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Mairin Jerome, MD

Mairin Jerome, MD

Meet Dr. Mairin Jerome

Dr. Mairin Jerome is a physiatrist with subspecialty fellowship training in Interventional Orthopedics and Regenerative Medicine. This subspecialty serves to fill the gap for patients who are interested in therapeutic options that lie between conservative treatment and surgery. Dr. Jerome uses regenerative medicine techniques, including prolotherapy and orthobiologics, via X-ray or ultrasound guidance to precisely deliver injections to areas of musculoskeletal injury or degeneration. Orthobiologics refers to tissue harvested typically from a person’s own body, such as platelets (platelet-rich plasma, PRP) or bone marrow, for use in treating painful musculoskeletal conditions. The goal is to stimulate the body’s healing mechanisms to improve pain, function, and decrease inflammation in the area being treated.

Born and raised in New York City, Dr. Jerome obtained her undergraduate degree in studio art with a focus on sculpture from Brown University. Following college, she completed a two-year commitment with Teach for America. She received her medical degree from the University of Vermont College of Medicine, during which she pursued an additional year-long student fellowship in anatomic pathology and researched the effects of stretching on connective tissue cellular morphology. She completed her physiatry residency at Emory University, where she gained extensive experience in general physiatry, image-guided procedural interventions, and regenerative medicine. At Emory, Dr. Jerome served as Chief Resident, received an award for her research, and for three consecutive years was awarded ‘Resident of the Year.’

Dr. Jerome completed her fellowship in Interventional Orthopedics and Regenerative Medicine at the Centeno-Schultz Clinic in 2020, after which she served as an attending physician and Medical Director at the Regenerative SportsCare Institute (RSI) in New York City. Here she worked closely with Greg Lutz, M.D., founder of RSI and thought leader in the field of regenerative musculoskeletal medicine, on clinical and research protocols for further advancement of patient care with spinal applications of orthobiologics. A lover of outdoor activities, she is thrilled to return to Colorado and the Centeno-Schultz Clinic in both a clinical and research capacity.

APPROACH TO PATIENT CARE

Dr. Jerome is a strong believer in listening carefully to patients, taking an in-depth history, performing a thorough physical examination using the “SANS” approach, and advanced imaging where needed for an accurate diagnosis. “SANS,” developed by Centeno-Schultz, stands for stability, articulation, neuromuscular control, and symmetry. This approach to patient care allows for a more holistic evaluation to identify the source of underlying musculoskeletal dysfunction. For example, when examining a shoulder injury, it is important to also evaluate the cervical spine to evaluate rule it in or out as a contributing factor. From this perspective, she works in partnership with her patients to establish a treatment plan that combines therapeutic exercise, manual tissue therapy, and fluoroscopic and/or ultrasound guided prolotherapy or orthobiologic injections, if indicated. She also utilizes needle tenotomy, as well as nerve and fascial plane hydrodissection, where appropriate. Dr. Jerome is also interested in counseling her patients in nutrition and exercise optimization to ensure the best results.

RESEARCH INTERESTS AND PUBLICATIONS

Dr. Jerome has published multiple peer-reviewed papers on the topics of regenerative medicine, vitamin-D supplementation, and nutritional analysis, among others. She has presented her research nationally and internationally at professional conferences and continues to be actively engaged in clinical studies. Her areas of interest currently include treating spinal pathology using the functional spinal unit paradigm, intradiscal orthobiologic injection, improved treatments for scoliosis, patient factors predictive of positive or negative outcomes following orthobiologic injections, microbiome influence on musculoskeletal dysfunction, as well as optimal cell harvest techniques and injectate components based on target tissues. Dr. Jerome also has a special interest in the application of regenerative medicine for the successful treatment of musculoskeletal pelvic floor dysfunction, such as those related to pregnancy, certain types of urinary frequency/urgency, pudendal neuralgia, and pelvic floor issues specific to both female and male athletes.

 

In addition, she has co-authored textbook chapters on the use of bone marrow concentrate for painful musculoskeletal conditions and interventional orthopedic procedural techniques for the knee.

AWARDS

PGY-4 Resident of the Year, Emory University School of Medicine (SOM), PM&R Residency Program, 2019

Resident Research Award, Emory University SOM, PM&R Residency Program, 2018

PGY-3 Resident of the Year, Emory University SOM, PM&R Residency Program, 2018

PGY-2 Resident of the Year, Emory University SOM, PM&R Residency Program, 2017

Albert Schweitzer Fellowship, University of Vermont College of Medicine, 2011-2012

UVM COM Travel Award, Operation Smile Clinical/Research Internship, Guwahati India, 2011

Roberta Joslin Award for Excellence in Art, Brown University, 2005

Resource Artists/Scholars Program Fellowship, Brown University, 2004-2005

EDUCATION

Fellowship, Interventional Orthopedics and Regenerative Medicine, Centeno-Schultz Clinic, 2020

Residency, Physical Medicine & Rehabilitation, Emory University School of Medicine, 2019

Internship, Kaweah Delta Health Care District, 2016

Medical School, University of Vermont (UVM) College of Medicine, 2015

Post-baccalaureate Pre-medical Certificate, Washington University in St. Louis, 2009

B.A. with honors in Visual Arts, Brown University, 2005

LICENSURE/CERTIFICATIONS

New York State Physicians and Surgeons Licensure (2020-2022)

Colorado State Medical License (2019-2023)

Georgia State Medical License (2020-2022)

Physiatry, American Board of PM&R

Interventional Orthobiologics Foundation Full Advanced Certification

Advanced Cardiac Life Support (ACLS)

Myofascial Release Level I

SPECIALTY

Interventional Orthopedics

Physiatry

Interventional Spine

Regenerative Medicine

SPECIAL EXPERTISE

Non-surgical management of spine, joint, tendon, and ligament injures via Interventional Orthopedics.

Non-surgical management of nerve entrapment and fascial restriction.

Orthobiologics.

Prolotherapy.

SANS evaluation (“SANS” stability, articulation, neuromuscular control, and symmetry).

Pre-procedural nutrition and exercise optimization.

PROCEDURES

Orthobiologic injections

Prolotherapy injections

Fluoroscopically-guided (X-ray) injection of cervical, thoracic, and lumbar spine.

Fluoroscopically-guided injections for certain structures (such as labrum or deep ligaments, such as ACL or sinus tarsi ligaments) within the shoulder, hip, knee, and ankle.

Ultrasound-guided ligament, tendon, and joint injections.

Ultrasound-guided needle tenotomy, nerve hydrodissection, and fascial plane hydrodissection.

APPOINTMENTS AND AFFILIATIONS

Interventional Orthobiologics Foundation, member

American Academy of Physical Medicine and Rehabilitation, member

American Academy of Academic Physiatrists, member

American Medical Association, member

CONDITIONS TREATED

Osteoarthritis of the knee, hip, shoulder, elbow, wrist, hand, foot, ankle, and spine.

Tendinopathies (tennis elbow, golfers’ elbow, hamstring, achilles, rotator cuff, among others).

Ligament injuries (ACL, UCL, ATFL, among others).

Sports hernia/athletic pubalgia.

Sacroiliac joint dysfunction.

Carpal tunnel syndrome.

Cartilage injury (knee menisci, labrum of the shoulder or hip, chondral defects).

Ligament hypermobility, such as that caused by Ehlers Danlos Syndrome.

Scoliosis.

Spinal stenosis.

Spinal facet joint pain.

Cervical, thoracic, and lumbar radiculopathy.

Herniated discs.

Cervicogenic headaches.

Adjacent segment disease.

Plantar plate injuries.

Morton’s neuroma.

Thumb joint arthritis.

PEER REVIWED PUBLICATIONS

BOOK CHAPTERS

  • Pitts JA, Jerome MA. “Ultrasound and Fluoroscopically-guided Knee Injections.” Atlas of Interventional Orthopedics Procedures Essential Guide for Fluoroscopy and Ultrasound Guided Procedures, 1st edition, edited by Christopher Williams, John Pitts, and Walter Sussman, Elsevier, 2022, (in press).
  • Centeno CJ, Jerome MA, Williams CJ. “Chapter 26-Bone Marrow Derived Stem Cells and their Application in Pain Medicine.” Regenerative Medicine-A Complete Guide, 1st edition, edited by Corey Hunter, Timothy Davis, and Michael DePalma, Springer, 2022, (in press).

ORAL PRESENTATIONS

  • Jerome MA. Microbiome and Dysbiosis: Microgut Influence on Intervertebral Subchondral Bone, Spinal Discs, and Degenerative Joint Disease. 12th Annual Orthobiologics (TOBI) Symposium, Oct 8-9, 2021, Virtual. Awarded best talk in content section by peer audience vote.
  • Jerome MA, Lutz GE. Antimicrobial Properties of Platelet Rich Plasma (PRP) and Gentamicin Against acnes in vitro: Intradiscal Orthobiologic Safety Optimization. 6th Annual Interventional Orthobiologics Foundation Conference, Feb 8-9th, 2021, Virtual.

POSTERS/PRESENTATIONS

  • Jerome MA, Williams CJ, Fausel C, Dodson E, Stemper I, Centeno CJ. Review of Regenerative Orthobiologic Treatments in the Spine with Presentation of a Case Series Utilizing Platelet-Based Treatments for Cervical Spine Pain. 5th Annual Interventional Orthopedics Conf, Feb 12-14th, Broomfield, CO (presenter).
  • Burke DT, Porter J, Ettefagh L, Jerome MA, Dennison AC. Prevalence of occult lower extremity deep vein thrombosis and identification of clinically relevant factors in patents admitted to an inpatient acquired brain injury rehabilitation program. 13th International Society of Physical + Rehabilitation Medicine World Congress, June 9-13, Kobe, Japan. (poster presenter).
  • Jerome MA, Sussman W, Foster L. Platelet Rich Plasma for the Treatment of Coccydynia: A Case Report. TOBI 10th Annual Symposium, June 6-8, 2019, Chicago, IL. (poster presenter)
  • Jerome MA, Mogbo C, Kneer L. Transient Osteoporosis of Pregnancy: A Case Report of an Unusual but Serious Etiology of Severe Hip Pain. AAPAnnual Meeting, February 19-23, 2019, San Jose, PR. (poster presenter)
  • Bradberry D, Jerome MA, Cui D. Identification of Life-Altering Adverse Events in Publication Related to Fluoroscopically-Guided Lumbar Epidural Steroid Injections from 2002 to Current: A Literature Review. 12th International Society of Physical + Rehabilitation Medicine World Congress, July 8-12, Paris, France.(poster presenter).
  • Jerome MA, Ettefagh L, Porter J, Monfared H. Is screening for occult lower extremity deep vein thrombosis (DVT) upon admission to acute inpatient rehabilitation hospitals clinically warranted? 12th International Society of Physical and Rehabilitation Medicine World Congress, July 8-12, Paris, France. (poster presenter)
  • Burke D, Ibekwe E, Jerome MA, Tran M. Using Twitter to Identify Healthcare Consumer Sentiment. 12th International Society of Physical and Rehabilitation Medicine World Congress, July 8-12, Paris, France. (poster presenter)
  • Jerome MA, Bouffard N, Maple R, Badger G, Langevin H. Stretching of connective tissue: Do porcine fibroblasts increase in cross sectional area in response to shear stretch? Association of Academic Physiatrists 2018 Annual Meeting, July 16-20, 2016, Sacramento, CA. (poster presenter)
  • Persing S, Sprague B, James TA, Callas P, Mace J, Jerome MA, Sowden M, Goodwin A, Weaver DL. Surgical Margin Reporting in Breast Conserving Surgery: Does Compliance with Guidelines Affect Re-excision and Mastectomy Rates? American Society of Breast Surgeons, 15thAnnual Meeting, April 30-May 4, 2014, Las Vegas, NV. (poster presenter)
  • Campbell A, Restrepo C, Gillenwater J, Jerome MA, Laub DR, Allan A. Primary Cleft Lip Repair: Nutritional Assessment and Surgical Risk in Assam, India. Poster presentation at the 12th International Congress on Cleft Lip/Palate and Related Craniofacial Abnormalities, Orlando, FL, May 6-10, 2013. (poster presenter)
  • Atiyeh A, Blasberg E, Cushanick K, Edberg D, Jerome MA, Ng P, Meehan R, Delaney T, Carney J. “3 Squares Vermont” Food Assistance Usage by Patrons at the Chittenden Emergency Food Shelf. American Public Health Association Annual 140th Annual Meeting, San Francisco, CA, 2012.
  • Colt E, Akram M, Thornton J, Beiling D, Jerome MA, Kausel A, Paladugu S, Tajrishi R, Servetnyk Z, Pi-Sunyer X. Comparison of High Resolution Peripheral Quantitative Computerized Tomography (HR-pQCT) with Dual Energy Photon Absorptiometry (DXA) for Measuring Bone Mineral Density (BMD) in Subjects of Differing Fatness. 93rd Annual Meeting of the Endocrine Society, Boston, MA, June 4-7, 2011.

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Insurance may cover office visits, consultations, diagnostic testing, examinations and bracing. However, most insurance does not currently cover Regenexx Procedures at this time.