Brian "Chivas" James, MD is dual board certified in anesthesia and pain medicine. He specializes in the evaluation and treatment of acute and chronic pain. Dr. James utilizes a multidisciplinary approach to diagnosing and treating an array of disorders from acute trauma, repetitive stress injury, neuralgia, and facet and or disc mediated pain. He has performed over 25,000 surgical and non-surgical procedures during his career. 

This includes the use of fluoroscopic guidance to target pain generators and precisely deliver nerve blocks, epidurals, steroid injections, and radiofrequency ablations. He also performs minimally invasive laser discectomies and nerve avulsions at ambulatory surgery centers in the community. Dr. James has experience interpreting electro-diagnostics and advanced imaging to pinpoint pain generators.

Dr. James earned his doctorate at Louisiana State University Medical School in New Orleans, where he remained to complete his anesthesiology residency at Ochsner Foundation. He continued his training with an accredited fellowship at the world-renowned Mayo Clinic. 

A clinical practitioner since 1995, Dr. James has researched and developed significant advancements in the field of pain medicine. In 1997 Dr. James patented a neuromuscular heating device that has helped thousands of patients manage their pain and regain an active lifestyle.

  • Surgical Expertise

    Fluoroscopically Guided Spine and Extremity Injections
    Diagnostic and Therapeutic Facet Joint Injections
    Medial Branch Blocks
    Occipital Nerve Blocks
    Epidural Steroid Injections
    Radio Frequency Ablation – Rhizotomy
    Laser Assisted Endoscopy and Discectomy
    Laser Assisted Nerve Avulsion

  • Medical School

    Louisiana State Medical School

  • Residency

    Ochsner Foundation, New Orleans, LA

  • Specialty

    Spinal Stenosis – Central and Foraminal
    Herniated Discs
    Spinal Facet Joint Syndrome/Pain
    Sacroiliac Joint Syndrome/Pain
    Nerve Impingement
    Joint Pain/Arthritis
    Pain from Tendons and Ligaments
    Spasticity Due to Trauma

  • Locations

    West Coast