UPenn Faculty | Anesthesiology, Pain, and Regional

Specialties & Experience of this Expert Witness

Additional Information

Dr. Grosh is the Fellowship Director and Chief of Regional Anesthesiology and Acute Pain Medicine at the University of Pennsylvania. He is a board-certified Associate Professor of Anesthesiology and Critical Care and fellowship trained in Regional Anesthesiology Acute and Chronic Pain management. He is the Director of Orthopedic Anesthesiology at the Hospital of the University of Pennsylvania and Penn Presbyterian Medical Center overseeing clinical care of orthopedic surgical patients. Additionally, he is Chair of the Procedural Sedation Committee and the co-chair of Penn Presbyterian Medical Center's Clinical Effectiveness Committee in which he oversees quality improvement and safety metrics for patients in the perioperative space. Dr. Grosh is an expert in the field of regional anesthesiology, peripheral nerve blocks with local anesthetics and cryoablation, nerve injury, anesthesia for total joint replacement including knee, hip, shoulder, elbow, wrist as well as trauma resuscitation and airway management. Additionally, Dr. Grosh is part of Penn Medicine's Multidisciplinary Nerve Center identifying and treating refractory nerve injury; the first of its kind in the Philadelphia area. Dr. Grosh maintains an active clinical practice in perioperative and inpatient pain management, encompassing acute, acute-on-chronic, subacute, and chronic pain conditions. His expertise in pain medicine includes the comprehensive management of complex and chronic pain syndromes such as complex regional pain syndrome (CRPS), fibromyalgia, myofascial and musculoskeletal pain, spine-related disorders, and opioid stewardship. He routinely employs both opioid and non-opioid therapies, as well as ultrasound-guided interventional procedures including epidural steroid injections and trigger point injections. In anesthesiology, Dr. Grosh’s clinical scope spans general anesthesia, regional anesthesia, and sedation across a wide array of surgical disciplines. He is experienced in airway management, positioning, vascular access, code response, and multimodal analgesia. His technical proficiency includes spinal and epidural anesthesia, peripheral nerve blocks, and continuous catheter techniques. He routinely provides anesthesia care for procedures in orthopedics, spine surgery, urology, neurosurgery, robotic surgery, trauma, ENT, ophthalmology, general, and colorectal surgery. Dr. Grosh is a Member of the American Society of Regional Anesthesiologists serving on various boards. Additionally, he is an accomplished public speaker, lecturing regularly to faculty, residents, nurses locally and nationally on Regional Anesthesia Acute and Chronic Pain as well as how to use an ultrasound for venous and arterial cannulation as well as performing peripheral nerve blocks. Dr. Grosh provides high-quality reports, fast-feedback, Independent Medical Examinations (IMEs), record reviews, and expert witness services. His reports are objective, clearly written, and supported by current clinical guidelines and evidence. He is known for his attention to detail, rapid turnaround, and ability to clarify complex medical issues for legal and insurance audiences.