Contact Us: 734-712-3456

Saint Joseph Mercy Ann Arbor offers a variety of pain management services, including:


A4 Pain Management

Phone (toll-free)

Main Location
St. Joseph Mercy Ann Arbor
5333 McAuley Drive,
Suite 1000
Ypsilanti, MI 48197

Other Locations

Patient Forms
New Patient
Returning Patient

Partnering with
A4 Pain Management

Saint Joseph Mercy Pain Institute
As one of Southeast Michigan's most successful programs, our team of specialists use a collaborative approach to diagnose pain and develop a customized treatment plan.  Our comprehensive pain management plans may consist of a single approach or a combination of medications, therapies and procedures.

Our primary clinic is conveniently located right on the campus of St. Joseph Mercy Hospital Ann Arbor.
We have many A4 Pain Management locations in Livingston, Washtenaw and Wayne counties.
We believe that communication with your primary care and referring physicians is a priority and ensures continuity of care, that's why our specialty service is referral only.

Our pain management staff includes board certified pain specialists emphasizing evidence-based medicine. We recognize that acute and chronic pain is often dependent on many factors, requiring coordination of care between nurses, physician assistants, other medical specialists and often includes psychological support.

Our collaborative approach

  • Referrals to affiliated psychologists for coordination of care (biofeedback and relaxation techniques, psychological intervention, complex psychotropic medication adjustment)
  • Collaboration with spine physicians and physiatrists from Associates in Physical Medicine and Rehabilitation
  • Referrals to physical/occupational therapy and recommendations for modalities (including Transcutaneous Electrical Nerve Stimulation, manual techniques, gait evaluation, etc.)

Pain and Rehabilitation Specialists
As physical medicine and rehabilitation doctors (also called physiatrists), APM&R doctors are specialists in treating pain and helping patients recover lost function. They have 10–30 years of experience each in multiple specialty areas of physical medicine, and several have been named among the Best Doctors in America® for a number of years.

Treating the Whole Person

APM&R physicians can also assemble and coordinate a team of physicians and specialists across multiple practice areas that can help the patient with cognitive and emotional problems, along with physical issues. This enables us to achieve the goal of helping the person to become as independent as possible with the function that they have available and to help the family, school or workplace understand how to assist the patient as well. Our approach supports physical medicine doctors’ emphasis on treating the whole person, rather than just the problem area.

Non-Surgical Treatment Options

In addition, the doctors at Associates in Physical Medicine and Rehabilitation offer both traditional and non-traditional treatment options for pain, injury and disease, including:

  • Electromyography (EMG)
  • Medical Acupuncture
  • Motor Point Blocks
  • Botulin Toxin Therapy
  • Therapeutic Injections
  • Manual Therapy
  • Prolotherapy
  • Spinal Injections
  • Epidural Facet Blocks
  • Cervical Lumbar Epidurals

Ann Arbor Spine Center

Ann Arbor Spine Center specializes in improving care for back and neck patients while emphasizing nonsurgical options. Our practice consists of board-certified surgical specialists specializing in spine (neurosurgeons and orthopedic surgeons) as well as non-surgical specialists and physical therapists.

The center is able to care for any type of back or neck problem, from simple back/ neck strain to the most complex spine surgery.  All the necessary diagnostic testing and non-operative treatments can be found under one roof, eliminating the need for multiple referrals, delayed care and confusion.
PMR physicians have advanced training in non-surgical treatment of spine problems and focus on understanding how posture, walking, standing and sitting affect the spine. 

When back or neck problems require surgery, the spine specialized neurosurgeons and orthopedic surgeons treat the most complex cases including herniated discs, spinal fractures, spinal deformity, spinal tumor and scoliosis. 

Spine Neurosurgeons

Jason Brodkey, MD   

Geoff Thomas, MD

Elisa Kucia, MD

Mark Oppenlander, MD

Spine Orthopedic Surgeons

Doug Geiger, MD

Mark Falahee, MD 

Non-Surgical Care 

Kurt Hiester, PA-C, ATC

Lindsey Lorello, PA-C

Jonathan Ogar, PA-C


Ann Arbor Spine Center
at Michigan Brain
and Spine Institute

5315 Elliott Dr. #102
Ypsilanti, MI 48197
P 734.434.4110
P 800.824.9253
F 734.434.1966

St. Joseph Mercy Chelsea
Professional Building
14650 E. Old US 12. #302
Chelsea, MI 48118
P 734.434.4110
F 734.433.4505

St. Joseph Mercy Brighton
7575 West Grand River Ave.,
Suite 112
Brighton, MI 48114
P 734.434.4110

Practice Website:

Integrative Medicine

Overview of Services

The Center for Integrative Medicine in the St. Mary Mercy Livonia Wellness Center focuses on healing the whole person by treating the mind, body and spirit.

Integrative medicine is evidenced-based methods that reduce stress, tension or chronic pain and complement primary medical care. We provide a holistic approach to healing by working with your primary care physician and integrating complementary care. Services include acupuncture, meditation and guided imagery, yoga, therapeutic massage and nutritional counseling.

Who can benefit from integrative medicine?

Any of the following individuals may be candidates for one or more services provided by the Center for Integrative Medicine:

  • You are searching for a way to reduce stress, tension or chronic pain
  • You are suffering from back pain, addiction, cancer, infertility, fibromyalgia or irritable bowel syndrome
  • You are recovering from bariatric surgery or joint replacement
  • You are interested in learning more about integrative options to complement your medical care
  • You are striving for life balance among your work and home commitments
  • You are seeking spiritual centeredness

Our Team

Physician: Harsha P. Jayatilake, MD, FAAFP, ABIHM

Massage Therapist: Denise Mussio, LMT, CTM, NCTM


The Center for Integrative Medicine is located in the Wellness Center in St. Mary Mercy Livonia. The Wellness Center is most easily accessible through the south hospital entrance.


Center for Integrative Medicine