropriate once pain generator(s) are identified. Pain is multidimensional and should be treated as such." Kelly says there are no quick fixes in pain management and it is important to be honest and open with patients on various treatment options. Her goal is to help people find some relief from their pain and learn ways to maximize their health and wellness. "I believe that we all have choices to make; we just need to know all our options to make the best choice for each of us. I see myself as an educator and clinician. I believe the best plan is one where everyone is working together toward the same end goal."
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Robert E. Dillon, MS, APRN, NP-C |
Treatment Philosophy
Bob practices integrative medicine, combining allopathic as well as naturopathic treatment. He believes the mind-body-spirit connection is undeniable and that the body has an inherent ability to heal itself. "My goal is to direct self-healing by listening more to my patients, helping them to maximize coping and function."
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Treatment Philosophy
"Working in medicine requires developing a partnership between patient and provider. Each patient is an individual and deserves a treatment plan which takes into consideration their specific preferences and needs."
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Treatment Philosophy
John believes that everyone has the right "to tell their story," to have their pain recognized, diagnosed, and specifically treated. "It is important for these folks to understand that there are dedicated professionals here at PainCare who will work with them in a variety of ways to obtain relief from their persistent pain and the often terrible impact of their symptoms." John's self-described style with patients is "informal." "Putting up walls between patient and provider is clearly unproductive in this field."
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Patricia A. Phelps, MSW, LICSW |
Psychotherapist
Treatment Philosophy:
Patricia Phelps believes that learning about ourselves is ongoing. "I've worked to understand others and myself throughout my career and I'm comfortable working with people from all walks of life. From experience, I know that each individual has his/her way of living that works."
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Russell Plewinski, MS, DNAP, DAAPM |
Treatment Philosophy:
"Chronic pain reaches far beyond the sensation of pain. It affects the whole person… physically, mentally, and socially. Pain sufferers should know that PainCare uses a combination of therapies to address the complexities of the chronic pain experience."
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Treatment Philosophy:
"My work philosophy is adopted from a prior medical practice: We listen, we care, we take the time. I try to bring these traits into every interaction with my patients. The investment of my time and good listening skills helps to demystify the complicated medical issues facing each individual." Rick is determined to meet the challenge of helping people understand their problems and simplify their path to relief. He feels strongly that one cannot treat the body separately from the mind. "I believe it is imperative for my patients to work toward improving their mental health as much as physical health while practicing daily preventive care and maintenance."
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Treatment Philosophy
"I believe in applying as much science as possible to specifically diagnose the pain generator. It's like being a detective - examining the clues gathered from the patient history, the physical exam, and from x-rays, MRI's and lab data. It also involves giving the patient tools to measure their pain and accurately follow their progress." Of course, the science of pain management must be combined with compassion and sensitivity for the patient's unique pain experience. "One thing I have learned as a practitioner is that pain does not necessarily follow all the rules. Despite optimal detective work and treatment choices, the outcome may be compromised by peripheral issues, such as previously undiagnosed depression. To be successful, we must be ready to help in any way necessary, and to secure his/her active participation in the process."
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Treatment Philosophy
"I believe that pain can interfere with many aspects of a person’s life; physically, socially and psychologically, and together we can work to alleviate suffering through an individualized and multimodal approach to pain management."
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Steve Toscano, PA-C, MPAS |
Treatment Philosophy
"I believe in treating my patients as equals. By teaching them about their conditions and diseases, I give my patients the knowledge needed to make informed decisions about their health care choices." With a deep respect for each patient's unique circumstances, Steve develops an individualized treatment plan addressing each and every body system affected by their pain. "I use state-of-the-art technology and scientifically-based, evidence-driven approaches that include medications, procedures, and various therapies."
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Frank Valenti, CRNA, MS, APRN |
Treatment Philosophy
"Pain management can be most effective if the patient is motivated to be 'part of the team.' I see my role as finding a way to work with each patient to discover their unique motivators. Once on board, we can work together and find a way to help treat their pain."
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