Spine Animations

Spine Animations

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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. Ryan Nobles is an integral member of the Southeastern Spine Institute Pain Management Department. He is Board Certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology. For the first four years of his professional career following training, Dr. Nobles served as an assistant professor and physician in the chronic pain management clinic at the Medical University of South Carolina. His current clinical interests include spinal cord stimulation and dorsal root ganglion (DRG) stimulation as innovative 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 (where he was also granted the Valedictory award) 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 continues to employ innovative pain treatments at Southeastern Spine.

Professional 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


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

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


Physician – Pain Management
Southeastern Spine Institute
Mount Pleasant, SC
Assistant Professor
Medical University of South Carolina
Division of Pain Management
Department of Anesthesia and Perioperative Medicine
Charleston, South Carolina
Clinical Consultant
St. Jude Medical
Clinical Consultant
Boston Scientific


Antonovich DD, Gama W, Ritter A, Wolf BJ, Nobles RH, Selassie MA, Hillegass MG. Reoperation Rates of Percutaneous and Paddle Leads in Spinal Cord Stimulator Systems: A Single-Center Retrospective Analysis. Pain Medicine. 2020, pnaa215, https://doi.org/10.1093/pm/pnaa215.

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.


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