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.
Practice Manager & Billing Specialist
Reesa has 3 children. Mayce 12, Tanner 7 & Paisley 5. She has been with Dr. Webb since the beginning & enjoys all aspects that the office provides from patient care to insurance resolutions. When not working you can find her catching a steal of a deal somewhere or enjoying time with her kids.
Nancy has been with Dr. Webb for eight years and enjoys scheduling and working with the patients. She and her husband recently celebrated 36 years of marriage and have two children and three grandchildren. She enjoys spending time with her grandchildren, traveling, camping, quilting, reading and working in her Church.
DXA Tech, Research Assistant & Study Coordinator
Melissa is happily married to Dory Woods and together they have 7 children. Hobbies include: raising her family on a small farm, gardening, cooking, & drawing. Education background includes a bachelors in Early Childhood education from NSU with 20 yrs experience in public education. She has worked for Dr. Webb part-time for six years and joined his team full-time in May of 2020 as DXA Tech, Research Assistant & Study Coordinator.
Liz is attending NSU Broken Arrow. She has worked here for a year part time and then joined the team full time in May of 2021. She has a dog that she could talk about for hours, (Don’t get her started she won’t stop). In her free time she enjoys playing with her dog, traveling, crafting, painting, spending time with her family and friends and working at her church.
Lacy Reynolds, APRN-CNP, has worked the majority of her career in the intensive care setting focusing in pulmonology, cardiac and neurology. She has provided care for critically ill patients in Tulsa since 2007. She is new to Dr. Webb’s office as of the summer of 2021. She is enjoying the outpatient clinic setting and loves building relationships with her patients.
Lacy’s care philosophy is about more than identifying a problem and suggesting a solution. “It involves working with each patient, his or her family and others to achieve patient-centered goals,” she says.
She became passionate about health care for personal reasons following her father’s heart surgery and subsequent complications. “I have come to view medicine as not only a science, but an art,” she explains. “A component of that art is the ability to incorporate family into each patient’s care.”
“On a personal level,” Lacy continues, “losing my father at an early age to heart disease is my motivation to stay active and healthy and I encourage my patients to do the same.”
Lacy earned a Bachelor of Science degree in nursing at Oklahoma Wesleyan University in Bartlesville in 2013. She completed a Master of Science degree in adult gerontology/Acute Care at Maryville University in St. Louis, Missouri in 2018. She is a member of the American Nursing Association, American Association of Critical Care Nurses, American Society for Pain Management, National Osteoporosis Foundation and the Association of Oklahoma Nurse Practitioners.
Lacy is the proud mother of her busy 7 yr old son Liam, a pug named Frank and 2 housecats Manny and Henrietta.
Angie has been with Dr. Webb since June of 2020. She is compassionate about patient care and helping our patients achieve their pain relief goals. Angie enjoys coordinating the procedure schedule and assisting Dr. Webb. Visiting with patients after their procedures and hearing their success stories is what she loves best about her job. She and her husband have been married for 21 years and have two wonderful children. Her hobbies include spending time with family/friends, traveling, crafting or anything outdoors. She is most often found relaxing on her front porch with a cup of coffee taking in the country life.
My name is Hayley and I am a Tulsa native, I am married and have 2 handsome boys. I have 7+ years in nursing and have been a practicing phlebotomist some of those years. Nursing has always been my calling and I strive to make that bedside manner, that has once been an ill manner, into one that is beneficial and comfortable to those around me. Serving those in my hometown is a blessing in itself, and it is an honor to be the person you trust in your health care. In my spare time I enjoy learning and reading about science and history. You are never too old to learn something new. What have you learned today?
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.
Casez P et al. “Targeted education improves the very low recognition of vertebral fractures and osteoporosis management by general internists.” Osteoporos Int. 2006; 17(7):965-70.
Williams AL et al. Under-reporting of osteoporotic vertebral fractures on computed tomography. Eur J Radiol. 2009 Jan; 69(1):179-83.
Coventry / First Health
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.