• Women's Services

    Many of our women's health services, including classes, women's imaging, lactation services and the Family Birth Center, are conveniently grouped in the Women's Center, a four-story building located on the SAMC campus. Read More
  • Southeast Cancer Center

    A Commission on Cancer approved program, Southeast Cancer Center provides compassionate care for more than 800 newly diagnosed patients each year and cancer patients with ongoing treatment needs. Read More
  • Neurosurgery

    The NeuroSpine Center is a unique specialty clinic with highly trained physicians treating brain, spine and peripheral nerve conditions. A normal, active lifestyle can be regained with modern neurosurgery methods. Read More
  • Pain Management

    The Southeast Pain Management Center is a state-of-the-art clinic staffed by physicians board certified in Anesthesiology and Pain Management. We partner with other physicians with an emphasis on wellness. Read More
  • Behavioral Health Services

    SAMC offers a comprehensive array of mental health services, supported by board certified, highly-qualified, private practice, and staff psychiatrists as well as nurses, social workers, psychologists and other clinical specialists. Read More
  • Heart & Vascular

    SAMC has the strongest cardiac care program in the region, ranked in the top 10 percent nationally in patient safety in heart attack treatment and major cardiac, interventional coronary and vascular care. Read More
  • Orthopedic Services

    Our orthopedic program has a strong reputation of providing specialized orthopedic and rehabilitation services for patients of all ages. We offer a specialized program for older patients who suffer fractures from falls. Read More
  • Wound Care Center

    The Wound Care Center offers state-of-the-art outpatient clinical wound care and hyperbaric medicine. We specialize in advanced wound care using a variety of treatments, therapies and support services. Read More
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News

Oct 10 2012

Pain Management

Southeast Pain Management Center is the only pain management facility in the region offering fluoroscopy. This procedure provides a real-time, moving X-ray that aids in precisely targeting the treatment area. We have the only board-certified team of pain specialists in the region, providing compassionate, quality care. We work alongside primary care and referring physicians, with you and your family to assess, treat and manage all aspects of care. We use new technologies and enhanced procedures to better manage your pain by precisely targeting where it hurts, resulting in an improved quality of life.


The Southeast Pain Management Center is a state-of-the-art clinic located on the SAMC campus,1003PainMgtWhatWeDo and staffed by physicians who are board certified in Anesthesiology and Pain Management. We partner with other physicians and medical specialties with an emphasis on wellness. Whenever possible, this approach utilizes minimally invasive procedures to assist patients back to good health and function. Our process uses methods which demonstrate successful outcomes and best practices in pain management.

Our primary goals are to reduce or eliminate pain, improve quality of life, facilitate a return to work and restore function. Treatment programs include lifestyle modification, medication management, various forms of interventional therapy and in some cases, surgery. Spinal procedures are performed under fluoroscopic guidance or live X-ray, to ensure accurate needle placement and appropriate spread of medication.

In addition to procedures such as epidural steroid injections, we also offer advanced interventional techniques which include, but are not limited to, radiofrequency ablation, spinal cord stimulators and spinal pumps. Potential candidates for pain management include anyone who suffers from acute or chronic pain.

The physicians at Southeast Pain Management Center are board certified by the American Board of Anesthesiology4439PainDocsUPDATED and are Board Certified in Pain Management.

Our physicians are highly trained to address the specific needs of pain patients and are committed to accurately diagnose the cause of your pain and provide a treatment plan that improves your quality of life.

Our goal is to organize an effective treatment plan and help you return to a level of living that is enjoyable and productive.

Dr. David H. Evans has been practicing anesthesiology since 1989 and his specialties include acute and chronic pain management.

Originally from Bountiful, Utah, Dr. Evans is a graduate of the University of Utah, Salt Lake City with a degree in Spanish and a masters degree in Social Work. He received his doctorate of medicine from Loyola University in Chicago. Dr. Evans' internship and residency training were performed at the Naval Hospital in San Diego, Calif. Serving for 10 years in the United States Navy in both active and reserve status, he participated in Desert Shield and Storm. In 1992, he began practicing in the Wiregrass and was a staff anesthesiologist for Anesthesia Consultants Medical Group, P.C. until May of 2003, when he began to practice pain management on a full-time basis.

Certified as a diplomate of the National Board of Medical Examiners and by the American Board of Anesthesiology with specialty boards in pain management, Dr. Evans is a member of the Medical Association of the State of Alabama, Houston County Medical Society, Alabama Society of Anesthesiologists, California Medical Society, Utah Medical Society and the American Medical Association. He is licensed by the states of Alabama, California, Florida and Utah.

Dr. Evans and his wife Nancy live in Dothan. They are proud parents of three daughters and one son, and very proud grandparents. His wife is a clinical nursing instructor at Wallace Community College. His personal interests, besides his grandchildren, include golf, church service, water-skiing and snow-skiing.

Dr. Jerry Marsella Jr. has been practicing since 1991. Formerly of Danville, Va., Dr. Marsella received his bachelor of science degree in biology at Union College, Schenectady, N.Y., and his masters of science degree in biology at Radford University, Radford, Va. After completing his MMSC degree at Emory University in Atlanta, Dr. Marsella served as physician assistant in anesthesiology in Macon, Ga. After graduating with his doctorate of medicine from the Medical College of Georgia, Augusta, and completing his anesthesiology internship, Dr. Marsella became fellowship trained in pain management.

Before becoming a doctor, Dr. Marsella taught junior high school science and math. In 1991, he joined Anesthesia Consultants Medical Group, P.C. and later Southeast Pain Management Center.

Dr. Marsella is Board Certified by the American Board of Anesthesiology, Board Certified by the American Board of Pain Medicine, a member of the American Medical Association, American Society of Anesthesiologists, Alabama Society of Anesthesiologists, American Academy of Pain Medicine, International Association for the Study of Pain, and American Society of Regional Anesthesia. Dr. Marsella is licensed by the states of Alabama and Florida, served as Anesthesiology Representative to the House Staff Council and Chief Resident of Anesthesiology, Medical College of Georgia. Dr. Marsella is on staff with Southeast Alabama Medical Center, the Southeast Pain Management Center and Anesthesia Consultants Medical Group, P.C.

Dr. Marsella has two sons, Ben and John, and resides in Dothan. His personal interests include skeet shooting, sailing and woodworking. Dr. Marsella and his family are members of the First United Methodist Church, where he is a member of the choir.

Dr. Michael T. Flanagan is an anesthesiologist and pain management physician specializing in the diagnosis and treatment of acute, chronic pain syndromes.

Formerly of Greensboro, N.C., Dr. Flanagan is an honor graduate of Wake Forest University in Winston-Salem, N.C. He received his doctorate of medicine from the Bowman Gray School of Medicine and completed a transitional internship and at North Carolina Baptist Hospital of Wake Forest University. His post-doctoral training in clinical anesthesiology was also undertaken at North Carolina Baptist Hospital. During this time he was named a Glaxo-Wellcome Resident Scholar. Following completion of his anesthesiology residency, Dr. Flanagan pursued a fellowship in pain management at North Carolina Baptist Hospital. During his subspecialty training in acute and chronic pain management, he served as chief pain fellow and was selected as a Wyeth-Ayerst Pain Fellow Scholar.

Certified as a Diplomate of the National Board of Medical Examiners and by the American Board of Anesthesiology with sub-specialty certification in pain management, Dr. Flanagan is a member of the American Society of Anesthesiology, the Alabama State Society of Anesthesia, the American Medical Association, the Medical Association of the State of Alabama, and the Houston County Medical Society. Licensed by the states of Alabama and North Carolina, he is a published author and the recipient of numerous awards and honors.

Dr. Flanagan is the 2013-2014 President elect for the Medical Association of the State of Alabama, he is MASA's first president from Dothan.

Dr. Flanagan has been a long-standing voice in Alabama's medical leadership by serving on the Alabama Board of Medical Examiners, an administrative and regulatory agency of the State of Alabama, and the Medical Licensure Commission of Alabama, a state agency which has the exclusive power and authority to issue, revoke and reinstate all licenses to practice medicine or osteopathy in the State of Alabama.

Dr. Flanagan and his wife, Melissa, live in Dothan. His personal interests include swimming, sailing and skiing. He and his family are members of the St. Columba Catholic Church.

Dr. Mark Willis is an anesthesiologist and pain medicine physician who joined Southeast Pain Management Center after completing a fellowship at Medical College of Georgia in Augusta, Ga.

Originally from Oakdale, La., Dr. Willis served five years in the United States Navy Submarine Force before attending college. He participated in Desert Shield and Desert Storm. Before his discharge in 1991, Dr. Willis was stationed in San Diego, Calif.; Groton, Conn.; Dam Neck, Va.; Charleston, S.C.; and Kings Bay, Ga. During his military service Dr. Willis was honored with the Navy Good Conduct Medal, the Humanitarian Service Medal, National Defense Service Medal and a Letter of Meritorious Achievement issued by Rear Admiral T.A. Meinicke, Commander of COMSUBGRP 6.

Dr. Willis is a graduate of Georgia State University in Atlanta with a degree in Biology and a minor in Chemistry. He received his doctorate of medicine, transitional internship, anesthesiology residency training and pain management fellowship at the Medical College of Georgia in Augusta. He is a member of the American Pain Society, the American Society of Anesthesiologists, and the American Society of Regional Anesthesia and Pain Medicine as well as the American Medical Association. He is licensed in the states of Georgia and Alabama.

Dr. Willis and his wife, Kimberly, live in Dothan. They are the proud parents of three beautiful children; Alyssa, Avery and Mark Jr. His personal interests, besides spending time with his family, include weight-lifting, golf, running and water skiing.

Dr. William McRae is a pain medicine physician and anesthesiologist who joined Southeast Pain Management Center after completing a fellowship in pain management at Oregon Health and Science University in Portland, Or.

A Dothan native, Dr. McRae graduated from Vanderbilt University in Nashville, Tenn., with a degree in Chemistry. He received his medical degree from the University of Alabama School of Medicine in Birmingham. Dr. McRae completed his internship in Internal Medicine at UAB before returning to Vanderbilt University to obtain his anesthesiology residency.

Dr. McRae is certified as a Diplomate of the National Board of Medical Examiners and by the American Board of Anesthesiology. He is a member of the American Society of Anesthesiologists, the Alabama State Society of Anesthesia, and the Houston County Medical Society.

Dr. McRae is glad to be in Dothan and enjoys spending time with his family and friends. He is also an avid Vanderbilt football and basketball fan.

Charles Johnson has suffered with Lou Gehrig's disease since 1997.9634PatientTestimonials

As the disease has progressed, Mr. Johnson's pain and stiffness have increased, as his mobility has declined. To improve his quality of life, his doctor recommended he get an implantable device to help manage his symptoms.

He received a Baclofen pump, in 2005, from Dr. J. Jerry Marsella at Southeast Pain Management Center. "I started talking to people and everybody recommended I come here to the Pain Management Center," he said.

Baclofen is a muscle relaxer that relieves Mr. Johnson's stiffness and helps ease spasms and muscle cramps.

"It's enabled me to keep active," said Mr. Johnson, who can regularly be found at the gym. "Otherwise, my legs would be so stiff that I could not walk." Mr. Johnson, who walks with a cane, returns to the Pain Management Center every six months for treatment. "I am treated very well by everyone. Everyone is extremely helpful and by God's grace, I am sitting here."


Marilyn Smith had suffered with back pain for years.

She was a candidate for surgery for degenerative disc disease, but was hesitant to have an operation on her back. She'd had epidurals in the past but never found much relief – until she sought treatment at Southeast Pain Management Center in Dothan. Three years ago, Mrs. Smith received a thoracic epidural injection from Dr. Jerry Marsella.

"I had relief almost immediately," she said.

Mrs. Smith lives a busy life. At 76, she works a part-time job as a registered mastectomy fitter, does her own house work, enjoys working in the yard, and is the caregiver for her husband, Al. The two celebrate 58 years of marriage this year. She also walks for exercise and finds pleasure in spending time with her large family – five children, eleven grandchildren and two great-grandchildren.
But, she paces herself, being careful to take care of her back.

"I don't want to go back for any more treatment, but if I do have to go back, I will go see Dr. Marsella at Southeast Pain Management Center. Everyone there was very kind and very helpful."


A year ago, Eva Grace could hardly walk upright because of pain in her lower back.

Today, she maneuvers with ease the boxes and stock in the gift shop where she is employed three days a week. I could not stand up straight," she says. "I walked around bent over like a little old lady all day. When I stood up straight, I was in pain." Eva sought treatment from Southeast Pain Management Center, where she received two lumbar epidurals after being diagnosed with lumbar radiculitis.

"Everything changed after that," Eva says. "I could walk upright again without any pain. I was so excited that it worked. I hoped for a positive outcome but I didn't know.... It turned out great." Eva now goes about her days pain free. She is not hindered while on the job and is once again enjoying cooking and home decorating, as well as spending time with her grandchildren.

"I would recommend this procedure to anybody. It was a wonderful experience. I'm so glad I did it."

The physicians at Southeast Pain Management Center are board certified by the American Board of Anesthesiology7163BoardCertifiedPhysicians and are Board Certified in Pain Management.

What does it mean to be Board Certified?

Board Certification is the formal recognition of a physician's obtaining the highest qualifications in a chosen medical field. It is given only to physicians who have passed an examination before specialty boards comprised of their professional peers. Board Certified physicians have been highly trained and tested in their area of medicine.

A Board Certification examination is a stringent exam given to a physician to test skill, knowledge, ability and medical judgment. Board certification is not only scientific testing regarding medical knowledge: it includes medical judgment, performance and practice standards.

It is possible to obtain Board Certifications in both Anesthesiology and in one of the subspecialties of Anesthesiology. Subspecialties of Anesthesiology include Critical Care Medicine and Pain Medicine. In addition to the training and examination required for Board Certification in Anesthesiology, Board Certification sought in the Pain Medicine subspecialty requires an additional Fellowship in an ACGME Certified university program. Following this comprehensive training, an examination must be passed to be Board Certified in Pain Medicine.

A Board Certified physician that is additionally certified in Pain Medicine (also known as Pain Management) is an Anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing acute or chronic pain. Rather than simply administering pain medication, Board Certified Pain Management physicians diagnose the sources of pain and strive to provide pain relief through minimally invasive techniques.

In addition to patient demand, medical care institutions, facilities and insurers are more often requiring physicians to document quality of care, and Board Certification provides this standard.

Cervical, Thoracic, Lumbar, Caudal Transforaminal, Selective nerve root block.

  1.  You may experience increased discomfort for 24 hours after the injection.
  2.  Limited activity and rest is recommended for this time period.
  3.  You may gradually resume regular activities as your discomfort subsides.
  4.  Do not drive or operate machinery for 12 hours.
  5.  You will need a responsible adult with you for the next 4-6 hours.
  6.  You may remove the Band-Aid tonight unless you have had a cervical injection in which case you may remove it in the morning. Lidoderm patch may stay on 12-24 hours as long as kept dry.
  7.  Steroid medications take 2-5 days to become effective; therefore, you may not experience immediate pain relief.
  8.  If you are a diabetic, the steroid may increase your blood sugar for 7-14 days. Should your blood sugar increase, please call the physician that manages your diabetes.
  9.  If you are taking blood thinners, you may resume it 12 hours after your procedure.

Notify the Southeast Pain Management Center if any of the following occurs:

  •  Discomfort that becomes severe and/or interferes with normal movement or feeling.
  •  Signs of infection at injection site, which may include warmth, redness, swelling, foul odor and drainage.
  •  Increase in temperature above 100.5 degrees orally.
  •  Excessive bleeding from injection site.
  •  New changes in sensation or motor function such as new areas of numbness, weakness, or changes in bowel or bladder function.

Telephone numbers:
Southeast Pain Management Center 

  • 334-793-8196 or Toll Free at 800-248-7051
  • Hours of operation 7:30 a.m. - 4:30 p.m. Monday – Friday