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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Our offices are open on a limited basis by appointment only. We are seeing most patients by telemedicine, and performing procedures in our offices and surgery centers while exceeding CDC-recommended precautions to prevent the spread of the coronavirus. 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.



Washingtonian Magazine Top Doctors, 2020 Drs. Hough and Peruvemba are honored once again to have been selected by their peers as top pain management doctors for 2020


Certified by the American Board of Anesthesiology in Pain Management.


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

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Relief for Your Pinched Nerves

The pain of a pinched nerve can make it difficult to bend, move, reach, and go about your normal daily activities. When it doesn’t resolve on its own after adequate rest, see a pain management specialist.

Cortisone Injections and Joint Pain

Joint pain can make activities most people take for granted difficult, like opening a jar or climbing stairs. If joint pain is affecting your life, treatments like cortisone injections may help you get 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.
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