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.



    Access your personal health information and test results, securely message your care team, and manage payments, all from one spot and at your convenience, 24/7.

    • See your provider's openings and schedule appointments.
    • Send secure messages to your care team.
    • Access your chart to see visit summaries and test results.
    • View payment history and pay current invoices.


    Sign In  



To reduce the spread of the COVID-19 virus to vulnerable persons, all patients and staff must wear masks in our offices. Those who are ill or have had recent unprotected xposure to someone with the virus should, when possible, reschedule or change to a telemedicine 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.


photo of Pain Management Specialists


Washingtonian Magazine Top Doctors, 2021 Drs. Hough and Peruvemba are honored once again to have been selected by their peers as top pain management doctors for 2021


Certified by the American Board of Anesthesiology in Pain Management.


Our doctors hold privileges at Adventist Healthcare Shady Grove Medical Center.

Choose Your Provider

Is Working from Home a Pain in Your Neck?

Working from home has become the norm for many people, but are you aware that your home setup could be damaging your neck? The good news is you can make some simple adjustments to keep from developing “tech neck.”

What Are My Options For Managing My Pain?

Today there are more options for managing pain than in the past. Working closely with a pain management expert is the first step to finding the right treatment so you can enjoy a good quality of life.

Who Should Consider Radiofrequency Ablation?

Radiofrequency ablation stops pain by targeting the problematic nerves that are sending pain signals to the brain. If you’re struggling with persistent pain, this treatment may be an option for you.


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."

Our Locations

Choose your preferred location