Physicians
Lisa B. Barr, M.D. is a native of Hampton Roads. She graduated from Eastern Virginia Medical School and was Chief Resident at Eastern Virginia in Physical Medicine & Rehabilitation. She has been an assistant professor in the Department of Pain Management & Rehabilitation since completing her residency in 1988. She is board certified in Physical Medicine & Rehabilitation. Dr. Barr holds memberships in several professional organizations including the American Academy of Physical Medicine and Rehabilitation, Physiatric Spine Sports and Orthopedic Rehabilitation, International Spinal Injection Society, AAOM, Tidewater Medical Women’s Society and the Medical Society of Virginia. She is active in local and state medical societies. She sits on several community boards and volunteers her time at The Beth Shalom Home. She frequently lectures on issues related to Pain Management and Sports Medicine. She has been listed repeatedly in Hampton Roads Top Docs, and nationally in Guide to Top Doctors, Consumers Checkbook’s Center for the Study of Services. With the help of her colleagues and staff, her professional focus is to continue to help “set the bar” in the ever changing world of treatment of painful musculoskeletal conditions. Outside of work she enjoys the great outdoors and spending time with family and friends. Dr. Horn received his undergraduate degree from Emory University in Atlanta and earned his doctorate in osteopathic medicine from the Des Moines University School of Osteopathic Medicine. He completed his residency in Physical Medicine and Rehabilitation at the University of North Carolina Hospital in Chapel Hill, where he served as chief resident and was active in research. He then pursued fellowship training in Interventional Spine and Pain Medicine at the Orthopedic Specialists of the Carolinas in Winston-Salem, NC. He has recently been appointed as the International Spine Intervention Society representative to the American Medical Association’s committee on economic issues. Dr. Horn is an interventional spine specialist. He is board certified in Physical Medicine and Rehabilitation. His special interests include spinal procedures, osteopathic manipulation, electrodiagnostics (EMG), research and sports medicine. Dr. Horn is available in the Norfolk and Virginia Beach locations. Dr. David Levi received his undergraduate degree at Tulane University in New Orleans. He earned his Doctorate of Medicine from Eastern Virginia Medical School. He completed his residency in Physical Medicine and Rehabilitation at Carolinas Rehabilitation in Charlotte, North Carolina where he served as Chief Resident. After completing his residency, he pursued advanced training through a fellowship in spine injections and musculoskeletal medicine in New Orleans at LSU. In 2003, he joined Advanced Pain Management and currently practices in the Virginia Beach and Norfolk locations. Dr. Levi is board certified by the American Board of Physical Medicine and Rehabilitation. He is an active member of several organizations including the American Academy of Physical Medicine & Rehabilitation, International Spine Intervention Society, North American Spine Society, Physiatric Association of Spine, Sports and Occupational Rehabilitation and the American Association of Electrodiagnostic Medicine. He has lectured extensively on back and neck pain as well as spine injections. Dr. Levi is an instructor for the North American Spine Society teaching other physicians spine injection techniques. He has served as an investigator for multiple clinical research trials including cutting edge intradiscal treatments for low back pain. Other areas of clinical interest and expertise include the use of neuromusculoskeletal ultrasound. He is able to improve the diagnostic accuracy of upper and lower extremity disorders, including the shoulder, elbow, hand, hip and knee. He is also able to improve the success rate of an injection by ensuring proper placement through the use of ultrasound. Dr. Levi lives in Virginia Beach with his family and is a saltwater fishing and kayaking enthusiast. Dr. Bonnie Nock earned her doctorate of medicine from the Health Science Center of North Texas. She completed her internship at Fort Worth Osteopathic Medical Center and then completed residencies in Internal Medicine and Physical Medicine and Rehabilitation. During her residency in Physical Medicine and Rehabilitation she served as chief resident at the MetroHealth Medical Center/Case Western Reserve University. Prior to medical school she obtained a degree in Physical Therapy at the University of Pittsburgh and a Masters degree in Physiology at North Texas University. She joined Advanced Pain Management in 1995 and currently practices in all of our offices. She is board certified in Physical Medicine and Rehabilitation since 1996. Dr Nock served as the medical director for DePaul Medical Centers Rehabilitation Unit for 9 years and is still affiliated with the hospital. Professional organizations include the American Academy of Physical Medicine and Rehabilitation, the Virginia Society of PM&R and the American Medical Association. She has lectured on topics related to stroke, head injury, spinal cord injury and pain management. Clinical areas of interest include myofascial pain syndrome, sacroiliac pain, discogenic pain, musculoskeletal problems, Botulinum toxin injections, and Electrodiagnostic testing (EMG). Dr. Robert Spear earned his doctorate of Osteopathic Medicine from the University of New England. He completed a three-year residency in Family Practice/Internal Medicine at Norwalk Hospital/Yale University Medical Centre in Connecticut. He then completed a three-year residency in physical medicine and rehabilitation and was chief resident at the University of Alabama at Birmingham Hospital. He joined Advanced Pain Management in 1998. He currently practices in our Virginia Beach and Norfolk offices. He is board certified in PM&R. He lectures nationally on headache and its treatment as well as locally on spine spasticity and myofascial pain management. He serves on National Advisory Panels for headache and spasticity. Dr. Spear has been an active investigator on multiple medical trials with emphasis on headache related research. Clinical areas of interest include head and neck pain, myofascial pain syndrome, spasticity, non-allopathic mechanical dysfunction, with conservative treatment emphasis of osteopathic manipulative therapy, peripheral musculoskeletal procedures, botulinum toxin, and fluoroscopically guided spinal injections. Hospital associations include, Sentara Virginia Beach General Hospital and DePaul Medical Center. In 1996 Dr. Walko helped form the research department at Advanced Pain Management. He has been a principal investigator for pain trials and fibromyalgia studies. He has also served as sub-investigator for many pain and arthritis studies. He has also been co-investigator for Botox injection trials. Clinical areas of interest include low back pain, neck pain, spinal disorders, amputations, myofascial and muscle pain, acute injuries, spinal injections, Botox injections, arthritis, and sports medicine. Hospital affiliations include Virginia Beach General Hospital. Dr. Walko lives in Virginia Beach and enjoys surfing, fishing, music, and spending time with his family.
Physician Assistants
Sara Tyszko, PA-C, is a graduate of the Towson University-CCBC Essex Physician Assistant Program in Baltimore, MD. She received her Bachelor’s degree in biology from Washington College in Chestertown, MD. Sara spent four years in the laboratory at the Johns Hopkins University Oncology Department researching adult stem cell potentials prior to her master’s studies. After completing Physician Assistant training, Sara specialized in pain treatment for four years at the UHA Pain Treatment Center in Morgantown, WV. Sara participated in athletics at the college level and continues to be interested in sports medicine and injury, and in research. Her unique qualifications and experience complement and expand the treatment options in physical medicine and rehabilitation at Advanced Pain Management. Outside of work, Sara enjoys the beach, music, reading and spending time with her family.
Physical Therapists
Kathryn Bragg has been practicing physical therapy for over 25 years, and has been with APM Spine & Sports since 1997. She received her Bachelors Degree in Physical Therapy from Old Dominion University in 1982. After graduation she was involved in Pediatrics with the Virginia Beach City Public Schools for two years, before moving to an acute care program with Sentara Leigh. While at Sentara Leigh she specialized in Work Hardening and Rehabilitation, as well as becoming more involved in manual therapy. She started specializing more in myofascial release/manual techniques in 1986. She was Director of Rehabilitation Services at DePaul Medical Center from 1990 through 1993 and Site coordinator with HealthSouth from 1993 - 1997 before coming to work at Advanced Pain Management. Mrs. Bragg has been specializing in manual Therapy for 21 years, primarily focusing on Myofascial Pain and Soft Tissue Dysfunction. She has been trained in Myofascial Release, Strain/Counterstrain, TMJ Dysfunction and CranioSacral Therapy. She works with chronic pain issues, as well as any other problems associated with soft tissue restrictions that adversely affect posture. Emphasis of therapy is on decreasing the soft tissue restrictions, increasing postural awareness/retraining, and helping patients learn self management skills leading to independent management of symptoms. 
Research Staff
Dr. Bonnie Nock earned her doctorate of medicine from the Health Science Center of North Texas. She completed her internship at Fort Worth Osteopathic Medical Center and then completed residencies in Internal Medicine and Physical Medicine and Rehabilitation. During her residency in Physical Medicine and Rehabilitation she served as chief resident at the MetroHealth Medical Center/Case Western Reserve University. Prior to medical school she obtained a degree in Physical Therapy at the University of Pittsburgh and a Masters degree in Physiology at North Texas University. She joined Advanced Pain Management in 1995 and currently practices in all of our offices. She is board certified in Physical Medicine and Rehabilitation since 1996. Dr Nock served as the medical director for DePaul Medical Centers Rehabilitation Unit for 9 years and is still affiliated with the hospital. Professional organizations include the American Academy of Physical Medicine and Rehabilitation, the Virginia Society of PM&R and the American Medical Association. She has lectured on topics related to stroke, head injury, spinal cord injury and pain management. Clinical areas of interest include myofascial pain syndrome, sacroiliac pain, discogenic pain, musculoskeletal problems, Botulinum toxin injections, and Electrodiagnostic testing (EMG). Dr. Robert Spear earned his doctorate of Osteopathic Medicine from the University of New England. He completed a three-year residency in Family Practice/Internal Medicine at Norwalk Hospital/Yale University Medical Centre in Connecticut. He then completed a three-year residency in physical medicine and rehabilitation and was chief resident at the University of Alabama at Birmingham Hospital. He joined Advanced Pain Management in 1998. He currently practices in our Virginia Beach and Norfolk offices. He is board certified in PM&R. He lectures nationally on headache and its treatment as well as locally on spine spasticity and myofascial pain management. He serves on National Advisory Panels for headache and spasticity. Dr. Spear has been an active investigator on multiple medical trials with emphasis on headache related research. Clinical areas of interest include head and neck pain, myofascial pain syndrome, spasticity, non-allopathic mechanical dysfunction, with conservative treatment emphasis of osteopathic manipulative therapy, peripheral musculoskeletal procedures, botulinum toxin, and fluoroscopically guided spinal injections. Hospital associations include, Sentara Virginia Beach General Hospital and DePaul Medical Center. In 1996 Dr. Walko helped form the research department at Advanced Pain Management. He has been a principal investigator for pain trials and fibromyalgia studies. He has also served as sub-investigator for many pain and arthritis studies. He has also been co-investigator for Botox injection trials. Clinical areas of interest include low back pain, neck pain, spinal disorders, amputations, myofascial and muscle pain, acute injuries, spinal injections, Botox injections, arthritis, and sports medicine. Hospital affiliations include Virginia Beach General Hospital. Dr. Walko lives in Virginia Beach and enjoys surfing, fishing, music, and spending time with his family. Ms. Tara Wedding began working in clinical research in 2000, working for Celegene Corporation as a Research and Development Coordinator on Phase IV Studies. In 2003, she began working as a regional Clinical Research Associate, monitoring cancer and pain studies. She received her Clinical Research Certification in 2007 from the Society of Clinical Research Associates.
She has been involved in over 30 different research studies for indications of Alzheimer ’s disease, Osteoarthritis, Rheumatoid Arthritis, Complex Regional Pain Syndrome, Multiple Myeloma and prostate cancer. She joined APM Spine and Sports Physicians research in 2012, and is currently the coordinator for the Research Department.
Clinical areas of interest include research studies for phases II – IV.
Ms. Wedding lives with her family in Yorktown. She enjoys reading, camping and spending time with her family.
