About Us | River Cities

About Us

Our Mission

To relieve pain and restore quality of life for our patients by providing customized, patient-specific treatment plans for each chronic pain condition. The goal of treatment is to optimize the management of your pain, restoring functionality and getting you back to living your life. River Cities Interventional Pain Specialists’ comprehensive interdisciplinary approach to pain care offers patients renewed hope for relief from chronic pain.

What We Do

Our team provides comprehensive pain management treatment solutions, including patient education, medication management, minimally invasive procedures, and more advanced interventional procedures to treat chronic pain. These strategies help patients to effectively address a wide range of chronic pain disorders.

With over 20 years of experience, extensive training, and board certification, Dr. Randall Brewer, Dr. James Wages and Dr. John Cefalu customize an individual, patient-specific treatment plan for each chronic pain condition. Our practice is also comprised of a team of clinical professionals, including Physician Assistants and our on-site Physical Therapist. The team works collaboratively with patients and area providers to develop individualized treatment plans and attainable goals.

Your Providers

Randall Brewer, MD
Founder and Medical Director

Dr. Randall Brewer, a Shreveport native, earned his medical degree from LSU School of Medicine before completing advanced training at Emory University, Duke University, and the Mayo Clinic. Since returning to Shreveport in 2004, he has combined patient care with teaching and research, serving on national pain medicine committees and receiving the American Academy of Pain Medicine Distinguished Service Award for his contributions to the field.

James Wages, MD
Anesthesiology

Dr. Mike Wages is double board-certified in Anesthesiology and Interventional Pain Management and is dedicated to providing personalized care that helps patients improve their quality of life. A Texarkana native, he earned his bachelor's degree from Southern Arkansas University before completing his Anesthesiology Residency and Interventional Pain Management Fellowship at Washington University in St. Louis. Dr. Wages works closely with referring physicians to develop individualized treatment plans and proudly serves the community he and his wife, along with their four children, call home.

Dr. John Cefalu is double board-certified in Anesthesiology and Pain Medicine and is a fellowship-trained interventional pain management specialist. He specializes in advanced minimally invasive treatments for spine, nerve, and chronic pain conditions, helping patients find lasting relief through personalized care. Dr. Cefalu earned his degree from Centenary College of Louisiana, completed medical school and residency at LSU School of Medicine in New Orleans, and finished his fellowship in Interventional Pain Medicine at Case Western Reserve University within the Cleveland Clinic System.

John Cefalu, MD
Anesthesiology

Karen Beabout, PA-C
Physician Assistant

Karen is a board-certified Physician Assistant who earned both her Bachelor of Science in Health Sciences and Master of Physician Assistant Studies from LSU Health Sciences Center in Shreveport. She brings extensive experience in pain management, hematology/oncology, and clinical research, with a special interest in multimodal pain treatment to improve function and quality of life. Before entering healthcare, Karen proudly served in the United States Air Force, where her military experience inspired her to pursue a career as a Physician Assistant.

Brittany Kelly, PA-C
Physician Assistant

Brittany earned her Bachelor of Science in Biology from Northwestern State University before completing her Master of Physician Assistant Studies at LSU Health Sciences Center in Shreveport in 2016. She gained experience across multiple specialties, including orthopedics, emergency medicine, surgery, neurology, pediatrics, and family medicine, and spent much of her career in urgent care and emergency medicine before joining River Cities Interventional Pain Specialists in 2024. Brittany is committed to providing compassionate, personalized care and believes in a multimodal approach to treatment that helps patients improve their overall health and quality of life.

Victoria Reyna, PA-C
Physician Assistant

Victoria is a board-certified Physician Assistant specializing in pain management. She earned her Bachelor of Science in Biology from Baylor University and her Master of Science in Physician Assistant Studies from Franciscan Missionaries of Our Lady University. With experience in pain management as both a Medical Assistant and Physician Assistant, she is passionate about helping patients manage chronic pain through personalized treatment plans that combine conservative care, interventional procedures, and patient education. Victoria is dedicated to improving function, restoring quality of life, and providing compassionate care to every patient.

Misty Anthony-McAllister, PA-C
Physician Assistant

Misty is a National Commission for Certification of Physician Assistants board certified Physician Assistant and is licensed by the Louisiana State Board of Medical Examiners. She completed her Bachelors of Cardiopulmonary Science at Louisiana State University Health Sciences Center in Shreveport and later her Masters of Physician Assistant Studies in 2015. Prior to working at River Cities Interventional Pain Specialists, she worked in urgent care assisting in emergency medicine. In addition to her daily practice Misty has an active role in research as Sub-Investigator with experience in numerous clinical trials for chronic pain indications as well as medical devices. Misty has a passion for patient education and advocacy and is dedicated to providing quality and compassionate care to her patients.

With more than 40 years of experience, Terry has helped thousands of patients throughout the Shreveport-Bossier area recover from injuries, improve mobility, and return to the activities they love. A graduate of LSU Medical Center School of Allied Health Professionals, he has worked with everyone from elite athletes to everyday patients and founded Eberhardt Physical Therapy and Wellness in 1988. In 2021, Terry joined River Cities Interventional Pain Specialists to lead the clinic's Physical Therapy department, bringing decades of expertise and compassionate care to every patient.