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.
Ashleigh Dugan, CPPM
Ms. Dugan has more than 15 years in the healthcare industry. She has experience in several specialties, including Diagnostic Radiology, Osteoporosis, Pain Management, and Hormone Replacement Therapy. Ms. Dugan joined our practice in 2013. She oversees all aspects of the practice and works closely with the doctors, assisting in all procedures and aspects of patient care. Her leadership in the practice allows us to continually improve and make a difference in our patients lives.
Ms. Dugan attended Collin College in Texas, where she lived until 2010, when she married her husband and moved to the Tulsa area. She has 2 daughters, enjoys traveling, music, and everything outdoors, including riding horses and fishing.
Mrs. Murphy is attending OSU-IT in Okmulgee. She and her husband recently celebrated 32 years of marriage and have 2 children and 1 grandchild. She enjoys traveling, camping, quilting, reading and working in her church.
Reesa lives in south Tulsa with her husband Dave and children – Mayce 7, Tanner 2 & Paisley 6 months. In her free time she and Dave enjoy taking their RV to the lake and being on the water.
Dave works at Williams as a pipeline controller & also owns a tower crane rental company that keeps him very busy. Reesa enjoys being with family & is a very goal and detail oriented person.
In her words, “I am very devoted also to the people I love! Outside of work I love to make people laugh, host functions at our little ranch hanging out with friends. I also adore shopping for a awesome deal.”
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