(504) 300 9020

2801 Napoleon Avenue, New Orleans, LA 70115

8050 W. Judge Perez Dr. Ste. 2900 Chalmette, LA 70043

1849 Barataria Blvd. Ste. C Marrero, LA 70072

2965 Gause Blvd. Ste. 200 Slidell, LA 70461

  • Welcome to the IPN Group

    Shown from the left to right is Dr. Friedman, Dr. O'Leary and Dr. Royster.

  • Don't accept the pain.

    Contact us to discuss how we can help eliminate it.

    Contact Us
  • Patient Commitment

    Right from the first meeting, we seek to provide the most comprehensive solutions to treat our patients pain.

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Integrated Pain and Neuroscience, LLC

The most options for you under one roof.

About the office

Integrated Pain and Neuroscience, LLC provides patients with comprehensive neurological, psychiatric and holistic treatments for the management of pain.

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Our Medical Services

We provide innovative and effective pain treatment options to the Greater New Orleans area including:

  • Non-surgical Intervention
  • Spinal Cord Stimulation
  • Medical Acupuncture
  • Minimally Invasive Lumbar Decompression

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Make An Appointment

Saturday Appointments Now Available

Please use the link below to reach our contact page.

Contact Us

About Us

Integrated Pain and Neuroscience, LLC is regarded as the foremost leader in pain management and care in Louisiana.

Mission Statement

Integrated Pain and Neuroscience, LLC focuses on coordination of care to determine the most suitable treatment options for each patient. We are committed to offering our patients all the best options for pain management in one location.

We believe that everyone deserves the opportunity to enjoy life in health and wellness.

Medical Expertise

Dr. Royster and his staff provide a comprehensive suite of treatments many of which are area firsts including medical acupuncture and minimally invasive lumbar decompression (MILD).

To learn more about Integrated Pain and Neuroscience, LLC’s procedures and treatements, please click here.

Our Physicians

Dr. Royster is the Founder of Integrated Pain and Neuroscience, LLC. His vision was to create an organization that offered the most options for patients suffering from pain under one roof.

Royster Photo

Dr. Royster received his Bachelor’s Degree in Biology, with a minor in Chemistry, from the University of North Carolina. He then went on to study at the University of Arkansas, where he obtained his degree of Doctor of Medicine in 2003.

Following graduation, Dr. Royster moved to New Orleans, LA where he completed an Internship in Internal Medicine at Ochsner Clinic and Hospital. Dr. Royster’s interest in pain medicine developed during his time at Ochsner and he continued there with his Residency in Anesthesiology. He further refined his expertise with a Fellowship in Pain Medicine at the University of New Mexico from July 2007 – June 2008.

In August 2008, Dr. Royster returned to New Orleans, where he served as Medical Director of Ochsner Baptist Pain Center and Supervisor of the Residency Chronic Pain Education Program until opening his own practice, Integrated Pain and Neuroscience, in April 2013.

Dr. Royster is unique in his published expertise of both spinal cord stimulation and Intrathecal drug delivery. He is the pioneer in peripheral stimulation for headache and facial pain and also has expertise in non-surgical pain therapies. Dr. Royster is the first physician in the area to offer medical acupuncture and minimally invasive lumbar decompression.


O'Leary website photo-1Andrea O’Leary, MD specializes in both adult and child Psychiatry. She received her B.A. degree in Psychology from Emory University in Atlanta in 1994. Andrea also attended Boston University and Georgia State University. She graduated with an MD from Mercer University School of Medicine in Macon, GA in 2004. Andrea was awarded Outstanding Medical Student in Psychiatry at Mercer University.

Dr. O’Leary then went to the Tulane University School of Medicine from 2004 – 2010 where she completed their Triple Board Program in Pediatrics, Adult Psychiatry, and Child Psychiatry. At Tulane, Andrea was the Triple Board Program’s Chief Resident from 2007 – 2008, and the Co-Chief Resident from 2009 – 2010. She is a member of the following Professional Affiliations: the American Psychiatric Association, the Louisiana Psychiatry Medical Association, and the American Academy of Child and Adolescent Psychiatry.

Dr. O’Leary worked at Tulane University in the Department of Child and Adolescent Psychiatry from March 2010 – March 2011. She was a child psychiatrist at the Midtown Clinic, where she provided outpatient Child Psychiatry and Telemedicine services. Andrea also supervised the medical students, residents, and fellows in the department. From July 2012 – April 2013, Dr. O’Leary worked for the State of Louisiana in Telemedicine Psychiatry.

Andrea began working at Integrated Pain and Neuroscience in April 2013 and is excited for the opportunity to use her expertise to help patients in new ways in pain management.


Friedman website photo-1Aaron Jacob “A.J.” Friedman, MD grew up in New Orleans. He earned a B.S. from Tulane University in 1968, and continued on at Tulane’s School of Public and Tropical Medicine where he received a Master of Public Health degree. Dr. Friedman graduated with an MD from Louisiana State University School of Medicine in 1976.

Dr. Friedman completed a Neurology Internship at Charity Hospital in New Orleans. He was a Neurology Resident at the National Naval Medical Center in Bethesda, Maryland from 1977 – 1980. Dr. Friedman served in the United States Military at the Naval Aerospace Medical Institute in Pensacola, Florida from 1980 – 1983.

A.J. returned to New Orleans in 1983, where he worked at a private practice in Neurology through February 2006. After Hurricane Katrina, he moved to Waycross, GA and worked with Satilla Neurological Associates through February 2007. From March 2007 – September 2008, Dr. Friedman worked in Houma, LA at Southeast Neuroscience Center. He then moved to Southwest Neuroscience Center in Lafayette.

Dr. Friedman began practicing acupuncture in December 2012, after many years of interest in the ancient healing method. He is training through the Helms Medical Institute based out of California, and is looking forward to providing New Orleans area pain patients with the unique benefits of acupuncture.

Dr. Friedman started working at Integrated Pain and Neuroscience in April 2013. He brings a distinctive aspect to IPN’s all-encompassing pain management facility with his knowledge of Neurology and Acupuncture.

Our Staff


Beth-Nettles-ProfileBeth Nettles received her Bachelor’s degree in Business Management from Millsaps College in Jackson, MS. Following graduation, she decided she wanted to go into the medical field. She moved to New Orleans and took pre-requisites for Physician Assistant school at University of New Orleans. After Hurricane Katrina, she moved to Baton Rouge and completed the necessary classes while working at Baton Rouge General Family Medical Center.

Beth attended Physician Assistant school in Nashville, TN and graduated with a master’s in science medicine. She worked as a Physician Assistant in pain management for Med Management Inc for 5 ½ years before moving back to New Orleans and accepting a job with Integrated Pain and Neuroscience. She is experienced in giving trigger point, tendon origin and joint injections. She understands disorders of the spine and procedures used to treat them.


Kim-Adkins-profileKim Adkins received her Bachelor’s Degree in Biology from the Furman University. After 1 year working as an Emergency Technician at Halifax Medical Center in Daytona Beach, Florida, she enrolled in Physician Assistant Training at The George Washington University in Washington DC in 2002.

Following graduation in 2004, Ms. Adkins was employed as a Physician Assistant at Anderson Orthopaedic Institute in Washington DC. She worked with the orthopedic hand surgeon both in the office and in the operating room. In 2005, Ms. Adkin’s family relocated to Boston, Massachusetts where she took a job with Brigham and Women’s Hospital. She worked as the sole Physician Assistant on the Hand and Upper Extremity Service with the Harvard Combined Orthopedic Residents, Orthopedic Surgery Fellows, and 4 attending physicians. She then returned to the Washington, DC area and worked with The Orthopaedic Foot and Ankle Center of Washington as an office and surgical PA.

In April 2010, Ms. Adkins relocated to Louisiana with her family and took a position with the Ochsner Baptist Pain Center. After two years of service there, she was asked to join the Ochsner Orthopedic Institute where she worked as a general orthopedic Physician Assistant until she joined Integrated Pain and Neuroscience in November 2013. Ms. Adkins is experienced in treating all manner of musculoskeletal complaints and disorders of the spine. She has vast knowledge of procedures and injections.


Van graduated from the University of New Orleans with a Bachelor of Science in Biology and Chemistry in 2010. After graduation, Van interned at Children’s Hospital of New Orleans. She then went on to provide direct patient care as a certified nurse assistant at Ochsner Medical Center. Van then joined Allied Adult & Child Clinic as the Medical Office Manager. In addition to managing office, staff, and clients, she also did marketing for the clinic.


Lauren graduated from Southeastern Louisiana University with a B.A. in History and a minor in Political Science. She previously worked at a pain management clinic for over 3 years before bringing her knowledge and expertise with her to Integrated Pain and Neuroscience. She loves meeting new people and helping patients in any way that she can.


Janel is a Medical Assistant with an Associate Degree in Occupational Studies. She previously worked for two toxicology companies performing urine drug tests for a Pain Management Clinic. Janel has known Dr. Royster for 4 years while he worked at Ochsner Pain Management.


Molly graduated from Trinity University with a B.A. in Psychology and a Minor in French and is currently pursuing her M.S. in Counseling at Loyola University. Her interest in mental health is motivated by her desire to alleviate suffering, not unlike the goal of Pain Management. She hopes one day to open her own practice.

Patient Resources

Please use this section to access our care information. If you need further assistance, please do not hesitate to contact us.

Patient Forms

Links to our patient forms are listed below.

Patient Portal

Please use the link below to access our patient portal to communicate in a secure and confidential manner with our healthcare team.

Common Conditions Treated

Spinal Pain

  • Pain after spinal surgery
  • Disc Herniation or Degeneration
  • Spinal compression fractures
  • Serious spinal pain without surgical alternatives
  • Spinal cord injury, quadriplegia, and paraplegia
  • Spinal Stenosis

Neurologic Pain

  • Headaches (Migraine, Cluster, Tension, Chronic Daily, etc.)
  • Fibromyalgia
  • Multiple Sclerosis
  • Complex Regional Pain Syndrome (RSD)
  • Peripheral Neuropathy
  • Shingles and Post Herpetic Neuralgia

Cancer Pain

  • Abdominal pain/ pancreatic cancer
  • Spinal and bone involvement with cancer
  • Chest pain from cancer
  • Pain from cancer surgery and chemotherapy

Orthopedic Pain

  • Degeneration of knees, hips, and shoulder
  • Sports Injuries
  • Rheumatoid Arthritis
  • Osteo Arthritis

Procedures and Treatments

Medical Therapy

Non-Surgical Intervention

Spinal Cord Stimulation

This system utilizes tiny electrodes that are positioned on the nerve which carries the patient’s pain signal to the brain. This electrode is attached to a minimally-invasive, fully embedded battery pack. Patients have control in their ability to turn the device on and off and adjust the amount of stimulation according to personal preference. This spinal cord stimulation device is particularly effective for nerve related pain and does not require any medications.

Intrathecal Drug Delivery

With this treatment process, a small device is implanted beneath the skin of the abdomen and delivers medication directly to the spinal cord through a catheter. When delivered this way, the medication is significantly more powerful (with a lowered risk of side effects) than oral medications because it is injected directly at the source of the pain. The procedure requires minimally invasive surgery, with monthly medication refills thereafter.

Medical Acupuncture

Acupuncture is a facet of traditional Chinese medicine and is one of the oldest healing practices in the world. The practitioner inserts thin needles through the skin to stimulate specific points on the body. It is believed to regulate the flow of vital energy by focusing on the interconnections of the neural system. Acupuncture has been proven beneficial to many pain conditions including Fibromyalgia, headaches, low back pain, and arthritis.

Minimally Invasive Lumbar Decompression

MILD is a minimally-invasive surgery used to relieve pressure on the spine and reduce lower back and leg pain. The surgery is performed using conscious/awake sedation. The physician starts with a small (about 1-inch) incision on the back to one side of the spine, and removes bone spurs, the lamina, and the ligament under the bone. No implants are left in the body.

Patient Testimonials

Your experience of our patient care and service matters greatly to us.

Please feel free to email us with your thoughts.



“Dr. Royster is the type of doctor with an impeccable bedside manner. He is a warm, caring man and has a real honest concern about his patients’ well-being.”

Clinical Research

We currently do not have any active clinical trials, but please check back soon.

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We Look Forward To Speaking With You!