Quality Interventional Pain Management in Brunswick, Maine

Come to Coastal Orthopedics & Sports Medicine in Brunswick, Maine, for state-of-the-art Interventional Pain Management. In addition to our outstanding orthopedic practice, our Physical Medicine & Rehabilitation team is board-certified, patient-centered, and the choice of patients throughout Maine.

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. Dr. John Guernelli and Kristen Schroeder-Cyr, FNP-BC 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.



John (Gianelia) F. Guernelli, MD - Physical Medicine & Rehabilitation

Dr. Guernelli is a Medical Doctor who specializes in Physical Medicine & Rehabilitation. He is a graduate of Manhattan College in New York and obtained his medical degree from the Albert Einstein College of Medicine. Through his schooling, Dr. Guernelli completed his internship in medicine at Yale and a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York. He completed additional training in Interventional Pain Management at Albany Memorial Medical Center and the University of Newcastle in Australia. In addition, he completed a Masters in Pain Medicine at the University of Newcastle, Australia and is board-certified in Pain Management by the American Board of Anesthesia.


Dr. Guernelli has over 20 years of experience and has devoted his career to caring for patients suffering from incapacitating pain. He specializes in treating neck and back pain, joint pain, muscle pain, as well as pain related to disorders of the brain, spine, and nerves. Rehabilitation doctors 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 individual personalized care. Dr. Guernelli strongly believes that teamwork helps patients get better faster and more effectively.


Dr. Guernelli 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 cutting edge options and treatment choices available anywhere.

“I am proud and honored to be a part of Coastal Ortho. Treating pain requires a team approach. I feel that Coastal Ortho has the right team as well as the right vision of the future. Patients with pain should be offered all the options they have available to them. I look forward to serving the Maine community with a personal touch.”


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.