Our providers

David Tung, MD, MPH

Treatment Philosophy
ASC Medical Director, PainCare Board Certified in Physical Medicine and Rehabilitation and Sports Medicine

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...
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Daniel A. Graubert, MD

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.”
Special Interests:
“Treating spine pain is the area of...
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Ashleigh Byrne, MD

ABA Board Certified in Anesthesiologybyrne_web Treatment Philosophy
Pain is under-recognized and under-treated by many physicians, but yet can play such an integral role in one’s life and happiness. I believe in a multidisciplinary approach to pain medicine, and using the best treatments and evidence based medicine available. I use a multifaceted approach to help alleviate pain and improve function,...
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Joshua Greenspan, MD

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.”
Special Interests
Occipital neuromodulation for migraines, fibromyalgia, traumatic brain injury; spinal cord...
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Carmen Ackerson, APRN

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.

“Chronic pain is a complex phenomena that encompasses the whole person. As a provider in pain management,...
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Greg Aprilliano, CRNA

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...
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Kristen Aremburg, APRN

Treatment Philosophy
“Effective providers facilitate care and inspire wellness by adapting to the strengths and weaknesses of their clients. I see listening and educating as my two most important roles as I partner with clients to understand their individual life experiences and realize their healing goals.”
Special Interests:
“The...
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Christopher Clough, PA-C

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...
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Leah Clough, PA-C

Leah Clough PA-CTreatment 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...
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Catherine Coolidge, APRN

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...
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Kelly DeFeo, CRNA

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...
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Robert E. Dillon, APRN

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.”
Special Interests:
Addiction Medicine,...
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John Kane, CRNA

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...
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Shelley M. Landry, MPA-C

Treatment Philosophy
I believe that a good clinician forms a partnership with each patient based on respect and honesty. I support and encourage patients to better themselves physically and mentally. I feel honored and prvileged to be an integral part of improving a patient’s life by bettering their function. Patients will often hear me say, “It’s...
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Constance A. Morrison, DNP JD PMNP BC, FAANP

Psychiatric Nurse Practitioner
Treatment Philosophy:
I trained under the legendary Aaron Beck, the Father of Cognitive Behavioral Therapy. His belief and teaching is my treatment philosophy.

According to Beck,“If beliefs do not change, there is no improvement. If beliefs change, symptoms change. Beliefs function as little operational units,” which means that one’s...
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Katherine Murphy, APRN-BC

Treatment Philosophy
“Treating chronic and acute pain is an evolving process that requires work to control. Part of that control can come from knowledge of how the body works, pain triggers and a variety of treatments that can be used in tandem to achieve the best outcome for each individual. “
Special Interests
I enjoy helping...
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Patricia Phelps, 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.”

“A vibrant life requires experiencing...
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Wesley Strevel, PA-C

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,...
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Kasey Talon, APRN

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.”

Pain may be inevitable for some people, but suffering does not have to be.
Professional Journey
I began my professional...
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Megan M. Taylor, CRNA, APRN

Treatment Philosophy
“I believe that working together with the patient to identify the true source of their pain is essential to treatment success. The relationship of the provider with the patient must be collaborative, thorough, holistic, and ever evolving. Pain affects every aspect of life and it is our responsibility as providers to work with patients to help them regain as much function,...
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Steve Toscano, PA-C

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...
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Frank Valenti, CRNA

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.”
Special Interests
“The complexity of various pain syndromes, the use of different...
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Mindy Wallace, CRNA

Treatment Philosophy
“It is important to put pain in proper perspective, then do what we can to reduce it and manage its effects on our lives. I have skills in these areas and offer them to my patients so their pain is reduced and they can learn to take part in their own pain management. It is a partnership between the patient and me.”

I enjoy meeting people from all walks...
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