Category: Health & Fitness | Issue: September 2023
A Meeting of Hope: Treatment with Dr. James Webb
Here is what H. Toth, one of our satisfied patients, had to say:
Why did you choose Dr. Webb?
I chose Dr. Webb because my grandma went to him. She has Osteoporosis. He is amazing!
What procedure did you have done?
I had the Kyphoplasty procedure done. I am ecstatic because the pain I had before was bad! There is some pain because of the procedure, but nothing like what I had.
What was your experience like?
My experience was wonderful! We love him and all the people are sweet. They are very helpful. They actually help you...versus other doctors who just want to get a paycheck.
Would you recommend Dr. Webb?
Yew. I would recommend Dr. Webb
Dr. James Webb, M.D. Dr. James Webb is a musculoskeletal radiologist who specializes in osteoporosis treatment and interventional pain management in Tulsa, Oklahoma. Dr. Webb started his practice as a clinical radiologist to fill a gap for osteoporosis patients who suffered from vertebral compression fractures. As a fellow at the University of Oklahoma, he was trained to perform kyphoplasty, a safe and effective procedure to fix pain from symptomatic vertebral fractures. After seeing a near perfect success rate in bone repair and pain reduction with this procedure, he quickly saw a problem. Patients would get their fractures fixed, but the underlying causes for osteoporosis were not being treated. In 2006, Dr. Webb started what would be the first comprehensive clinic treating vertebral compression fractures and the underlying condition of osteoporosis that causes these fractures. Dr. James Webb & Associates is focused on pain intervention and supporting long-term bone health to reduce patients’ risk for getting fractures in the future. Dr. James Webb is a Board Certified Radiologist as well as a Clinical Instructor at the OU College of Medicine. Non-Surgical Pain Relief Our Unique Approach We do the best for our patients by following the basic principles that we were taught in medical school. Primarily, that the key to diagnosis is in the history and physical examination. The answer for the cause of a patient’s problem almost always lies in what the patient tells the doctor and what the doctor finds when the examine the patient’s body. By following these principles, we are often able to find the source of pain, even when others have not. After that, we employ a systematic approach based on the scientific method, identifying and treating individual components of the patient’s pain. Most spine specialists focus on the intervertebral disc, presuming that a torn, bulging or herniated disc is the main source of the patient’s symptoms. Too often, an MRI is treated as a perfect test. However, the accuracy of MRI–like any other test–is limited. While disk pathology is very common, just because a patient has a disk bulge or herniation, that doesn’t mean that’s what’s causing the pain. For example, in ‘normal’ patients with no back pain, studies have shown that about 50% will have a ‘significant abnormality’ on MRI. When it comes to spinal fractures, MRI isn’t any better. About half of moderate and severe vertebral compression fractures are missed on radiology reports (Hurxthal, 1968). While we may think that radiologists would be the best doctors to pick these fractures up, a study in 2006 (Casez et al) showed that general internists actually recognized more fractures than radiologists after a short training program. For the patients we see, the pain is usually caused by multiple problems that may include the facet joints, the vertebral bodies, posterior elements, sacroiliac joints, muscles and other soft tissues in addition to the disc. Since all of these structures are stacked in the spine like an accordion, they can all be affected when muscle spasm puts pressure on the back (a process known as “axial loading”). We don’t just treat the disc, we treat the patient after doing our best to determine the main source of the pain using our training and expertise. We believe that treating a patient should start with arriving at an accurate diagnosis. Since spinal pain is complex, this isn’t always possible. However, by analyzing all the available data from the history, the exam, imaging studies and synthesizing it into a cohesive, logical explanation for the patient’s problem, we can start a process of elimination. Once a rational diagnosis is made, treatment can begin. Many times, when a patient has back pain, the question is “does this patient need spine surgery?” What we try to do is get to the root cause of the patient’s pain and find out what is most likely wrong with them – not to focus whether or not they are a candidate for a particular procedure. Back pain is a leading cause of disability. Back surgery takes months to recover from, leaves a huge scar and metal in your back. While there are many patients who need and benefit from a surgeon’s procedure, try to help patients avoid surgery when we can. That comes from years of helping patients with pain who still had pain after back surgery and those who couldn’t have surgery because of age or other medical problems. Reviews Highly recommend! Everyone in his staff is very kind, courteous, professional, and very knowledgeable. I have mild scoliosis that I already knew about, and lower back pain for years. I refuse to take pain meds, as they only mask the problem. The NP suggested a caudal steroidal injection. I just got back from my first one and have no pain so far in my back. I am very impressed with the time they spent on me. I feel a lot better! - Michelle J. Dr. Webb is a miracle. After 10 years of being told there's nothing that will help me, Dr. Webb found and is treating the problem. I feel like I have my life back. Also his entire staff treats you like you matter. I have never left the office wishing there was more time to ask questions. I have always had the opportunity to ask one more question. I would recommend Dr. Webb to anyone. Please, if you have had the same problem call Dr. Webb. Thanks Dr. Webb and staff for giving me hope again and God bless. - Daniel Cook Great experience! Have dealt with pain for years & was able to get relief. Staff is very friendly & I would refer anyone w/ back pain to them. - Sherry T. Our Practice OUR MISSION – is to help you find freedom from pain without invasive surgery or pain medications. We do this by helping our patients optimize bone health and treating the underlying conditions that cause pain. Dr. James Webb & Associates has helped thousands of patients restore mobility to live stronger and healthier lives. Dr. James Webb, M.D. Dr. James Webb is a musculoskeletal radiologist who specializes in osteoporosis treatment and interventional pain management in Tulsa, Oklahoma. Dr. Webb started his practice as a clinical radiologist to fill a gap for osteoporosis patients who suffered from vertebral compression fractures. As a fellow at the University of Oklahoma, he was trained to perform kyphoplasty, a safe and effective procedure to fix pain from symptomatic vertebral fractures. After seeing a near perfect success rate in bone repair and pain reduction with this procedure, he quickly saw a problem. Patients would get their fractures fixed, but the underlying causes for osteoporosis were not being treated. In 2006, Dr. Webb started what would be the first comprehensive clinic treating vertebral compression fractures and the underlying condition of osteoporosis that causes these fractures. Dr. James Webb & Associates is focused on pain intervention and supporting long-term bone health to reduce patients’ risk for getting fractures in the future. Dr. James Webb is a Board Certified Radiologist as well as a Clinical Instructor at the OU College of Medicine. Nancy Murphy Intake Coordinator Reesa Bell Claims Specialist Insurance Accepted Medicare Medicaid Tricare Aetna United HealthCare Humana Coventry / First Health Cigna UMR Physicians Mutual OUT OF NETWORK Currently we are out of network with BCBS and Community Care. We will still file your claims, but cannot guarantee payment. Check your plan for out of network benefits. Serving Northeast Oklahoma Dr. James Webb & Associates serves patients from all over Northeast Oklahoma and beyond. Communities include: Bartlesville, Bixby, Broken Arrow, Coweta, Claremore, Collinsville, Glenpool, Grand Lake, Inola, Jenks, Owasso, Sand Springs, Sapulpa, Skiatook and everywhere in between. Kyphoplasty Osteoporosis Management Epidural Steroid Injections (ESI) Medial Branch Block Radiofrequency Ablation (RFA) Bio-Identical Hormone Replacement Therapy (BHRT) Platelet-Rich Plasma (PRP) Therapy SPINE & NECK Vertebral Compression Fracture Kyphosis Sacral Fracture Cervical Spondylosis Thoracic Spondylosis Lumbar Spondylosis Cervical Canal Stenosis Thoracic Canal Stenosis Lumbar Canal Stenosis Cervical Radiculopathy Thoracic Radiculopathy Lumbar Radiculopathy (Sciatica) Lumbosacral Radiculopathy Lumbosacral Spondylosis Degenerative Disk Disease Facet Syndrome Facet Arthropathy BONE & JOINTS Osteoarthritis Degenerative Joint Disease Osteoporosis Osteopenia Vitamin D Deficiency HORMONE Menopause Hypothyroid Hyperthyroid Testosterone Deficiency (low testosterone) Hormone Replacement Therapy Metabolic Bone Disease Metabolic Disease COMMON NAMES Chronic Back Pain Low Back Pain Mid, Upper Back Pain Broken Back Pinched Nerve Leg/Hip Pain Herniated Disc Spinal Tumor Spinal Fractures Dowager’s Hump Hump Back Curved Spine Treatment Options Learn more about our approach to some of the more common treatment options. Osteoporosis Treatment • Vertebral Compression Fracture (VCF) Treatment • Spinal Stenosis Treatment • BHRT Therapy • Back Pain Relief Bone Density Scans