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Pain Management at Cincinnati Children's is home to specialists with a wide variety of backgrounds and areas of focus. As a team, this diversity makes us better prepared to care for your child’s unique needs. Learn more about our faculty and staff.
Andrew J. Costandi, MD Staff Anesthesiologist, Department of Anesthesia
Staff Anesthesiologist, Department of Anesthesia
Assistant Professor, UC Department of Anesthesia
Regional anesthesia; acute perioperative and chronic medical pain management; residents and fellows education
MD: University of Cairo, Cairo, Egypt, 1996-1993.
Internship: Transitional, University of Cairo Hospitals, Cairo, Egypt, 2003-2004.
Residency: Pediatrics, National Research Center, Cairo, Egypt, 2004-2007.
Internship: Surgery, Brookdale University Hospital, Brooklyn, NY, 2007-2008.
Residency: Anesthesia, Brookdale and Staten Island University Hospitals, NY, 2008-2011.
Fellowship: Pediatric Anesthesia, University of Pennsylvania, Children’s Hospital of Philadelphia, PA, 2011-2012.
Certification: Anesthesiology, 2012.
Certification: ACLS, PALS, ATLS, 2011-2015.
Kenneth R. Goldschneider, MD, FAAP Director, Pain Management Center
Director, Pain Management Center
Professor, UC Department of Anesthesia
Complex chronic pain conditions in infants, children and young adults, including those related to vascular malformations, epidermolysis bullosa and cancer.
Outcomes of pain treatment, with a focus on outpatient, chronic pain management.
Lynch-Jordan AM, Kashikar-Zuck S, Goldschneider KR. Parent perceptions of adolescent pain expression: the adolescent pain behavior questionnaire. Pain. 2010 Dec;151(3):834-42.
Goldschneider K, Lucky AW, Mellerio JE, Palisson F, del Carmen Viñuela Miranda M, Azizkhan RG. Perioperative care of patients with epidermolysis bullosa: proceedings of the 5th international symposium on epidermolysis bullosa, Santiago Chile, December 4-6, 2008. Paediatr Anaesth. 2010 Sep;20(9):797-804.
Goldschneider KR, Lucky AW. Pain management in epidermolysis bullosa. Dermatol Clin. 2010 Apr;28(2):273-82, ix. Review.
Meyer MJ, Goldschneider KR, Bielefeldt K, Zeltzer L, Lackner J, Keefer L. Functional abdominal pain in adolescence: a biopsychosocial phenomenon. J Pain. 2008 Nov;9(11):984-90.
Hosu L, Meyer MJ, Goldschneider KR. Cerebrospinal fluid cutaneous fistula after epidural analgesia in a child. Reg Anesth Pain Med. 2008 Jan-Feb;33(1):74-6.
Goldschneider KR, Racadio JM, Weidner NJ. Celiac plexus blockade in children using a three-dimensional fluoroscopic reconstruction technique: case reports. Reg Anesth Pain Med. 2007 Nov-Dec;32(6):510-5.
Lynch AM, Kashikar-Zuck S, Goldschneider KR, Jones BA. Sex and age differences in coping styles among children with chronic pain. J Pain Symptom Manage. 2007 Feb;33(2):208-16.
Lynch AM, Kashikar-Zuck S, Goldschneider KR, Jones BA. Psychosocial risks for disability in children with chronic back pain. J Pain. 2006 Apr;7(4):244-51.
Kashikar-Zuck S, Vaught MH, Goldschneider KR, Graham TB, Miller JC. Depression, coping, and functional disability in juvenile primary fibromyalgia syndrome. J Pain. 2002 Oct;3(5):412-9.
Kashikar-Zuck S, Goldschneider KR, Powers SW, Vaught MH, Hershey AD. Depression and functional disability in chronic pediatric pain. Clin J Pain. 2001 Dec;17(4):341-9.
Christopher S. Lee, MD Staff Anesthesiologist, Department of Anesthesia
Pediatric regional anesthesia and pain medicine; anesthesia for solid organ transplantation.
Pediatric regional anesthesia and pain medicine; perfusion/reperfusion injury.
BS: Pennsylvania State University, State College, PA, 1997.
MD: Thomas Jefferson University- Jefferson Medical College, Philadelphia, PA, 2000.
Residency: Pediatrics, St. Christopher's Hospital for Children, Philadelphia, PA, 2003; Anesthesia, Brigham & Women's Hospital, Boston, MA, 2006.
Fellowship: Pediatric Anesthesia, The Children's Hospital of Philadelphia, Philadelphia, PA, 2008.
Certification: American Board of Anesthesiology, 2007.
Rupi Mavi, MD Staff Anesthesiologist, Department of Anesthesia
MD: University of Cincinnati, Cincinnati, OH, 2008.
Residency: Anesthesia, Loyola University Medical Center, Maywood, IL.
Certification: Anesthesiology, 2013.
John B. Rose, MD Co-Director, Inpatient Pain Rehabilitation Program
Co-Director, Inpatient Pain Rehabilitation Program
MD: University of Pennsylvania, School of Medicine, Philadelphia, PA, 1980.
Residency: Pediatrics, Children’s Hospital National Medical Center, Washington, DC; Anesthesiology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Fellowship: Pediatric Anesthesiology & Critical Care Medicine; Children’s Hospital of Philadelphia, Philadelphia, PA.
Certifications: Pediatrics, 1984; Anesthesiology, 1987.
Guite JW, Logan DE, McCue R, Sherry DD, Rose JB. Parental beliefs and worries regarding adolescent chronic pain. Clinical Journal Pain. 2009;25:223-32.
Zempsky WT, Bean-Lijewski J, Kauffman RE, Koh JL, Malviya SV, Rose JB, Richards PT, Gennevois DJ. Needle-free powder lidocaine delivery system provides rapid effective analgesia for venipuncture or cannulation pain in children: randomized, double-blind Comparison of Venipuncture and Venous Cannulation Pain After Fast-Onset Needle-Free Powder Lidocaine or Placebo Treatment trial. Pediatrics. 2008 May;121(5):979-87. Ganesh A, Rose JB, Wells L, Ganley T, Gurnaney H, Maxwell LG, DiMaggio T, Milovcich K, Scollon M, Feldman JM, Cucchiaro G. Continuous peripheral nerve blockade for inpatient and outpatient postoperative analgesia in children. Anesth Analg. 2007 Nov;105(5):1234-42. Guite JW, Logan DE, Sherry DD, Rose JB. Adolescent self-perception: associations with chronic musculoskeletal pain and functional disability. J Pain. 2007 May;8(5):379-86. Harty TP, Dib-Hajj SD, Tyrrell L, Blackman R, Hisama FM, Rose JB, Waxman SG. Na(V)1.7 mutant A863P in erythromelalgia: effects of altered activation and steady-state inactivation on excitability of nociceptive dorsal root ganglion neurons. J Neurosci. 2006 Nov 29;26(48):12566-75. Logan DE, Guite JW, Sherry DD, Rose JB. Adolescent-parent relationships in the context of adolescent chronic pain conditions. Clin J Pain. 2006 Jul-Aug;22(6):576-83. Cucchiaro G, Adzick SN, Rose JB, Maxwell L, Watcha M. A comparison of epidural bupivacaine-fentanyl and bupivacaine-clonidine in children undergoing the Nuss procedure. Anesth Analg. 2006 Aug;103(2):322-7. Nathan A, Rose JB, Guite JW, Hehir D, Milovcich K. Primary erythromelalgia in a child responding to intravenous lidocaine and oral mexiletine treatment. Pediatrics. 2005 Apr;115(4):e504-7. Logan DE, Rose JB. Is postoperative pain a self-fulfilling prophecy? Expectancy effects on postoperative pain and patient-controlled analgesia use among adolescent surgical patients. J Pediatr Psychol. 2005 Mar;30(2):187-96.
Alexandra Szabova, MD Director, Pain Management Fellowship
Director, Pain Management Fellowship
Chronic pediatric pain management; chronic pediatric and adolescent back and musculoskeletal pain management; acute pain management; pediatric regional anesthesia techniques; interventional pain management; pediatric anesthesia
Alexandra Szabova, MD, joined the staff of Cincinnati Children's Hospital Medical Center in 2006. She has worked as a pediatric anesthesiologist but also became a team member of the multidisciplinary chronic pediatric pain clinic.
Dr. Szabova demonstrated strong interest in pediatric chronic pain management during her training. She graduated from a combined pediatric and adult chronic pain management fellowship which was a result of close collaboration between the Cincinnati Children's and Cleveland Clinic Foundation, Cleveland, OH.
Dr. Szabova received her medical degree from the Comenius University in Bratislava, Slovakia, and completed her residency in anesthesia at the Cleveland Clinic Foundation, Cleveland, OH.
Dr. Szabova completed her combined pediatric and adult chronic pain management at Cincinnati Children's and Cleveland Clinic Foundation where is served as a chief fellow. She graduated with The Pain Fellow of the Year Award. Dr. Szabova completed pediatric anesthesia fellowship at the Cincinnati Children's.
Dr. Szabova's interests include chronic pediatric pain management, musculoskeletal pain in children and adolescents, acute pain management of surgical and non surgical pediatric patients, regional nerve blocks, and pediatric anesthesia.
MD: Comenius University, Bratislava, Slovakia, 1995.
Residency: Anesthesiology, Cleveland Clinic Foundation, Cleveland, OH.
Fellowship: Pain Management, Cleveland Clinic Foundation, Cleveland, OH; Pediatric Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Certification: Anesthesiology, 2005; ABA Pain Medicine, 2005.
Anne M. Lynch-Jordan, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Assistant Professor, UC Department of Pediatrics
Pediatric psychology; child and adolescent clinical psychology; behavioral pain management
Psychosocial factors associated with pediatric chronic pain; child pain behaviors; parenting behaviors
Anne M. Lynch-Jordan, PhD, is a clinical psychologist specializing in the assessment and treatment of pediatric chronic pain. She is the primary pain psychologist in Headache Center (named a Clinical Center of Excellence by Medical Economics in 2009), Epidermolysis Bullosa Center, and the Pain Management Clinic (named a Clinical Center of Excellence by the American Pain Society in 2007).
Dr. Lynch-Jordan is the associate director of the O'Grady Residency in Pediatric Psychology, and is a team leader in the Academic Collaborative, a hospital-wide initiative aimed at integrating quality improvement science into academic divisions at Cincinnati Children's. Dr. Lynch-Jordan's current research interests include parenting behavior and illness behavior encouragement of children with chronic pain. Additionally, she is interested in pain expression and factors contributing to school attendance/absences in the pediatric chronic pain population. She is a study therapist for an NIH clinical trial investigating behavioral interventions for juvenile primary fibromyalgia syndrome.
Kashikar-Zuck S, Flowers SR, Claar RL, Guite JW, Logan DE, Lynch-Jordan AM, Palermo TM, Wilson AC. Clinical utility and validity of the Functional Disability Inventory among a multicenter sample of youth with chronic pain. Pain. 2011 Jul;152(7):1600-7.
Kashikar-Zuck S, Parkins IS, Ting TV, Verkamp E, Lynch-Jordan A, Passo M, Graham TB. Controlled follow-up study of physical and psychosocial functioning of adolescents with juvenile primary fibromyalgia syndrome. Rheumatology (Oxford). 2010 Nov;49(11):2204-9.
Kashikar-Zuck S, Flowers SR, Verkamp E, Ting TV, Lynch-Jordan AM, Graham TB, Passo M, Schikler KN, Hashkes PJ, Spalding S, Banez G, Richards MM, Powers SW, Arnold LM, Lovell D. Actigraphy-based physical activity monitoring in adolescents with juvenile primary fibromyalgia syndrome. J Pain. 2010 Sep;11(9):885-93.
Kashikar-Zuck S, Johnston M, Ting TV, Graham BT, Lynch-Jordan AM, Verkamp E, Passo M, Schikler KN, Hashkes PJ, Spalding S, Banez G, Richards MM, Powers SW, Arnold LM, Lovell D. Relationship between school absenteeism and depressive symptoms among adolescents with juvenile fibromyalgia. J Pediatr Psychol. 2010 Oct;35(9):996-1004.
Lynch-Jordan AM, Kashikar-Zuck S, Crosby LE, Lopez WL, Smolyansky BH, Parkins IS, Luzader CP, Hartman A, Guilfoyle SM, Powers SW. Applying quality improvement methods to implement a measurement system for chronic pain-related disability. J Pediatr Psychol. 2010 Jan-Feb;35(1):32-41.
Lynch-Jordan A, Kashikar-Zuck S, Flower S, Harding K, Wolf D, Paulford-Lecher N, Desai A, Szabova A, Goldschneider K. The relationship between adolescent pain behaviors and catastrophizing on parent catastrophizing about their adolescents’ pain. The Journal of Pain. 2010 11(4), (1 Suppl), 18. Flowers S, Kashikar-Zuck S, Verkamp E, Lynch-Jordan A, Strotman D, Ting Schikler K, Spalding S, Hashkes P, Richards M, Banez G, Arnold L, Powers S, Lovell D. The relationship between pain catastrophizing, coping efficacy, and objectively measured physical activity in adolescents with Juvenile Primary Fibromyalgia Syndrome. The Journal of Pain. 2010 11(4), (1 Suppl), 16. Zafar M, Kashikar-Zuck S, Slater S, Allen J, Flowers S, Verkamp E, Ting T, Lynch-Jordan A, Kabbouche M, Hershey A, Powers S. Childhood abuse in pediatric patients with juvenile fibromyalgia and chronic daily headache. The Journal of Pain. 2010 11(4), (1 Suppl), 13. Kashikar-Zuck S, Lynch A, Slater S, Graham TB, Swain NF, Noll R. Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome. Arthritis Care and Research. 2008 59(10),1392-98.
Sara E. Williams, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Pediatric chronic pain; pediatric psychology; cognitive behavioral therapy
Psychosocial factors affecting pediatric chronic pain; parent-child interaction
Sara E. Williams, PhD, is a clinical psychologist specializing in the assessment, treatment, and research of pediatric chronic pain. She is the clinical director of the Functional Independence Restoration program for inpatient pediatric chronic pain rehabilitation. She also practices as a pain psychologist in the Headache Center and Pain Management Clinic.
Dr. Williams’ research interests focus on psychosocial factors affecting children’s and parents’ experience of pediatric chronic pain conditions. She is a study therapist for an NIH funded clinical trial investigating exercise and behavioral interventions for adolescents with fibromyalgia.
PhD: Vanderbilt University, Nashville, TN, 2007.
Internship: University of California Los Angeles, Los Angeles, CA, 2006-2007.
Fellowship: Harvard Medical School, Boston, MA, 2008-2010.
Certification: Licensed Clinical Psychologist.
Wojtowicz A, Greenley RN, Gumidyala AP, Rosen A, Williams SE. Pain severity and pain catastrophizing predict functional disability in youth with inflammatory bowel disease. J Crohns Colitis. 2014 Mar 11.
Birnie KA, Caes L, Wilson A, Williams SE, Chambers CT. A practical guide and perspectives on use of experimental pain modalities with children and adolescents. Pain Manag. 2014 Mar;4(2):97-111.
Kovacic K, Williams S, Li B, Chelimsky G, Miranda A. High Prevalence of nausea in children with pain-associated functional gastrointestinal disorders: Are Rome criteria applicable? J Pediatr Gastroenterol Nutr. 2013 Sep;57(3):311-15.
Logan DE, Williams SE, Carullo VP, Claar RL, Bruehl S, Berde C. Children and adolescents with Complex Regional Pain Syndrome: More psychologically distressed than other children in pain? Pain Res Manag. 2013 Mar-Apr;18(2):87-93.
Sieberg CB, Williams S, Simons LE. Do parent protective responses mediate the relation between parent distress and child functional disability among children with chronic pain? J Pediatr Psychol. 2011 Oct;36(9):1043-51.
Williams SE, Blount RL, Walker LS. Children’s pain threat appraisal and catastrophizing moderate the impact of parent verbal behavior on children’s symptom complaints. J Pediatr Psychol. 2011 Jan;36(1):55-63.
Williams SE, Smith CA, Bruehl SP, Gigante J, Walker LS. Medical evaluation of children with chronic abdominal pain: Impact of diagnosis, physician practice orientation, and maternal trait anxiety on mothers’ responses to the evaluation. Pain. 2009 Dec;146(3):283-92.
Little CA, Williams SE, Puzanovova M, Rudzinski ER, Walker LS. Multiple somatic symptoms linked to positive screen for depression in pediatric patients with chronic abdominal pain. J Pediatr Gastroenterol Nutr. 2007 Jan;44(1):58-62.
Walker LS, Williams SE, Smith CA, Garber J, Van Slyke DA, Lipani TA, Greene JW, Mertz H, Naliboff BD. Validation of a symptom provocation test for laboratory studies of abdominal pain and discomfort in children and adolescents. J Pediatr Psychol. 2006 Aug;31(7):703-13.
Walker LS, Williams SE, Smith CA, Garber J, Van Slyke DA, Lipani TA. Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain. Pain. 2006 May;122(1-2):43-52.
Nancy R. Durban, PT, MS, DPT Physical Therapist II, Division of Occupational Therapy and Physical Therapy - Sports Medicine
Roxane Anderson, RN, ARPN, CPNP Nurse Practitioner, Pain Management
Nurse Practitioner, Pain Management
Special needs children; pain management for children; chronic diseases in children.
Roxane Anderson, RN, APRN, CPNP, has worked at Cincinnati Children's Hospital Medical Center since 1975. She worked in the Department of Hematology/Oncology until 1992. She began working in the Department of Same Day Surgery in August 1992 and from there was hired by the Department of Anesthesia in July 2002. Roxane has been working in Pain Management within the Department of Anesthesia.
BSN: University of Cincinnati, Cincinnati, Ohio, 1975.
MSN: University of Cincinnati, Cincinnati, Ohio, 1984.
Certification: Pediatric Nurse Practitioner, Good Samaritan Hospital / College of Mt. St. Joseph, 1978.
Tracy N. Rogers, MSN, APRN, CNP Nurse Practitioner, Division of Anesthesia
Nurse Practitioner, Division of Anesthesia
Pediatric pain management
Tracy Rogers has been an employee with Cincinnati Children's for the past eight years. She started out as a patient escort before working as a PCA while she went through her undergraduate education. She worked as a floor nurse on A4N, gastroenterology, liver/intestinal transplant unit for the past five years after graduating from the College of Mount Saint Joseph with her bachelor’s degree.
Rogers graduated from NKU in Spring 2012 with her MSN and started with the pain division as a nurse practitioner in August 2012.
BSN: College of Mount Saint Joseph, Cincinnati, OH, 2007.
MSN: Northern Kentucky University, Highland Heights, KY, 2012.
Certification: The American Academy of Nurse Practitioners as a Family Nurse Practitioner
Holly K. Stahlman, RN, APRN, CPNP Pediatric Nurse Practitioner, Division of Pain Management
Pediatric Nurse Practitioner, Division of Pain Management
Certification: Certified Pediatric Nurse Practitioner (CPNP) – American Nurses Credentialing Center, 2008.
MSN: University of Cincinnati, Cincinnati, OH, 2008.
BSN: University of Missouri-Columbia, MO, 2006.
Debra Wolf, MSN, APRN, CNS Clinical Nurse Specialist, Division of Pain Management
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