About Us

pain treatment in DC
Our Practice

Committed to Excellence

Our practice is dedicated to the management of various chronic pain syndromes that are often intractable and difficult to treat. We believe that the best approach to pain management is a comprehensive one that involves several medical disciplines.

At Pain Management Associates LLC, our approach to pain management is a combination of interventional procedures , carefully titrated medical therapy and physical therapy to optimize results for our patients.

The physicians at Pain Management Associates LLC are experts in the treatment of all pain conditions, specializing in spine, chronic and acute back and neck pain. They have more than 25 years of combined experience. Today they are one of the larger interventional pain practices in the Washington Metro area.

Some of the more common pain syndromes that we deal with

Medical director of Pain Management Associates LLC

​​Dr. Haddis Hagos


After finishing his training in Anesthesiology and Pain Management at the New York Medical College, Dr. Hagos joined the Washington Hospital Center as an Attending Physician in 1992.

Dr. Hagos has been in interventional pain medicine practice since 1992 when he worked initially as an anesthesiologist/pain management physician at the Washington Hospital Center. He later became Director of Pain Management at the Washington Hospital Center and served in that capacity for several years.

Dr. Hagos is certified by the American Board of Anesthesiologists, in Anesthesiology and Pain Medicine.

Dr. Hagos has been in private practice since 2003 and is a founding member and Medical Director of Washington Metro Pain Institute also known as Pain Management Associates.

Dr. Hagos has extensive experience in all aspects of interventional pain management. His special area of interest is spinal pain, including lumbar and cervical spine.

​​Dr. Haddis Hagos

Dr. Brent Earls

Dr. Earls Metro Pain

Dr. Brent Earls was born in Yukon, Oklahoma and is a graduate of University of Oklahoma. Go Sooners! 

He obtained his medical degree at University of Oklahoma Health Sciences Center in 2016. His residency was at Georgetown University hospital in anesthesiology, where he served as chief resident in his final year. Dr. Earls then went on to complete fellowship in interventional pain management at the world-renowned Johns Hopkins University. After fellowship, he joined George Washington University as assistant professor of anesthesiology and pain medicine.

Throughout his career, Dr. Earls has published 4 peer-reviewed journal articles, 6 book chapters, and 11 case reports and scientific abstract presentations. He has given oral presentations at multiple conferences including American Society of Regional Anesthesia, American Academy of Pain Medicine, American College of Surgeons and American Society of Anesthesiology, where his educational exhibit won first prize. He has also received many professional awards including “Resident Researcher of the Year”, and “Resident Educator of the Year” two years in a row.

Dr. Earls believes in a philosophy of care that recognizes pain as a complex, multidimensional experience. He treats a wide variety of chronic pain conditions including spinal pain of the low back and neck. Dr. Earls believes in a multidisciplinary approach to pain management with a focus on nonsurgical and minimally invasive techniques. 

Using cutting-edge technology and evidence-based treatment modalities, he performs epidural injections, peripheral joint injections, radiofrequency ablations, sympathetic blocks, as well as neuromodulation for refractory pain and certain cancer pain therapies. He has particular interest and expertise in the utilization of neuromodulation techniques in the treatment of chronic pain conditions, such as back pain after surgery and complex regional pain syndrome, affecting peripheral nerves as well as the spinal cord.