Dr. Gurpreet Singh Padda, MD, MBA, MHP

The Role of the Expert Witness in Pain Management — Dr. Gurpreet Singh Padda, MD, MBA, MHP

Dr. Gurpreet Singh Padda, MD, MBA, MHP directs Concussion Center in St. Louis, evaluating and treating concussion and post-concussion syndrome — with particular attention to injuries that occurred without loss of consciousness and were dismissed at the time. He is an anesthesiologist who specialized in pediatric neuroanesthesia.

Pediatric neuroanesthesia — why it is relevant here

Anesthesiology is not the specialty people expect to find at a concussion clinic, so it is worth saying what the training actually consists of. A neuroanesthesiologist’s job is to keep a brain safe while it is under physiological stress — managing cerebral perfusion, intracranial pressure, oxygenation and autoregulation minute by minute, in a patient who cannot report symptoms.

Doing that in children is the demanding version of it. Pediatric physiology leaves far less margin, and the clinician is working almost entirely from objective signals rather than from what the patient says.

That is a useful background for post-concussive care, where the central problems are also physiological — blood flow, autonomic instability, sleep architecture, headache, and how the brain tolerates load. It is also a habit of practice worth having in a field where patients are routinely disbelieved: reading objective signals rather than deciding in advance which reported symptoms to credit.

It does not make him a neurologist, and this site does not claim otherwise. Where a presentation calls for neurology, neurosurgery or inpatient rehabilitation, we say so and help you get there.

Cognitive assessment

Dr. Padda is a certified rater for the Montreal Cognitive Assessment (MoCA). That matters here specifically: cognitive screening after concussion is only as good as the person administering it, and formal rater certification means the instrument is scored to standard rather than approximated. Where a claim or a return-to-work decision turns on cognitive findings, the difference is material.

Board certifications

  • Diplomate, American Board of Anesthesiology
  • Diplomate, American Board of Pain Medicine
  • Diplomate, American Board of Interventional Pain Physicians (ABIPP)
  • Diplomate, American Board of Addiction Medicine
  • Diplomate, American Board of Obesity Medicine

Additional certification

  • Fellow of Interventional Pain Physicians (FIPP)
  • MoCA Certified Rater (Montreal Cognitive Assessment)
  • Diplomate, Metabolic Health Practitioner
  • Competency Certification in Regenerative Medicine in Interventional Pain Management (2024)
  • Certified Physician Executive (CPE)

Verify independently

Credentials are worth stating only if they can be checked. NPI 1427035955; Missouri medical license MD 100572. Both are verifiable through the NPI Registry and the Missouri Division of Professional Registration without going through us.

Why a pain and metabolic background matters in concussion

Persistent post-concussion symptoms are rarely a single problem. Headache, disrupted sleep, autonomic instability and cognitive fog interact, and metabolic conditions common in adult injury patients — diabetes, obesity, sleep apnea, vascular disease — affect recovery while being routinely excluded from the athlete studies the field is built on.

Concussion care for a 52-year-old injured in a rear-end collision is a different clinical problem from concussion care for a 19-year-old wide receiver, and treating it as the same problem is why many adult patients are told there is nothing more to do.

Evaluations are conducted personally.