Compassionate Care

About Us

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Ignite Wellness Clinic

Who We Are

We are a clinic that believes strongly in Integrative Medicine. With over 56 combined years of experience in healthcare, our clinicians firmly believe that traditional medicine does not necessarily produce better living. Although sometimes helpful and necessary, health cannot always be found in the form of a pill or surgery. We incorporate several non-surgical treatments into our practice because health issues are multi-faceted. Many wide-spread clinical diagnoses such as depression, anxiety, chronic pain, and obesity are inter-connected and can affect treatment outcomes. A healthy diet, vitamin supplementation, lifestyle choices and avoidance of toxins can make a huge difference in one’s health and recovery. 

Dr. Farmer wants to ensure that his patients get the best Orthopaedic treatment possible with additional options for wellness solutions that produce better overall outcomes. We recognize that the current healthcare model is symptom and disease treatment, i.e. “disease care” or “disease suppression.” This produces living longer with more disease, medication, and side effects. Our goal is for our clients to live a longer life, in a more energetic state of wellness.  We are passionate about this approach! At Ignite Wellness Clinic, we truly care about sparking better living.


Meet our Team

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James M. Farmer, MD

Orthopaedic Surgeon
Dr. James Farmer is a transplanted Texan who has lived and practiced in Salem since 2008. He grew up in Katy, Texas, where he played baseball and swam competitively in high school. He graduated from the University of Texas Medical Branch with a Bachelor of Science in Physical Therapy. After practicing P.T. in the U.S. Air Force, he returned to medical school and graduated from Baylor College of Medicine with honors. He completed his residency in Orthopedic Surgery at Wake Forest University. Following residency, he practiced for six years in the U.S. Navy at Naval Hospital Camp Lejeune where he specialized in sports medicine. Dr. Farmer achieved the rank of Commander before resigning his commission to enter civilian practice.

Dr. Farmer is double board certified in sports medicine and general orthopedic surgery. He specializes in minimally invasive and arthroscopic surgery of the shoulder, elbow, hip, knee and ankle as well as partial and total knee replacements. He performs ligament reconstructions and cartilage restoration procedures. He performed the first meniscal transplant in the Roanoke Valley in 2008. Due to Dr. Farmer's expertise in treating athletes, he joined the medical staff for the Virginia Tech Athletic Department in 2009. He served as the team physician for the Salem Red Sox and continues to be the Orthopedic surgeon for Salem High School and Roanoke College.

Dr. Farmer utilizes a combination of prevention strategies, physical rehabilitation, medications, biologic therapies, hormone optimizing, and surgery to restore function and improve quality of life. He is certified in the Biote Method of hormonal balancing.

Dr. Farmer is especially known for his genuinely kind bedside manner. As a former physical therapist, he brings a unique approach to musculoskeletal injuries and treatment. “I make the effort to get to know the person and the impact that the injury has on the person's life. I carefully develop a treatment plan focused on a return of function and the ability to enjoy favorite activities and lifestyle once again.”

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Sheila Farmer, CRNA, MSN

Nurse Anesthetist
Sheila received her BSN from Clarkson College in Omaha, NE in 1996. In 4 years following, she gained valuable Medical, Surgical and Neuro Intensive Care experience at the University of Missouri’s Truman Medical Center and Wake Forest Baptist Medical Center.

Sheila received her MSN from University of North Carolina-Greensboro and completed her Nurse Anesthesia Residency at Wake Forest University Baptist Medical Center/Bowman Gray School of Medicine in Winston-Salem, NC in 2002.

Sheila is Certified by the National Board of Certification and Recertification for Nurse Anesthesiologists (NBCRNA). She is a member of the American Association of Nurse Anesthesiologists (AANA), the Virginia Association of Nurse Anesthetists (VANA), and the American Society of Ketamine Physicians, Psychotherapists & Practitioners (ASKP3). Sheila has completed training with the Ketamine Academy, IV Therapy Academy, and is Certified in the Biote Method of Hormone Optimization.

In addition to spending the last 2 decades providing anesthesia, Sheila is now using non-traditional approaches to reduce chronic pain and inflammation. Her approach to minimizing pain and the associated anxiety and depression is centered around excellent listening skills, multi-discipline collaboration and careful adjustments in treatment. “Most of the time, my patients show up having ‘tried everything’. Often, they don’t understand the effect that hormonal imbalances, nutrition, food sensitivities, toxins and inactivity can have on their pain and mood. I use ketamine as a powerful tool to reset the brain pathways that are not serving them well. Additionally, lifestyle changes, therapy, and involving other necessary disciplines of care will get the best response. Problems are always dynamic, and I understand that. My Philosophy is the greatest benefit with lowest risk, and we have some great tools in our belt here. My mission is simply to try my best to get people back to what they consider an enjoyable life.”


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