Dr. James Shields

About Dr. Shields

James Shields, MD, MBA, is a Board-Certified Physician with over 25 years clinical experience in pain management, anesthesiology and emergency medicine in the community hospital setting. 

Dr. Shields is a leading physican in the practice of Interventional Pain Management. 

He has long served patients with services including cervical and lumbar epidural steroid injections, selective nerve root and paravertebral blocks, sacroiliac joint injections, selective nerve root and neurolysis, zygopophyseal joint blocks, radiofrequency neuroablation, spinal cord stimulation and narcotic medication management. 

Independent Medical Opinions

Using his education, training, and experience Dr. Shields can review the records that you provide and write an opinion as to the probability of service connection of a disabling condition associated with the spine, chronic pain, peripheral neuropathy and other disabling conditions of the nerves.

Medical Conditions

The Spine & Chronic Pain & Nerve Injuries Are Our Focus

We can help you to determine the degree of disability you suffer because of many different medical conditions that are associated with spine and nerve injuries.

We will also help you to evaluate the disabling effect that chronic pain has on your life. 

The following are a few of the medical conditions we might help you to address.


Intervertebral disc syndrome 

Unfavorable ankylosis of the spine

Objective neurologic abnormalities including but not limited to bowel or bladder impairment, muscle spasm or guarding

Reversed Lordosis
Abnormal Kyphosis

Combined range of motion -  the sum of the range of forward flexion, extension, left and right lateral flexion, and left and right rotation

Unfavorable ankylosis

Vertebral fracture or dislocation

Sacroiliac injury and weakness

Lumbosacral or cervical strain  

Spinal stenosis
Spondylolisthesis or segmental instability

Ankylosing spondylitis

Spinal fusion

Degenerative arthritis of the spine

Intervertebral disc syndrome 

What now? How do I get an IMO by Dr. Shields?

You'll begin by contacting me with some basic information. 

We'll talk soon after that to determine that I'll be able to 

help you. Once we've agreed on the terms of what it will take 

to get your IMO accomplished you'll send me the service 

records and medical records I'll need to review for your IMO. 

Spine Pain Independent Medical Opinion