Pain Services

Pain Management Clinics Acute and Chronic Pain Services
We have multiple locations to serve our patients.

We can arrange for consults at either location for your convenience. These clinics offer a full range of services to meet the needs of all patients with pain disorders. Dr. Quam and Dr. Spellman each have a pain clinic one time a month at Dallas County Hospital (DCH) in Perry, Iowa. Dr. Ransdell has a pain clinic twice a month at Boone County Hospital in Boone, Iowa. To schedule an appointment for DCH, please call our main office line at 515-221-9222. To schedule an appointment for Boone, please call our East office at 515-261-7246. Consults and procedures are available Monday through Thursday, 8:00 am to 5:00 and Fridays, 8:00 am to 4:00 pm.

Our goals are to help you:

• Develop an individualized treatment plan
• Decrease your level of pain and suffering
• Return you to your maximum level of functioning and independence
• Help you restore your quality of life
• Provide knowledge to you and/or family
• Learn new coping skills

Conditions treated at Metro Anesthesia & Pain Management LLP include:

• Neck and Back Pain
• Pain Related to Herniated or Bulging Disks
• Work Related Injuries
• Facial Pain 
• Motor Vehicle Accident Pain
• Cancer Pain
• Neuropathy 
• Phantom Pain from Amputations
• Reflex Sympathetic Dystrophy (RSD)/Complex Regional Pain Syndrome (CRPS)
• Sympathetically Mediated Pain
• Post Surgical Pain
• Post Trauma Pain
• Whiplash
• Headaches
• Sciatica
• Shingles
• Post Herpetic Neuralgia
• Extremity Pain
• Disk Degeneration
• Facet Pain
• Spinal Stenosis
• Radiculopathy
• Fibromyalgia
• Arthritis
• Orthopeadic Conditions
• Trigeminal Neuralgia
• Acute and Chronic Pain 

Anesthesia for Complex Radiological Procedures including interventional procedures such as the TIPS procedure for transhepatic shunting in cirrhosis.
 
Acute Pain Service
This is a service we provide on a consultation basis at our locations. Our service is staffed by physicians and nurses who are well versed in the management of acute pain problems. Consults are available Monday through Thursay, 8:00 am to 5:00 pm, and on Friday, 8:00 am to 4:00 pm.
 
Pain Management Procedures
In most cases, consults and procedures can be completed the same day or within 24 hours.

• Radiofrequency Ablation (Denervation) – Cervical, Lumbar, and Sacral
• Lumbar/Cervical Epidurals
• Facet and Medial Branch Blocks
• Cervical Epidural Injections
• Cervical & Lumbar Sympathetic Nerve Blocks
• Trigger Point Injections
• Small, Large, and Intermediate Joint Injections
• Sacroiliac Joint Injection
• Cervical/Thoracic Epidural (single and continuous)
• Lumbar/Sacral Epidural (single and continuous)
• Greater Occipital Nerve Block
• Brachial Plexus Block
• Suprascapular Nerve Block
• Intercostal Nerve Block
• Cervical and Lumbar Facet Blocks
• Transforaminal Nerve Blocks
• Stellate Ganglion
• Sympathetic Nerve Blocks
• Celiac Plexus Block
• Implantation of Epidural Catheters
• Sphenopalatine Ganglion
• Spinal Cord Stimulator Implantation – Dr. Christopher Stalvey, Dr. James Sykes and Dr. Clay Ransdell
• Vertebroplasty - Dr. Christopher Stalvey