
About
West River Pain Docs
The highly-trained, specialized team at West River Pain Docs combine over 200 years of experience and the latest technology to provide effective, reliable pain management services to the Black Hills region.
Quality Care in a Group Setting
With a board-certified medical team of 8, we have the expertise to quickly identify and treat any pain you may be experiencing.Long-Lasting Solutions You Can Trust
Our doctors have extensive experience in effectively treating chronic pain and giving our patients the ability to lead a full, active life.

Meet Our
Pain Management Specialists
Our pain management team consists of five doctors and three certified nurse practitioners to offer you the highest level of expertise and care. We are committed to helping those in the Black Hills region achieve lasting pain relief with advanced procedures and the safest state-of-the-art treatments.

Dr. John Butz
John Butz, MD, has been a board-certified anesthesiologist and pain management specialist with West River Anesthesiology Consultants since 2015. Following an anesthesiology residency at the University of Virginia Health System in Charlottesville, VA in 2014, Dr. Butz completed a Fellowship in Pain Medicine at the University of Virginia. He is a past Chairman of the Department of Anesthesiology at Monument health and is active staff at the University of South Dakota Sanford School of Medicine.
Dr. Joseph Carda
Joseph Carda, MD, has been a board-certified anesthesiologist with West River Anesthesiology Consultants since 2020. Dr. Carda completed his anesthesiology residency at the University of Oklahoma in Oklahoma City, OK in 2019, as well as his Fellowship in Pain Medicine in 2020. He is active staff at the University of South Dakota Sanford School of Medicine.


Dr. Steven Frost
Dr. Steven Frost, MD, has been a board-certified anesthesiologist with West River Anesthesiology Consultants since 1996. Following an anesthesiology residency at the Medical College of Wisconsin in Milwaukee, WI in 1995, he completed his Fellowship in Pain Medicine at the Medical College of Wisconsin in 1996. Steven is the current Medical Director of Pain Management Services at Monument Health, as well as Active Staff at the University of South Dakota Sanford School of Medicine. He is a past Chief of Staff of Monument Health and a past Chairman of the Department of Anesthesiology at Monument Health.
Dr. Michael Huot
Dr. Michael Huot, MD, has been a board-certified anesthesiologist and Pain Management specialist with West River Anesthesiology Consultants since 2011. After completing a Chronic Pain Management Subspecialty Internship in 2008, Dr. Huot completed his anesthesiology residency at the University of Rochester School of Medicine in Rochester, NY, in 2011. He is a past Chairman of the Department of Anesthesiology at Monument Health, as well as Active Staff at the University of South Dakota Sanford School of Medicine.


Dr. Troy Nesbit
Dr. Troy Nesbit, MD, has been a board-certified anesthesiologist with West River Anesthesiology Consultants since 2006. Dr. Nesbit completed his Anesthesiology residency at Case Western University in Cleveland, OH, in 2006. He has served as past Chief of Staff at Monument Health. Dr. Nesbit is currently a Chairman of the Department of Anesthesiology at Monument Health, as well as Active Staff at the University of South Dakota Sanford School of Medicine.

Michele Delzer, CNP
Michele Delzer, CNP, is a board-certified member of the American Academy of Nurse Practitioners. She received her Master of Science in Nursing from South Dakota State University in 2003.

Vanessa Pribil, CNP
Vanessa Pribil, CNP, is a board-certified member of the American Academy of Nurse Practitioners. She received her Master of Science in Nursing from South University in Savannah, GA in 2016.

Kelsey Johnson, CNP
Kelsey Johnson, CNP, is a board-certified member of the American Academy of Nurse Practitioners. She received her Master of Science in Nursing from the University of Central Arkansas in 2015.

