Quality Interventional Pain Management in Brunswick, Maine

Coastal Ortho Interventional Pain Management is a trusted practice in Brunswick, Maine, providing State of the Art specialty care in the fields of Physiatry, Pain Management, and Electrodiagnostic Medicine for adult musculoskeletal and neurologic conditions.

Our Approach to Interventional Pain Management

Your health and the quality of pain management services you receive are the top priorities of your providers at Coastal Ortho Interventional Pain Management. We believe the fundamental relationship between patient and doctor should be based on trust and the mutual understanding of the road to recovery.  The care of our patients, education, and clear and accurate communication are extremely important in providing you with the ability to make an informed decision regarding the treatment of your condition.

Evaluation & Treatment

We strive to meet your individual needs through evaluation and treatment to ensure you achieve and maintain an active lifestyle. Our practice strives to provide outstanding and timely pain management while encouraging you to take an active role in the process.

The Coastal Ortho Interventional Pain Management team provides evaluation and treatment of neck and back pain, joint and muscle pain, as well as pain related to disorders of the brain, spine, and nerves. Our pain management physicians are trained to work closely with orthopedic surgeons, neurosurgeons, physical and occupational therapists, osteopaths, chiropractors, and holistic providers of all disciplines to create a team approach to personalized care. They strongly believe that teamwork helps patients get better faster and more effectively.

Coastal Ortho Interventional Pain Management has broad experience in cutting edge interventional pain management treatments including joint and muscle injections, fluoroscopically guided spinal injections, spinal cord stimulation, intradiscal injections, cryoablation, minimally invasive spinal decompression, and regenerative medicine techniques.

Coastal Ortho Interventional Pain Management will provide Maine patients with the most cutting edge treatment options and choices available anywhere.

On-Site Procedure Suite

Coastal Orthopedics and Sports Medicine has recently added an Interventional Pain Management procedure suite on site.  Our patients have given a warm reception to the highly personalized and expedited care we can now offer with our recent expansion.

Dr. Carl

Michael Carl, M.D. - Interventional Pain Management

Dr. Michael Carl is Board-Certified in Physical Medicine & Rehabilitation with a subspecialty in Pain Management, and is also Board-Certified in Electrodiagnostic Medicine. He specializes in spine and musculoskeletal conditions and advanced interventional pain management procedures.

Dr. Carl has lectured nationally on multiple topics related to pain management and previously served as Program Director for Baylor University Medical Center’s Pain Management Fellowship. He lives with his family in Brunswick.

  • Medical School: Indiana University School of Medicine in Indianapolis, Indiana
  • Residency: Baylor University Medical Center in Dallas, Texas
  • Board-Certified: Physical Medicine & Rehabilitation
  • Board-Certified: Pain Management
  • Board-Certified: Electrodiagnostic Medicine


Kristen Schroeder-Cyr

Kristen Schroeder-Cyr, FNP-BC

Kristen Schroeder-Cyr, FNP-BC is a board-certified Family Nurse Practitioner, receiving her Master's of Nursing at the University of California, San Francisco in 2006. Prior to this, she was an RN, BSN working as a Pediatric Nurse in major medical centers in Hawaii, Seattle, San Francisco, and Boston for a total of 13 years. She has worked very closely with Dr. Guernelli over the past 12 years in the area of physiatry and pain management and has developed a passion for working with this challenging and rewarding population.

Listening to patients and their concerns regarding musculoskeletal issues is her first approach to treatment, followed by formulating an individualized plan that encompasses a variety of modalities based on physical exam, diagnostic studies, and chief complaints. This involves working in conjunction with other team members such as physical therapists, osteopaths, pain psychologists, and primary care physicians. She is able to give joint and muscle injections and evaluate for appropriate interventions to be given by Dr. Guernelli. Interventions include, however are not limited to, nerve blocks, spinal injections, rhizotomy, kyphoplasty, as well as medication infusions.

Outside of work she enjoys camping in her VW van with her husband, kids, and two dogs, as well as spending time on the slopes of Sugarloaf. She resides in Falmouth.