Ketamine infusions may treat a variety of pain conditions, including:

• CRPS / RSD
• Neuralgias, including Trigeminal Neuralgia and Occipital Neuralgia
• Pudendal Pain
• Fibromyalgia

Severe and chronic pain can be debilitating. Many people suffering from pain have lost jobs, friendships, and family relationships due to their illness. Many have been forced to give up activities they love and most also suffer from anxiety and depression related to their condition.

For appropriate conditions, ketamine for pain management can be an exceptional treatment option. Research and clinical results indicate that ketamine works at the neuronal level—improving their healthy function. If pain originates in the neurons themselves, ketamine can help. However, if there is an ongoing injury causing the pain, ketamine is unlikely to be effective.

Patients who achieve positive results often maintain improvements for years with regular boosters. Many of our patients have decreased or stopped their narcotic usage and many have regained the ability to engage in meaningful hobbies or careers.

After the first infusion, you should generally be able to tell if ketamine treatments will help. If effective, we tailor the treatments to your needs. The limiting factor for treating severe and chronic pain conditions is the time, expense, and safety/side effect profile of ketamine. At high doses, ketamine is a general anesthetic.

The most appropriate infusion option for pain conditions can vary significantly.

Low-Dose Infusions

• Used for treating Fibromyalgia and similar conditions.
• Often involves a series of one-hour infusions, similar to psychiatric treatments.
• Typically starts at 0.5 mg/kg/hr of ketamine, adjusted based on response.
• One-hour duration: 40 minutes active infusion, 20 minutes active recovery.

High-Dose Infusions

• Used for other chronic pain conditions such as CRPS.
• Typically involves one to three higher-dose infusions as needed.
• Doses are adjusted to patient response.
• Often provided in one-hour sessions.

Patients typically describe the experience of a low-dose infusion as a floating sensation and may experience mild visual hallucinations or other mild side effects that wear off quickly. High-dose infusions involve a larger total dose of ketamine, often with additional medications to manage potential discomfort, heart rate regulation, and nausea.

We prioritize patient safety and comfort by providing:

• Anesthesiologist/Anesthetist administration.
• Continuous monitoring.
• Emergency medications and equipment.
• Protocols aligned with Texas Medical Board Codes for office-based anesthesia.

We work with patients to develop treatment plans that suit their specific conditions. For Fibromyalgia, we often begin with a series of low-dose infusions followed by maintenance treatments, similar to psychiatric treatment plans.

For other conditions, such as CRPS, one-hour high-dose infusions are often used. Treatment schedules vary, with many patients requiring initial treatments followed by maintenance infusions every six to eight weeks.

Some patients maintain results with just a one-hour infusion every eight weeks after many years of treatment. The number and frequency of treatments vary from patient to patient, and we collaborate to find the best approach for each individual.