We're Ready To Help You! The Maryland Pain and Spine Center was developed to help people with severe, chronic and debilitating pain receive treatment. Pain management physicians develop treatment plans based on each patient’s needs, and may work with other health professionals such as primary care physicians, physical therapists, orthopedic surgeons, physiatrists and neurologists. Patients may be referred to a pain management specialist by their primary care doctor, orthopedic physician, rehabilitation specialist or other medical specialist.