Our Mission
At LIPC, we are dedicated to being the leading pain care provider for the Inova Loudoun and surrounding healthcare communities. To achieve this mission, we rely on a team of highly qualified, ethical, compassionate physicians who are board-certified in both anesthesiology and pain management.

In evaluating and managing painful conditions of all types, our principal focus is to identify the mechanisms of pain and to treat pain at its source whenever possible. When chronic use of medication becomes necessary, we provide hands-on assistance in finding a stable, reasonable, and effective regimen. We recognize the frequent need for coordinated care using several different modalities. Our desire is to select the best treatments for the specific circumstances, so that patients suffering from chronic pain achieve an improved quality of life for themselves and their families.

Interventional Pain Management
Interventional pain specialists perform procedures using very small diameter needles or catheters under fluoroscopic guidance. Procedures are performed under local anesthesia through a tiny skin puncture, about the size of a pencil tip. Sedation is occasionally necessary. Interventional pain treatments are generally better tolerated than surgery, as they are less invasive, less painful, and can usually be performed outpatient.

Why Choose Loudoun Interventional Pain Center?

• Well-trained, board-certified physicians
• Provisions for both inpatient and outpatient care
• Long-term commitment to the Loudoun community
• State of the art technology
• Friendly and caring staff
• Demonstrated patient satisfaction

Here's What Our Patients Are Saying About Us...
"Dr. Huang and Tammy are excellent people."
"Dr. Ulrey and staff were very courteous and on time."
"Two thumbs up!"
"Exceptional doctors, nurses and staff. I wouldn't ask for better care."
"I really feel as if everyone understood my pain..."
"I had an absolutely wonderful experience with LIPC."

We offer a patient satisfaction survey to every pain management patient we serve, asking them to rate the quality of their care by our providers. Over 90 percent of our pain patients are satisfied with the health care they recieved at LIPC and would recommend us to a friend or family member.

Our Providers
We treat each patient individually, upholding the highest medical and ethical standards in planning and providing pain care. At the initial visit, one of our providers conducts a comprehensive pain assessment and develops a multidisciplinary plan of care. To ensure that the plan is consistent with best overall medical management, we communicate and work with involved surgeons, primary care physicians, and other subspecialists. In general, we advocate the most conservative, effective therapies aimed at treating the pain at its source. Whenever applicable, we use flouroscopic guidance to maximize treatment effectiveness and minimize complications. Follow up visits are used for assessment of treatment effectiveness, further treatment plannin and patient education.

W. Paul Harris, M.D.
Dr. Paul Harris has been in the Washington, D.C. area for many years and has served on the medical staff at Loudoun Hospital since 1992. He has served as Program Director for the Pain Clinic at Loudoun Hospital Center. Dr. Harris is a partner of Loudoun Anesthesia Associates and Loudoun Interventional Pain Center.

Dr. Harris earned his undergraduate degree in biology from Wahsington and Lee University and his Doctorate of Medicine from Georgetown University School of Medicine. He completed his anesthesiology residency at Walter Reed Army Medical Center, where he received intensive training in pain management, including creation of a hospital-wide PCA program, implantation of epidurally placed catheters and stimulating electrodes, a wide variety of nerve blocks, and nonopiates. Dr. Harris is board-certified in both anesthesiology and pain management.

Teresa Ulrey, M.D.
Dr. Teresa Ulrey joined Loudoun Anesthesia Associates in 1998 and currently serves as Director of Quality Improvement at Loudoun Interventional Pain Center. Dr. Ulrey earned her undergraduate degree in biochemistry from Texas A&M University and her Doctorate in Medicine from the University of Texas. She completed her anesthesiology residency at Charity Hospital of Louisiana State University. Dr. Ulrey is board-certified in both anesthesiology and pain management.

Dr. Ulrey is a past Assistant Professor of the Department of Anesthesia at Geogetown University Medical Center. She is a member of several professional organizations, including the American Medical Associate, American Society of Anesthesiologists, American Society of Regional Anesthesia and the American Pain Society.

Cecil Huang, M.D., Ph.D.
Dr. Cecil Huang currently serves as Loudoun Interventional Pain Center's Medical Director. He is certified by the American Board of Anesthesiology in both Anesthesiology and Pain Management. Dr. Huang completed his pain fellowship at Brigham and Women's Hospital of Harvard Medical School. There, he worked in a high-volume pain practice that serves as a teriary referral center for the Greater Boston area. Dr. Huang received formal training in pharmacological pain management with opiates and nonopiates, peripheral nerve blocks, epidural blocks, transforaminal blocks, facet blocks, sacroiliac join blocks, lysis of epidural adhesions, intradiscal prodecures, vertebroplasty, spinal cord stimulation, intrathecal drug delivery, radiofrequency ablation and chemoneurolysis. Dr. Huang is experienced in the management of acute, chronic and terminal pain, including cancer pain.

Dr. Huang joined Loudoun Anesthesia Associates in 2005. Prior to his pain fellowship, he completed his anesthesia residency, also at Harvard's Brigham and Women's Hospital. Dr. Huang earned his M.D. at Stanford University School of Medicine, where he also consurrently earned his Ph.D. degree in Medical Informatics. Dr. Huang earned his undergraduate degree in electrical, computer and biomedical engineering at Carnegie Mellon University.

Angie Serrano, PA-C
Angie Serrano received her undergraduate degree in biology with a minor in chenistry at Old Dominion University in 1992. She was accepted into the very first physician assistant class at Eastern Virginia Medical School in 1999, and graduated in 2001. Angie is Virginia Board Certified and is licensed with the National Commission on Certification of Physician Assistants. She is a member of the Society of Critical Care Medicine. Angie's work as a physician assistant started with the acclaimed open-heart surgery program at Sentara Norfolk General Hospital. She then worked at teh Multidisciplinary Center for Pain Management in Porsmouth, Virginia. Angie joined Loudoun Interventional Pain Center in 2006.

Services Provided By Our Physicians Include:

• Muscle and tendon injections (e.g., trigger point, Botox, prolotherapy)
• Peripheral nerve blocks (e.g., occipital, intercostal, ilioinguinal)
• Epidural blocks (cervical, thoracic, lumbar, caudal)
• Transforaminal blocks (cervical, thoracic, lumbar, sacral)
• Faced blocks (cervical, thoracic, lumbar)
• Sympathetic blocks, somatic (stellate, thoracic, lumbar)
• Sympathetic blocks, visceral (celiac plexus, superior hypogastic plexus, ganglion impar)
• Joint injections (sacroiliac, knee, hip, elbow, shoulder)
• Lysis of epidural adhesions
• Intradiscal procedures (discography, IDET, nucleoplasty)
• Vertebroplasty and kyphoplasty
• Spinal cord stimulation (trial and implant)
• Intrathecal drug delivery (trial and implant)
• Radiofrequency and pulsed radiofrequency therapies
• Neurolytic blocks for intractable pain

Interventional Pain Procedures Benefit Patients With…..

• Neck, thoracic, and low back pain
• Upper and lower-extremity radicular pain (e.g. sciatica)
• Sacroiliac join pain, coccygeal pain
• Disc herniation, disc degeneration
• Spinal stenosis (including foraminal stenosis)
• Spondylosis, spondylolisthesis
• Facet syndrome
• Failed back surgery, failed neck surgery
• Osteoarthritis, rheumatoid arthritis, other arthritides
• Vertebral compression fracture (from osteoporosis or malignancy)
• Headaches (cervicogenic, occipital, trigeminal)
• Complex Regional Pain syndrome (a.k.a. RSD)
• Shingles, post-herpetic neuralgia
• Vascular insufficiency
• Abdominal visceral pain (e.g. pancreatitis, metastatic cancer)
• Pelvic visceral pain (e.g. endometriosis, interstitial cystitis, metastatic cancer)
• Post-surgical pain (e.g. inguinal pain following appendectomy)
• Neuropathic pain (e.g. phantom limb pain)
• Myofascial pain syndrome
• Tolerance to chronic opiates
  

Scheduling Appointments

Patients may schedule their first appointment at Loudoun Interventional Pain Center (LIPC) with a written referral from their primary care physician (PCP) or subspecialist. This referral functions as a request for evaluation and treatment. It may be brought or faxed to our office, or communicated directly by the referring physician.

A referral for interventional pain management should describe the reason(s) for referral and, if applicable, the procedure(s) requested. After treatment is complete, the patient is generally encouraged to follow up with their referring physician. When a patient can benefit from treatment beyond those requested, LIPC's policy is to communicate with the referring physician and assist the patient in obtaining the necessary authorizations.

In general, a referral for assistance with chronic medication management should come from the patient's PCP, internal-medicine subspecialist, or physiatrist. At LIPC, we work with referring physicians through a trilateral agreement that enables us to assume temporary prescribing responsibilities until a stable, reasonable and effective chronic regimen can be found.

Documents that the patient should have ready prior to the first visit include:

• Referral form with request for treatment
• Results of radiological (e.g. MRI) and other diagnostic studies
• Office notes from the referring physician
• Office notes from other treating physicians
• Relevant operative reports
  

LIPC is open Monday through Friday starting at 7:30 am. Appointments may be scheduled by calling 703-433-9264; supporting documents may be faxed to us at 703-433-1233.

Insurance
We participate in most of the area's major managed care plans. When scheduling your appointment, please verify acceptance of your insurance plan with our office. We also suggest that you verify your insurance benefits and coverage with your insurance company prior to your visit.

The Center's experienced billing staff file primary and secondary claims for all insured patients and will assist you in ensuring your claim is paid properly. We provide this service for commercial insurance as well as third-party liability, auto insurance claims and Workers' Compensation.

It is your responsibility to pay your bill whether your insurance plan covers some, all or none of the services you receive. Balances for self-paying patients and remaining balances identified by insurance are billed to the patient. Payment is due within 30 days after receipt of the first statement. We accept cash, check or credit card. If you have questions or concerns, please call our billing office at 703-443-9255.

Managed Care Participation

• Medicare
• Anthem (PAR, PPO, Healthkeepers)
• Cigna (HMO, PPO)
• Aetna (HMO, PPO)
• United/MAMSI
• NCPPO