Mairin Jerome, MD
Attending Physiatrist, Regenerative SportsCare Institute
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 administers regenerative medicine procedures, including prolotherapy and orthobiologics, under X-ray or ultrasound guidance to precisely deliver injections to areas of musculoskeletal injury or degeneration. Orthobiologics refers to tissue harvested from a person’s own body, such as platelets (platelet rich plasma, PRP), bone marrow, or adipose tissue, 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 Manhattan, 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, where she pursued an additional year-long student fellowship in anatomic pathology and researched the effects of stretching on connective tissue cellular morphology. Dr. Jerome 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 went on to complete her fellowship with Dr. Christopher Centeno, who helped pioneer the development of the field of Interventional Orthopedics and Regenerative Medicine, and his colleagues at the Centeno-Schultz Clinic in Colorado. There, she further developed her diagnostic and advanced procedural skills, exclusively focused on the treatment of spine and other musculoskeletal injuries using proliferative injections (prolotherapy) and orthobiologics.
Approach to Patient Care
Dr. Jerome is a strong believer in listening carefully to patients, taking an in-depth history, and performing a thorough physical examination, utilizing diagnostic ultrasound and advanced imaging where appropriate to establish an accurate diagnosis. In her fellowship, she was trained in the “SANS” approach, which stands for stability, articulation, neuromuscular control, and symmetry. Using the SANS approach allows Dr. Jerome to evaluate her patients from a holistic perspective to identify not only a specific pain generator, but also the underlying and often subtle biomechanical and neuromuscular imbalances that led to the occurrence of the injury and/or pain in the first place. 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, improved treatments for scoliosis, patient factors predictive of positive or negative outcomes following orthobiologic injections, 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.
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
PEER REVIEWED PUBLICATIONS
Manchikanti L, Centeno CJ, Atluri S, Albers SL, Shapiro S, Malanga GA, Abd-Elsayed A, Jerome M, Hirsch JA, Kaye AD, Aydin SM, Beall D, Buford D, Borg-Stein J, Buenaventura R, Cabarat JA, Calodney AK, Candido KD, Cartier C, Latchaw R, Diwan S, Dodson E, Hernigou P. Bone Marrow Concentrate (BMC) Therapy in Musculoskeletal Disorders: Evidence-Based Policy Position Statement of American Society of Interventional Pain Physicians (ASIPP). Pain Physician. 2020; 23:E85-E131.
Sussman WI, Jerome MA, Foster L. Platelet-rich plasma for the treatment of coccydynia: a case report and review of regenerative medicine for coccydynia. Regen Med 2019 14:12, 1151-1154.
Ettefagh L,* Jerome MA,* Porter J, Monfared HH, Burke DT. Screening for occult lower-extremity deep vein thrombosis on admission to acute inpatient rehabilitation: A cross sectional, prospective study. J Int Soc Phys Rehabil Med 2019; [In press].
Abramoff B, Krull C, Jerome M, Principe J, Cai Q, Tailor Y. Intervention for Increasing Vitamin D Supplementation in a Deficient Rehabilitation Population: Outcomes of a Quality Improvement Initiative. PM R. 2019 Jan 27. doi: 10.1002/pmrj.12092. [Epub ahead of print].
Jerome MA, Gillenwater J, Laub DR, Osler T, Allan AY, Restrepo C, Campbell A. Primary Cleft Lip and Palate Repair in Assam, India: Does pre-operative anthropometric analysis help identify patients with increased surgical risk? Cleft Palate Craniofac J. 2017 Nov;54(6): 720-25.
Persing S, Jerome MA, James T, Weaver D, et al. Surgical Margin Reporting in Breast Conserving Surgery: Does compliance with guidelines change outcomes for patients? The Breast. 2015 Oct;24(5):618-22.
Jerome MA, Laub D. Dissecting Cellulitis of the Scalp: case discussion, unique considerations, and treatment options. EPlasty. 2014; June 6;14:ic17.
Mason RA, Williams CJ, Jerome MA, Jiao J, Sharma P. Bone Marrow Concentrate. In: Prologo D, Ray C, Findeiss L, editors. Advanced Interventional Pain Management. (submitted).
Pitts JA, Jerome MA. Ultrasounds and Fluoroscopically-guided Knee Injections. In: Williams CJ, Pitts JA, Sussman W, editors. Interventional Orthopedics. (ongoing).
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. AAP Annual 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, 15th Annual 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.
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
New York State Physicians and Surgeons Licensure (2020-2022)
Colorado State medical license (2019-2021)
Physiatry, American Board of PM&R, part I completed, part II pending due to delays from COVID
Interventional Orthobiologics Foudation certifications in: Level 1 Bone Marrow/Mini-Lipo Aspirate, Level 1 Nucleated Cell Counting, Level 1 Spine Ligaments, Basic Hip, Basic Knee, Advanced Spine Intradiscal, Advanced Hip, Advanced Knee
Advanced Cardiac Life Support (ACLS)
Myofascial Release Level I
Non-surgical management of spine, joint, tendon, and ligament injuries
Non-surgical management of nerve entrapment and fascial restriction
SANS evaluation (“SANS” stability, articulation, neuromuscular control, and symmetry)
Pre-procedural nutrition and exercise optimization
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
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
Spinal facet joint pain
Cervical, thoracic, and lumbar radiculopathy
Adjacent segment disease
Plantar plate injuries
Thumb joint arthritis
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