Dr. Majid Ghauri is the Pain Management Specialist and the Medical Director and Founder of Spine and Pain Clinics of North America (SAPNA). Dr. Majid Ghauri completed his residency in Anesthesiology and served as Chief Resident in Anesthesiology at the University of Louisville Medical Center. Dr. Ghauri pursued his subspecialty fellowship in Pain Management at the University of Cincinnati Medical Center, OH, followed by his Critical Care Medicine fellowship in the R Adams Cowley Shock Trauma Center at the University of Maryland. Dr. Ghauri is board certified in Anesthesiology, Pain Management and Critical Care Medicine through the American Board of Anesthesiology.Dr. Majid Ghauri has been providing spine, back, and musculoskeletal care for almost 20 years and aims to offer the highest quality spine, musculoskeletal, and pain treatment with care, trustworthiness, and excellence. Prior to opening Spine & Pain Clinics of North America, he has served as a Vice Chair of Anesthesia in a local Hospital and worked as a full time Interventional Pain Management Specialist at CAPMA/New Bridge until recently. Dr. Ghauri is an active member of the American Society of Regional Anesthesia and Pain Medicine and an affiliate of the American Society of Anesthesiologists.Dr. Ghauri specializes in advanced procedural interventions to treat all types of pain complaints. This includes fluoroscopy and ultrasound to target pain generators and accurately deliver therapies. He has a special interest in spinal cord stimulation, regenerative medicine such as platelet rich plasma injections (PRP), and musculoskeletal ultrasound. Beside managing pain for neck and low back, Dr. Ghauri has a special interest in pelvic and post-arthroplasty pain management after hip and knee replacement with devices like DRG, etc.He finds professional accomplishment in improving the quality of life of his patients with appropriate and thorough medical evaluation and intervention, and enjoys getting to know those he cares for. He understands the value of using a comprehensive multimodal approach in treating pain, by treating the patient as a wholenot just their pain complaints.
American Board of Anesthesiology
Pain Medicine (Anesthesiology)
AnesthesiologyAmerican Board of AnesthesiologyABA- Critical Care Medicine
AnesthesiologyAmerican Board of AnesthesiologyABA- Pain Medicine
Dr. Majid H Ghauri M.D.'s Expert Contributions
Dear Patient, Currently there is no one specific cure for fibromyalgia, but education, lifestyle changes, and proper medications can help the individual to regain control and achieve significant improvement. Models of pain behavior that interrelate biologic, cognitive, emotional, and behavioral variables form the basis for cognitive-behavioral and operant-behavioral approaches to adult pain management. The researchers made a considerable progress in understanding fibromyalgia. Recent advances in their understanding of the fundamental mechanisms underlying fibromyalgia (FM) have shown that there is a significant peripheral neuropathic component to this disorder. Methods for recognizing FM itself have been the subject of numerous reviews, and have generated at least two sets of formal, diagnostic criteria. Until recently, there has been little in the way of agreement as to nature and cause for the constellation of peripheral findings seen in this disorder. The robustness of the reports of small fiber neuropathy (SFN) in FM suggests that SFN is likely to be a fundamental component of this malady. Further, once the SFN is placed in context, there arises the inevitable conclusion that many of the symptoms seen in FM are likely to be immune-mediated. Additionally, ongoing work suggests that another important lesion, a large fiber neuropathy, exists in FM. In combination, all of these considerations provide a reasonable schematic for planning the treatment and monitoring of the painful complaints in this disorder. Skin biopsy is a safe, minimally invasive, painless and cheap tool for providing diagnostic information on SFN, which are invisible to routine neurophysiological tests. Biopsy can be performed in hairy skin to investigate unmyelinated and thinly myelinated fibers and in glabrous skin to examine large myelinated fibers. Morphometric analysis of skin nerves is readily accomplished through the use of immunohistochemical techniques, and has proved to be reliable, reproducible and unaffected by the severity of neuropathy. One further advantage of skin biopsy over conventional nerve biopsy is that it allows somatic nerve fibers to be distinguished from autonomic nerve fibers. Skin biopsy is considered in patients with symptoms of small-fiber neuropathy when nerve conduction studies do not reveal abnormalities. Once SFN has been diagnosed, focused screening (e.g. glucose tolerance test) and treatment of neuropathic pain or fibromyalgia can begin. Skin biopsy provides an opportunity to identify subclinical involvement of autonomic nerve fibers and degeneration of somatic nerves in neuropathies otherwise considered exclusively autonomic, leading to a better comprehension of symptoms and awareness of potential complications. READ MORE
It is important to understand that phenomenon of pain is a complex medical issue. Diagnostics and treatment of chronic pain syndromes often require a multidisciplinary approach provided by different specialists. Therefore, a diagnostic consultation with physicians working in pain management directions is usually the first step of your treatment. During the diagnostic consultations, pain management specialist will review your medical history, symptoms, medications, x-rays pictures, MRIs and other tests to diagnose the source of your pain. READ MORE
Chronic pelvic pain can have multiple causes, including: infection, neuropathies, endometriosis in women and prostatitis in men and other causes like interstitial cystitis.Just as there is no one test to diagnose the cause of pelvic pain, the treatments vary depending on what is determined to be the cause of the pain. Usually, best results are achieved if the patient has a multi-disciplinary pain management treatment approach. Treatment can include: medication management, surgery, antibiotics, injections, spinal cord stimulation (SCS), behavioral therapies and pelvic floor exercises. READ MORE
Chronic pelvic pain can have multiple causes, including: infection, neuropathies, endometriosis in women and prostatitis in men and other causes like interstitial cystitis. For example, you could have pudendal neuropathy. The main symptom of pudendal neuralgia (PN) and pudendal nerve entrapment (PNE) is pain in one or more of the areas innervated by the pudendal nerve or one of its branches. These areas include the rectum, anus, urethra, perineum, and genital area, but often pain is referred to nearby areas in the pelvis. If your pelvic pain increases while sitting and is relieved by lying down then you should consider seeking an expert consultation with a pain management specialist. Treatment for this condition includes self-care, a nerve protection program, pudendal nerve block, and surgical decompression. Another common condition is coccydynia or pain in the tailbone. Again, patient history and a physical examination will help with diagnosis. This condition can be treated by NSAIDS or special injections like ganglion nerve of impar block. This is a safe and easy procedure used to treat visceral, pelvic, genital, perineal and anal pain. A blockade of the ganglion of impar can decrease or even eliminate chronic pain originating from the perineum, distal rectum, anus, distal urethra, distal vagina and others. READ MORE
When the nerves on each side of the head become inflamed or injured, this is known as occipital neuralgia. These nerves send feeling from the brain to the top and back of your head and stretched from the top of the spinal cord to the base of the neck to the scalp. Patients who experience occipital neuralgia may first think it’s just a headache or migraine. But this is a serious condition that requires treatment. Symptoms: Pain in the head and neck that begins at base of the head and moves to the scalp. The pain can be intense. Light sensitivity and pain that is behind the eye. A sensitive or tender scalp. Possible Causes of Occipital Neuralgia Occipital neuralgia has many causes that include neck tension, whiplash, a pinched nerve, osteoarthritis, cervical disc disease, blood vessel inflammation, gout, diabetes or an infection. A cause is not found in some cases. READ MORE
I would recommend that you see a pain specialist or a primary care doctor to begin with. The most likely cause of the pain you are experiencing is a hernia. Hernia is a condition in which a small defect in the muscles of the abdominal region allows the intestine to bulge downwards towards the scrotum. Maryna Polosenko READ MORE
Pain medications are effective and safe when used as directed. Always consult with your physician before you take a painkiller medicine. Also, do not change or increase the dose without consulting with your physician. Misuse or abuse of medications can be extremely dangerous. Maryna Polosenko READ MORE
You may be experiencing IBS (irritable bowel syndrome) or IBD (inflammatory bowel disease). To determine what issue exactly you're currently experiencing, we recommend seeing a primary care or a pain management physician. A doctor will ask for your medical history, travel history, sex, drugs, and smoking. A further exam can confirm or give background for further knowledge about the disease. If there are concerns of potential inflammation in the bowel, you may be ordered some lab tests. The most important thing to remember is not to live with pain, but rather seek help immediately. Maryna Polosenko READ MORE
There are a couple of tips that I'd recommend: 1. Some women benefit from starting over-the-counter acetaminophen or anti-inflammatories (ibuprofen or naproxen) a couple of days prior to menstruation. 2. Exercise regularly. 3. Maintain a healthy diet and take nutritional supplements with vitamin B and magnesium 4. Drink plenty of water to stay hydrated. 5. Avoid or minimize caffeine intake. 6. Avoid alcohol intake and smoking. 7. Consult with your OBGYN, primary care doctor, or pain management physician if none of these tips help. READ MORE
Got headache? You're not alone... Headache is the most common reason for ER visits. It can be classified into: - Primary Headache syndromes: - Migraine - Tension type Headache - Trigeminal Autonomic Cephalalgias (Cluster Headaches.) - Other Primary Headaches - Primary cough headache - Primary exercise headache. Etc. Most of the headaches can be diagnosed clinically with History and physical examination by your physician. Only rarely and especially for secondary headaches you may need imaging studies, like MRI and CAT scan and some blood work to r/o infection or other inflammatory conditions. Most headaches respond to NSAIDS (Ibuprofen, Naproxen etc.). If your headache is chronic or lasting for majority of days in a month, then you may benefit from maintenance treatment with Anti-depressants or B Blockers like Metoprolol. Other treatment is geared to specific headache. Treatment options may include Behavioral therapy and interventional pain management with Sphenopalatine ganglion blocks and spinal cord stimulators etc. READ MORE
A vast number of women and men suffer from chronic pelvic pain (CPP). This is a pain in the area below your belly button and between your hips that lasts six months or longer. Chronic pelvic pain can have multiple causes, including: infection, neuropathies, endometriosis in women and prostatitis in men and other causes like interstitial cystitis. Diagnosis A complete medical history and physical examination will help in choosing appropriate testing to accurately diagnose the problem, including: · Blood Work · Urine analysis · Ultrasound · X-rays · CT scans · MRI There is no single test that will diagnose the different types of pelvic pain and in some cases the cause of pain is unknown. Treatments Just as there is no one test to diagnose the cause of pelvic pain, the treatments vary depending on what is determined to be the cause of the pain. Usually, best results are achieved if the patient has a multi-disciplinary pain management treatment approach. Treatment can include: medication management, surgery, antibiotics, injections, spinal cord stimulation (SCS), behavioral therapies and pelvic floor exercises. For example, you could have pudendal neuropathy. The main symptom of pudendal neuralgia (PN) and pudendal nerve entrapment (PNE) is pain in one or more of the areas innervated by the pudendal nerve or one of its branches. These areas include the rectum, anus, urethra, perineum, and genital area, but often pain is referred to nearby areas in the pelvis. If your pelvic pain increases while sitting and is relieved by lying down then you should consider seeking an expert consultation with a pain management specialist. Treatment for this condition includes self-care, a nerve protection program, pudendal nerve block, and surgical decompression. Another common condition is coccydynia or pain in the tailbone. Again, patient history and a physical examination will help with diagnosis. This condition can be treated by NSAIDS or special injections like ganglion nerve of impar block. This is a safe and easy procedure used to treat visceral, pelvic, genital, perineal and anal pain. A blockade of the ganglion of impar can decrease or even eliminate chronic pain originating from the perineum, distal rectum, anus, distal urethra, distal vagina and others. READ MORE
Areas of expertise and specialization
- Epidural Block, Facet Blocks
- Kyphoplasty & Vertebroplasty
- Spinal Cord And Peripheral Nerve Stimulation
- Discography (all Spine Levels)
- Medial Branch Block
- Platelet Rich Plasma (prp) Injections
- Sacroiliac (si) Joint Injections, Trigger Point Injections, Pain Management
- Trigger Point Injection
- Selective Nerve Blocks
Experience & Accolades
- Pain Management Physician2002 - 2017Newbridge PAin and Spine
Dr. Majid H Ghauri M.D.'s Practice location
Frederick, MD 21702Get Direction
Waldorf, MD 20602Get Direction
Leesburg, VA 20176Get Direction
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