Dr. Keith Kittelberger

I specialize in physical medicine and rehabilitation, with a focus in spine and pain medicine. My goal is to improve each patient's level of function and quality of life by offering comprehensive rehabilitative care to those suffering with pain. I manage conservative treatments, such as medications, physical therapy, injections or implanted devices, to control pain. I work closely with Duke spine surgeons to help patients before or after surgery. I believe in viewing the patient as a whole in order to determine an effective treatment plan. Outside of medicine I am heavily involved in the performing arts. I am a Juilliard-trained classical pianist. I enjoy life in both medicine and music, as both fields demand a high skill level for listening, communicating, and sharing a depth of compassion. Being a physician is a great privilege. I strive to use my skills to offer a high level of personalized care. Dr. Mariano is rated as an Advanced provider by MediFind in the treatment of Central Pain Syndrome. Her top areas of expertise are Invertebral Disc Disease, Central Pain Syndrome, Chronic Pain, and Scoliosis.

Dominika James is a Pain Medicine provider in Chapel Hill, North Carolina. Dr. James is rated as an Advanced provider by MediFind in the treatment of Central Pain Syndrome. Her top areas of expertise are Chronic Pain, Facet Joint Syndrome, Acute Pain, and Neuralgia.

Brian Hertzberg is a Pain Medicine provider in Raleigh, North Carolina. Dr. Hertzberg is rated as an Advanced provider by MediFind in the treatment of Central Pain Syndrome. His top areas of expertise are Sacroiliac Joint Disease, Cervical Spondylosis, Chronic Pain, and Opioid Induced Constipation.