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Pain Management

Pain Management

The Center for Pain Management at Nashoba Valley Medical Center is the only comprehensive program in the Nashoba Valley region to provide services to diagnose and treat chronic pain conditions.

Pain Management

200 Groton Road
Ayer, MA 01432
978-784-9510

Pain Management Treatment Programs at Nashoba Valley

Is pain preventing you for the activities that you love? The Center for Pain Management brings to each patient a multi-disciplined team of pain management experts who use the latest and proven-successful techniques to treat a wide range of common chronic pain successfully. Our goal is to return you to the activities you have been missing.

Common chronic pain we treat:

• Arthritis
• Cancer pain
• Chronic pain syndrome
• Back, neck and extremity pain
• Abdominal pain
• Post-surgical chronic pain
• Failed back syndrome
• Myofascial syndromes
• Neuropathy, nerve injury
• Facet syndrome
• Postherpetic neuropathy
• Vertebral compression fracture
• Work-related injuries
• Herniated discs
• Sciatica

Comprehensive treatment options include:

• Epidural steroid injections
• Trigger point injections
• Medial branch blocks / facet joint injections
• Selective nerve root injections
• Peripheral nerve blocks 
• Radiofrequency lesioning
• Transforaminal epidural steroid injections
• Spinal cord stimulation
• Dry needling
• Physical and occupational therapy
• Median branch radiofrequency for neck and 
back pain
• Sacroiliac joint injections
• Botox therapy
• Geniculate nerve radiofrequency for knee pain
• Sympathetic plexus blocks

Our Team

Frederic Gerges, MD
Frederic Gerges, MD

Anesthesiology,
Pain Management

Stephanie Gianoukos, MD
Stephanie Gianoukos, MD

Anesthesiology,
Pain Management

Marina Garas, DO

Anesthesiology,
Pain Management