Founded in 1998, Pain Management Specialists in Rockville and Frederick, Maryland, is dedicated to optimal treatment of pain caused by spinal conditions, nerve injury, surgery, and cancer. While their expertise is interventional pain management, board-certified physicians Stuart Hough, MD, and Ramani Peruvemba, MD, believe that the best results are achieved through comprehensive, multimodal, patient-centered pain care. They take the time to uncover the intricacies of your pain problem, and to design a plan of care that's right for you. Their treatment plans may include everything from simple education and guidance, to more complex, interventional pain management solutions. They take pride in getting to the root of a problem quickly and efficiently, with a minimum of unnecessary and costly testing and treatment.

Pain Management Specialists is staffed by board-certified interventional pain management physicians that work closely with your primary care doctor and other medical and surgical specialists, psychologists, chiropractors and physical therapists. Each of these specialties brings a unique set of skills to the multidimensional problem of chronic pain.

Unlike others in their field, the team at Pain Management Specialists believes that health care should serve the needs of the patient, not the bottom line. The team delivers high-value care by replacing costly, unnecessary, and dangerous treatments with personal care and attention, compassion, and expertise. They treat a variety of conditions such as back pain, neck pain, herniated discs, complex regional pain syndrome (reflex sympathetic dystrophy), personal injuries, pinched nerves, spinal stenosis and sciatica. Some of the interventional pain management treatment options include cortisone injections, nerve blocks, epidural steroid injections, neuromodulation, spinal cord stimulation, and radiofrequency ablation. To learn more and schedule an appointment, call the office or book online today.

Proudly a part of Privia Medical Group

Pain Management Specialists is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients.

To learn more about Privia Medical Group and find other Privia doctors, please visit our website.



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Masks are no longer required in our offices. You may, however, request that our staff wear masks in your presence. If you are ill, have tested positive for COVID-19 in the last 10 days, or have had recent unprotected exposure to someone with the virus, you should reschedule your appointment. If you are an existing patient and need to contact the office, for the fastest response, please use the portal. Otherwise, call the office (240-453-9182) and leave a message. We will return your call within one business day. To schedule an appointment, contact us by phone or portal.



We believe that the most important member of your medical team is you. You do best when you understand your condition, make informed decisions and take care of yourself. Together with our seasoned expertise, we can get you on the road to recovery.



There are many reasons to prefer virtual visits over in-office visits, including convenience and safety. Schedule your next follow-up as a virtual visit.


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Drs. Hough and Peruvemba are honored to have been selected by their peers as top pain management doctors, as recognized by:

  • Washingtonian Magazine Top Doctors
  • Bethesda Magazine Top Doctors
  • Top Pain Management Doctor by Consumers' Checkbook


Certified by the American Board of Anesthesiology in Pain Management.


Our doctors hold privileges at Holy Cross Hospital (Silver Spring) and Adventist Healthcare Shady Grove Medical Center.

Choose Your Provider

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Are You Committing These Back Pain Faux Pas?

For individuals with back pain, common lifestyle habits can make matters worse. Once you know what habits compromise spine health, you can take proactive steps to make back-friendly changes.

4 Reasons Medication is Appropriate for Your Pain

Millions of Americans experience pain, and it can have a detrimental impact on your quality of life. There are various approaches to managing pain, including medication, so you need an expert to put together the right treatment plan.

How Neuromodulation Relieves Chronic Pain
How Neuromodulation Relieves Chronic Pain

It can feel discouraging when traditional pain management treatments fail to provide adequate relief. Fortunately, innovative treatments such as neuromodulation may be an option for finally getting the relief you need.


Words from our patients

  • Google

    "I was very pleased with my services, extremely professional and well informed practice. I was impressed with the technology used there as well."

    Raquel I.
  • Google

    "Through this experience, I find Dr Hough's level of competence to be very high. He is careful, provides clear explanations, and, most importantly, he listens."

    Robert S.
  • Vitals

    "Dr. Hough is a very kind and compassionate doctor. He listened to me when I said I didn't want pills to help control my pain."

    Self-verified patient
  • Yelp

    "Dr. Peruvemba is a caring pain management doctor. I trust and respect him and his wonderful staff."

    Cheryl S.
  • Google

    "The office staff was professional, friendly and helpful. The doctor educated me and explained what my pain was being caused by."

    Karen G.
  • "I have had 2 visits with Dr Hough and so far both were really great. Staffs are really wonderful and helpful. The total experience is just great."

    Melinda C.
  • "Great doctor. Love the computer registration. Hard to get through on the phone."

    Kathleen L.
  • "I really like Dr. Hough. He is very knowledgeable and easy to talk to. Definitely recommend!"

    Christina C.
  • "I am very very thankful to Dr Hough and his Staff"

    Wagdy D.
  • "Dr Hough and Staff know what they’re doing and they do it very well. I would be not hesitant to recommend their practice to family or friends."

    Alan K.
  • "Dr. Hough was very focused and direct, and I like how he explored the knowns and unknowns, and the pros and cons of alternatives."

    Art S.
  • "Dr Hough provided a complete and easily understandable explanation of each procedure."

    Barbara M.
  • "Dr. Peruvemba is a godsend. He possesses all the qualities a good doctor should have."

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