Spine Animations

Spine Animations

Tip of the Week

Poor posture can damage the spine and its associated muscles and ligaments. A hunched stance places abnormal stress on muscles and ligaments, causes backache and fatigue, and can even cause the spine to become fixed in an abnormal position.

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Ryan Harrison Nobles, M.D.

Dr. Nobles is excited to join the team at Southeastern Spine Institute in the Pain Management Department. He is Board Certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology. For the last four years, Dr. Nobles has served as an assistant professor and physician in the chronic pain management clinic at the Medical University of South Carolina. His main clinical interests include spinal cord stimulation and dorsal root ganglion (DRG) stimulation as innovatively new treatments for a variety of pain conditions. He also employs injection therapy for all areas of spinal pain and medication management when necessary.

Dr. Nobles has authored several book chapters and published articles on topics ranging from appropriate opioid prescribing to interesting case studies involving spinal cord stimulation. In addition, he has taught courses to other physicians on a variety of pain procedures at national and regional conferences.

Education and Background

Dr. Nobles completed his Bachelor of Arts at Presbyterian College in Clinton, SC and then obtained his Medical Doctor degree from the Medical University of South Carolina (MUSC). He remained at MUSC to complete a residency in anesthesiology where he was awarded the Resident Research Award and then traveled to Emory University to complete a fellowship in pain medicine.

He has been a primary investigator on multiple research projects and plans to continue innovative research in pain treatments while at Southeastern Spine.

Associations

Dr. Nobles is a member of the following professional organizations:
– Pain Society of the Carolinas – Board Member since 2015
– American Society of Anesthesiologists
– North American Neuromodulation Society
– International Neuromodulation Society
– South Carolina Spine Society
– South Carolina Medical Association

Curriculum Vitae

Education

Pain Medicine Fellowship
Emory University
Department of Anesthesiology
Atlanta, GA
2013
Anesthesiology Residency
Medical University of South Carolina
Department of Anesthesia and Perioperative Medicine
Charleston, South Carolina
2012
Doctor of Medicine
Medical University of South Carolina
Charleston, South Carolina
2008
Bachelor of Arts – Major – English Literature
Minors – Biology and Chemistry
Presbyterian College
Clinton, South Carolina
Summa cum laude
2004

Board Certified in Anesthesiology by the American Board of Anesthesiology, 2013-present

Board Certified in Pain Medicine by the American Board of Anesthesiology, 2013-present

Licensed physician in the state of South Carolina

EMPLOYMENT HISTORY

Physician – Pain Management
Southeastern Spine Institute
Mount Pleasant, SC
7/2017-present
Assistant Professor
Medical University of South Carolina
Division of Pain Management
Department of Anesthesia and Perioperative Medicine
Charleston, South Carolina
7/2013-6/2017
Clinical Consultant
St. Jude Medical
2015-present
Clinical Consultant
Boston Scientific
2016-present

PUBLICATIONS

Nobles RH. Approved Procedures for South Carolina Physicians Prescribing and Monitoring Controlled Substances. South Carolina Medical Association Annual Controlled Substance Training 2017.

Patel JK, Osburn I, Wanaselja A, Nobles R. Optimal Treatment for Lumbar Spinal Stenosis: An Update. COAN. Accepted for publication 5/2017.

Roden KS, Owen JA, Nobles RH. Intrathecal Bleed Following Percutaneous Spinal Cord Stimulator Trial Lead Placement. IPMR. Accepted for publication 3/2017.

Hillegass MG, Nobles RH, Wolf BJ, Guldan GJ. Impact of continuous paravertebral blockade infusion type on pain management over time for video-assisted thoracoscopic surgery: a pilot study. JARPM. 2017; 2:1; 1-13.

Nobles RH. Pharmacology. In: Huntoon M, ed. Pain Medicine Board Review.
New York, NY: Oxford; 2017.

Nobles RH, Hillegass MG. Superior hypogastric plexus block. In: Yong
RJ, Nguyen M, Nelson E, Urman RD, eds. Pain Medicine: An Essential
Review. New York, NY: Springer; 2017.

Hillegass MG, Nobles RH. Anterior (abdominal) cutaneous nerve block.
In: Yong RJ, Nguyen M, Nelson E, Urman RD, eds. Pain Medicine: An
Essential Review. New York, NY: Springer; 2017.

Covert BP, Nobles RH. Successful Spinal Cord Stimulator Trial and Permanent Implant in Patient with Diabetic Peripheral Neuropathy on Chronic Dual Antiplatelet Therapy. Pain Physician. 2015; 18; E905-E909.

SCHOLARLY ACTIVITY AND LEADERSHIP

Co-Director, MUSC College of Medicine Pain Management Elective Rotation, 2014-2017

Poster Presenter, North American Neuromodulation Society Annual Meeting,
Spinal Cord Stimulation for Pain Secondary to Arachnoiditis from Traumatic Labor Epidural Placement, 12/12/2015
Peripheral Neuromodulation of the Suprascapular Nerve For Treatment of Trauma-Induced Chronic Shoulder Pain, 1/21/2017
Intrathecal Bleed Following Percutaneous Spinal Cord Stimulator Trial Lead Placement, 1/21/2017

Faculty, North American Neuromodulation Society Annual Meeting,
Implantable Pain Therapies Cadaver Lab – Spinal Cord Stimulation – St. Jude, 12/10/2015
Implantable Pain Therapies Cadaver Lab – Spinal Cord Stimulation – Boston Scientific / Nevro, 1/19/2017

Faculty, Boston Scientific Spinal Cord Stimulation Implantable Therapy Lab
San Diego, CA, 10/15/2016

Presenter, Pain Society of the Carolinas Annual Meeting, 10/24/2015
An Update on Anticoagulation and Interventional Pain Procedures

Presenter, MUSC Department of Anesthesia Grand Rounds,
Dorsal Root Ganglion Stimulation, 7/2016
Update and Overview of Spinal Cord Stimulation, 1/20/2015
Postsurgical Pain Conditions: An Overview of Postthoracotomy Pain, Postmastectomy Pain, Ilioinguinal / Genitofemoral Neuralgia, 9/7/2013

Faculty, Pain Society of the Carolinas Regional Meeting, 2014
Ultrasound Workshop – Ilioinguinal and TAPS Blocks

Poster Presenter, American Society of Anesthesiologists National Meeting, 2014
Successful Spinal Cord Stimulator Trial and Permanent Implant in Patient with Diabetic Peripheral Neuropathy on Chronic Dual Antiplatelet Therapy

Senator (Alternate), Medical University of South Carolina Faculty Senate, 2013-2014

UNDERGRADUATE, GRADUATE, POST GRADUATE HONORS AND LEADERSHIP

Medical University of South Carolina

J.G. Reves Resident Research Award, 2012
Resident Representative, OR Executive Committee, 2011-2012
Member, Transplant Working Specialty Group, 2011-2012
Resident Representative, Residency Education Committee, 2010-2011
Member, Residency Interview Committee, 2010-2012
President, Family Medicine Interest Group, 2006-2007
President, Phi Chi Medical Fraternity, 2005-2006
Vice President, American Medical Student Association, 2006-
2007
Presenter, MUSC Student Research Day, 2007
MUSC Summer Research Fellowship, 2005

Presbyterian College

Valedictory Award, 2004
Outstanding Senior in English Literature, 2004
Academic All-American – NCAA Division II Cross Country, 2001
Freshman Academic Award – Highest Grade Point Average, 2001
Cross Country Captain, 2003-2004

RESEARCH EXPERIENCE

RELIEF: A Global Registry to Evaluate Long-Term Effectiveness of Neurostimulation Therapy for Pain, 1/2016-6/2017(Prospective Study)
Sponsored by Boston Scientific Corporation
Primary Investigator
Medical University of South Carolina

Development of Narcotic Withdrawal Protocol for the Medical-Surgical Intensive Care Unit, 2011
Mentor – Dr. Larry Field, Department of Anesthesia,
Medical University of South Carolina

Epidural Clonidine and Hydromorphone’s Effect on Pain Management Versus Ropivacaine Alone Following Thoracic Procedures and Major Pancreatic Resections, 2007 (PowerPoint presentation at Gulf Atlantic Anesthesiology Residents’ Conference)
Mentors – Dr. Larry Field and Dr. Cory Furse, Department of Anesthesia, Medical University of South Carolina

Relationship between Impulsivity and Retention in Treatment for Cocaine Dependence in an Outpatient Study (poster presentation), 2005
Mentor – Dr. Robert Malcolm, Center for Drug and Alcohol Programs, Medical University of South Carolina

PROFESSIONAL MEMBERSHIPS

American Society of Anesthesiologists, 2008-present
North American Neuromodulation Society, 2014-present
International Neuromodulation Society, 2015-present
–Public Education, Outreach, and Website Committee, 2016-present
Pain Society of the Carolinas, 2013-present
–Board Member, 2015-present
–Education Committee, 2014-present
South Carolina Society of Anesthesiologists, 2013-present
South Carolina Spine Society, 2017-present