Dr. Adam J Carinci MD, JD, MBA
Rochester, NY 14642
Office: 845-797-2305
Dr. Adam J. Carinci, MD, JD, MBA is a board-certified Pain Management physician with an active, full-time clinical practice specializing in interventional spine procedures. He evaluates standard of care, causation, and damages in medical malpractice, personal injury, and workers’ compensation cases nationwide. His clinical expertise includes epidural steroid injections, facet interventions, radiofrequency ablation, spinal cord stimulation, and the comprehensive management of acute and chronic spinal pain conditions. Dr. Carinci is frequently retained in matters involving procedural complications, nerve injury, failure to diagnose or appropriately treat spinal pathology, and issues related to informed consent, documentation, and clinical decision-making. He brings additional expertise in Complex Regional Pain Syndrome (CRPS) and opioid prescribing and monitoring.
Dr. Carinci serves as Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and is an Associate Professor at the University of Rochester School of Medicine. He previously served as Director of the Pain Medicine Center at Massachusetts General Hospital and Instructor at Harvard Medical School. He trained at Johns Hopkins University School of Medicine and Harvard Medical School and earned his JD/MBA from Louisiana State University – Novus Law School, providing a unique dual perspective at the intersection of medicine and law.
Dr. Carinci has been involved in over 150 cases as an expert witness for both plaintiff (35%) and defense (65%) and has qualified as an expert in both state and federal courts. He has authored more than 100 expert reports and has provided sworn testimony at deposition and trial nationwide. His forensic work spans the full spectrum of interventional pain medicine and medical malpractice, including evaluation of procedural technique and complications, appropriateness of interventional and medical management strategies, and analysis of medical causation and damages. He has particular experience in cases involving epidural injection complications, nerve injury following pain procedures, spinal cord stimulator placement and outcomes, and the assessment of complex chronic pain conditions.
In his role as a forensic expert, Dr. Carinci prepares comprehensive written reports, develops detailed visual aids, assists with case strategy, deposition preparation, and cross-examination, and provides clear, authoritative testimony grounded in medical literature and real-world clinical practice. He is recognized for his ability to communicate complex medical concepts effectively to juries and legal teams and has participated in numerous high-profile cases involving major institutions and corporations.
Dr. Carinci is ABIME-certified and has performed over 1,000 independent medical examinations across workers’ compensation, personal injury, disability, and motor vehicle accident cases, with extensive experience in impairment assessment, functional capacity evaluation, and causation analysis.
- Anesthesiology
- Independent Medical Examinations
- Medical Malpractice
- Pain Management
- Personal Injury
- Physical Medicine & Rehabilitation
- Spine Medicine
- Wrongful Death
- Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
- A: Education:
B.S., Summa Cum Laude, Pace University;
M.D., Johns Hopkins School of Medicine; Resident - Anesthesiology, Johns Hopkins Hospital;
Fellowship - Pain Medicine, MGH / Harvard Medical School
JD/MBA from Louisiana State University - Novus Law School.
Board Certification:
Anesthesiology
Pain Medicine
- Q: Please list your affiliations or memberships in any professional and/or industry organizations:
- A: American Board of Anesthesiology
American Society of Regional Anesthesia and Pain Medicine
- Q: Please list any teaching or speaking experience you have had, including subject matter:
- A: Please refer to CV.
- Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
- A: No
- Q: On how many occasions have you been retained as an expert?
- A: 100+
- Q: For what area(s) of expertise have you been retained as an expert?
- A: Dr. Carinci's forensic experience includes all facets of pain medicine, medical malpractice and opioid litigation with a domain expertise concentrated on nerve injury, CRPS litigation, CRPS life care plan analysis, CRPS case review, standard of care evaluation, impact of CRPS on functional abilities and quality of life, differential diagnosis, exclusion of mimicking conditions and CRPS independent medical examinations.
- Q: In what percentage of your cases were you retained by the plaintiff?
- A: 35%
- Q: In what percentage of your cases were you retained by the defendant?
- A: 65%
- Q: On how many occasions have you had your deposition taken?
- A: 100+
- Q: When was the last time you had your deposition taken?
- A: 2026
- Q: On how many occasions have you been qualified by a court to give expert testimony?
- A: 15
- Q: On how many occasions have you testified as an expert in court or before an arbitrator?
- A: 2
- Q: For how many years have you worked with the legal industry as an expert?
- A: 18
- Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
- A: In his capacity as a forensic expert witness, Dr. Carinci prepares written reports, creates detailed visual aids to explain his expert opinion, provides case strategy, deposition preparation, and cross-examination insights and provides expert testimony under oath before the court using research and scientific literature combined with his personal education, training and experience. He provides articulate and accessible communication to juries and legal teams alike. Dr. Carinci has experience in high-profile CRPS cases involving prominent institutions and corporations.
- Q: What is your hourly rate to consult with an attorney?
- A: $725
- Q: What is your hourly rate to review documents?
- A: $725
- Q: What is your hourly rate to provide deposition testimony?
- A: $1200
- Q: What is your hourly rate to provide testimony at trial?
- A: $1200
- Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
- A: Fee Agreement Available Upon Request
- Condensed CV 2026
- Can Minor Trauma Cause CRPS: A science-driven discussion of minor trauma, biologic plausibility, and vulnerability
- CRPS Diagnostic Certainty vs Legal Proof: A concise, litigation-focused overview explaining why clinical diagnosis does not automatically establish causation, permanence, or disability.
- Why CRPS Cases Fail in Court: A practical guide outlining the most common medical and evidentiary pitfalls that undermine CRPS claims — and how rigorous analysis strengthens them.
Available Upon Request