PRZ Paincare Holdings,

ORLANDO, Fla., June 19 /PRNewswire-FirstCall/ -- Integrated Pain Solutions, LLC (IPS), a wholly owned subsidiary of PainCare Holdings, Inc. (AMEX:PRZ), today announced the appointment of John J. Karazim, II, M.D. as IPS' Chief Medical Officer. Reporting directly to IPS President, Maria R. McAfee, Dr. Karazim is charged with providing strategic clinical direction and managerial oversight of the Company's pain-focused managed services, medical policies and programs to include ensuring the highest quality continuum of care and services for patients through daily utilization and case management file reviews; participating in review processes of IPS' national privileged provider network; developing and/or refining, as necessary, IPS' prescribed clinical pathways; assessing clinical outcomes and collective statistical data to determine new or revised clinical protocols and guidelines; and providing thorough leadership and support to IPS customers, providers, clinical advisors and senior executives. "Aside from his impeccable credentials and wealth of medical practice experience, Dr. Karazim brings IPS deep industry knowledge and an innate appreciation for the business of medicine and the need for effective integration of healthcare management -- making him an ideal choice to lead IPS as its new Chief Medical Officer," stated McAfee. "We are very pleased and proud to welcome him to IPS and trust that he will prove to be a vital member of our team as we continue to make positive changes in how chronic and severe pain is understood, addressed and efficiently treated." A Diplomate of the National Board of Medical Examiners, American Board of Internal Medicine and the American Board of Emergency Medicine, Dr. Karazim also holds distinction as a Member of the American College of Physicians, Fellow of the American College of Emergency Physicians, Member of the American College of Sports Medicine, Member of the American Hospital Association, Member of the Michigan State Medical Society, Member of the Oakland County Medical Society, Fellow of the Back Pain Society and Member of the National Institute for Spinal Rehabilitation. In addition to his new post at IPS, Dr. Karazim also serves as Medical Director of Dynamic Rehabilitation Centers, Inc. (DRC), an affiliate of PainCare Holdings. DRC is Michigan's most comprehensive spinal rehabilitation practice specializing solely in the treatment of sub-acute and chronic back and neck pain, and one of the largest, physician-based, MedX rehabilitation facilities in the world. In addition, Dr. Karazim also serves as a staff physician, Department of Internal Medicine, at Crittenden Hospital in Michigan, as well as Medical Director of Evergreen Home Health Care. He is a frequent guest lecturer at hospitals and medical learning institutions around the country and has served as a Clinical Assistant Professor at Oakland University, School of Health Sciences. He was also the Medical Director of the Meadowbrook Health Enhancement Institute of Oakland University focusing on chronic disease management through risk factor modification, rehabilitation and exercise. Dr. Karazim earned a Bachelor of Arts degree from Albion College and a Medical Degree from Wayne State University, School of Medicine. About Integrated Pain Solutions (IPS) Integrated Pain Solutions (IPS), a wholly-owned subsidiary of PainCare Holdings, Inc., is the first and only managed services organization offering a multidisciplinary healthcare network focused on pain management to payor organizations, such as insurance and workers' compensation carriers and unions. IPS reduces costs and increases quality of life by providing highly credentialed physicians and centers of excellence on pay-for-performance incentives, a continuum of care that begins with care coaching, a shared financial and clinical data warehouse, and evidence-based clinical outcome measurements to determine the most effective pain-management plan. For more information, please visit http://www.integratedpainsolutions.net/. About PainCare Holdings, Inc. Headquartered in Orlando, Florida, PainCare Holdings, Inc. is one of the nation's leading providers of pain-focused medical and surgical solutions and services. Through its proprietary network of acquired or managed physician practices and ambulatory surgery centers, and in partnership with independent physician practices and medical institutions throughout the United States and Canada, PainCare is committed to utilizing the most advanced science and technologies to diagnose and treat pain stemming from neurological and musculoskeletal conditions and disorders. Through its wholly owned subsidiary, Caperian, Inc., PainCare offers medical real estate and development services. Through Integrated Pain Solutions, the Company is engaged in pioneering the nation's first Managed Services Organization that offers a multi-disciplinary healthcare network focused on the treatment of pain. For more information on PainCare Holdings, please visit http://www.paincareholdings.com/. Safe Harbor Statement This press release contains forward-looking statements that may be subject to various risks and uncertainties. Such forward-looking statements are made pursuant to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995 and are made based on management's current expectations or beliefs as well as assumptions made by, and information currently available to, management. These forward-looking statements, which may include statements regarding our future financial performance or results of operations, including expected revenue growth, cash flow growth, future expenses, future operating margins and other future or expected performance, are subject to the following risks: the acquisition of businesses or the launch of new lines of business, which could increase operating expenses and dilute operating margins; the inability to attract new patients by our owned practices, the managed practices and the limited management practice; increased competition, which could lead to negative pressure on our pricing and the need for increased marketing; the inability to maintain, establish or renew relationships with physician practices, whether due to competition or other factors; the inability to comply with regulatory requirements governing our owned practices, the managed practices and the limited management practices; that projected operating efficiencies will not be achieved due to implementation difficulties or contractual spending commitments that cannot be reduced; and to the general risks associated with our businesses. In addition to the risks and uncertainties discussed above you can find additional information concerning risks and uncertainties that would cause actual results to differ materially from those projected or suggested in the forward-looking statements in the reports that we have filed with the Securities and Exchange Commission. The forward-looking statements contained in this press release represent our judgment as of the date of this release and you should not unduly rely on such statements. Unless otherwise required by law, we undertake no obligation to publicly update or revise any forward- looking statements, whether as a result of new information, future events or otherwise after the date of this press release. In light of these risks and uncertainties, the forward-looking events and circumstances discussed in the filing may not occur, and actual results could differ materially from those anticipated or implied in the forward-looking statements. FOR MORE INFORMATION, PLEASE CONTACT: Media Relations Suzanne Beranek, APR, Beranek Communications, LLC 407-475-0763 or via email at FOR MORE INFORMATION, PLEASE CONTACT: Dodi Handy, President and CEO, or Daniel Conway, Chief Strategist Elite Financial Communications Group 407-585-1080 or via email at DATASOURCE: Integrated Pain Solutions, LLC CONTACT: Suzanne Beranek, APR of Beranek Communications, LLC, +1-407-475-0763, ; or Dodi Handy, President and CEO; or Daniel Conway, Chief Strategist, +1-407-585-1080, , both of Elite Financial Communications Group, all for Integrated Pain Solutions, LLC Web site: http://www.integratedpainsolutions.net/ http://www.paincareholdings.com/

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