KETAMINE & WELLNESS INFUSIONS

KETAMINE & WELLNESS INFUSIONS2019-10-04T16:25:46+00:00

Ketamine For Pain Management

Ketamine was FDA approved for use in anesthesia practice in 1970 . It works on several brain areas involved in symptoms of depression, suicidal ideation, Obsessive Compulsive Disorder (OCD), Post Traumatic Stress Disorder (PTSD), Postpartum Depression (PPD), and numerous pain syndromes.

It has recently been approved in nasal form by the FDA for depression, and may be available to our patients in the near future. We are currently providing IV infusions of Ketamine only, which is still an off label use of the drug.

Ketamine, like all medications, does have some side effects, that include dizziness, blurred vision, and rarely, nausea. We provide anti-nausea, and pre medications, as appropriate, as well a quiet space for treatments to minimize side effects.

How does Ketamine help with pain relief?

Scientists have been using different research studies to examine how Ketamine actually works on pain pathways,
Ketamine works in multiple ways to decrease one of your own existing brain chemicals, called neurotransmitters.
These neurotransmitters are decreased at pain receptors in the brain and spinal cord. Additionally, Ketamine works on your own natural opioid receptors increase pain threshold thereby decreasing the amount of pain felt. Finally, Ketamine also impacts the nerve cells of your own pain inhibiting pathways that help you cope with pain.

What to expect from the treatments?​

The treatments include 2 to 4 hour sessions and can be spread over a few days. The pain regimen is very individualized to the patient
In general, patients feel effects within the first day or so and are recommended to continue their regular care.

There has been numerous studies on the positive effect of Ketamine on depression and suicide, so much so that the FDA has approved a sister compound, Esketamine for treatment of depression.

How does Ketamine work for Depression?

Scientists have investigated the mechanism of action of Ketamine on the brain, and what we know so far is fascinating!
Ketamine increases one of your own existing brain chemicals, called neurotransmitters.
The name of the transmitter is Glutamate and it is one that excites nerve cells at very specific receptors, which are the sites where the neurotransmitter work.This increase in the chemical occurs in pyramidal cells of the brain that are impacted by depression

What to expect from the treatments?​

The treatments include 6 one 45-60 minute sessions spread over a 2-3 week period.
Research has shown this regimen to be most effective.
In general, patients feel effects within the first 4 treatments, and are recommended to continue their regular care with a mental health practitioner, as well as their current drug regimen.
The response to Ketamine is very individual with some patients feeling the effects right away, while others require all six, and occasionally more treatments.

We will assess your response at treatment 3-4 to determine how you are responding and how we can optimize the dosing to suit your response.

Ketamine and PTSD

There has been numerous studies on the positive effect of Ketamine on PTSD.

How does Ketamine work for PTSD?

Scientists have investigated the mechanism of action of Ketamine on the brain,
and what we know so far is fascinating!

Ketamine increases one of your own existing brain chemicals, called neurotransmitters.
The name of the transmitter is Glutamate and it is one that excites nerve cells at very specific receptors, which are the sites where the neurotransmitter work.
This increase in the chemical occurs in pyramidal cells of the brain that are impacted by PTSD.

What to expect from the treatments?​

The treatments include 6 one 45-60 minute sessions spread over a 2-3 week period.
Research has shown this regimen to be most effective.
In general, patients feel effects within the first 4 treatments and are recommended to continue their regular care with a mental health practitioner, as well as their current drug regimen.
The response to Ketamine is very individual with some patients feeling the effects right away, while others require all six, and occasionally more treatments.

Ketamine FAQ

Does insurance cover this?2019-05-02T14:44:18+00:00

Most insurance companies are still not covering the cost of the treatments, however, we recommend that patients contact their insurance company and discuss the possibility of coverage for Ketamine treatments. Our billing staff can work with you to provide the appropriate codes as needed. Individual insurance careers can vary in their coverage of Ketamine.

Do I have to stop or change my other medications?2019-05-02T14:43:50+00:00

Please call us with any questions regarding your current medications. Some anti-anxiety medications are known to interfere with Ketamine’s effects, we ask that you not take these medications in the 48 hours leading up to your treatment. Do not change your current medication regimen without the direction of your physician, and/or mental health practitioner.​ Ketamine Infusions are not intended to replace your current medications. Please, confer with your primary care provider, and/or your primary mental health care provider.

How is the infusion experience?2019-05-02T14:43:31+00:00

We check a set of baseline vital signs, such as your blood pressure, heart rate, oxygenation, and your weight. We start an intravenous (IV) line and begin the infusion, which takes about 45-60minutes. During this time we keep the environment private, quiet, and relaxing. We do monitor you intermittently throughout the infusion. You may listen to your own choice of soothing music.

How Long Before it works?2019-05-02T14:42:55+00:00

Rarely, patients report an improvement in mood and general wellbeing after the first treatment. Most patients experience a more gradual outcome that occurs over the course of the treatments. We base our treatments on the latest research studies that recommend a series of 6 treatments. Typically after the sixth treatment, patients feel an overall better sense of wellbeing, which can include change in mood, and improvement in daily functionality

Do I need a referral from another physician?2019-05-02T14:42:10+00:00

All patients are welcome to self-refer. We strongly recommend that patients suffering from mental health disorders, such as depression, OCD, severe anxiety also be under the care of mental health professional. We will work closely with your practitioner to ensure the best outcomes for your wellbeing, whether for pain or mood disorders

Is Ketamine addictive?2019-05-02T14:41:38+00:00

Ketamine, unlike opioids, is not associated with any physically addictive properties.

What if the procedure doesn’t help me?2017-01-09T22:02:11+00:00

If Interventional Procedures are not effective in treating our Pain Condition, various medical management options will be offered to try.

When do I get relief after I have a procedure?2017-01-09T22:01:54+00:00

It depends on the Pain Condition as well as the type of procedure. The relief is rarely immediate, it may take a few days up to a few weeks until you get relief.

What if my condition requires surgery?2017-01-09T22:01:28+00:00

With the advancement of technology, we can perform minimally invasive surgery at our facility to treat conditions such as Disk Herniation/Bulging and Vertebral Compression Fracture. If we are unable to assist you with your pain condition, appropriate surgical referral will be made.

What do I need to do before my procedure?2017-01-09T22:01:05+00:00

You will have a full consultation and physical exam by our staff on a separate day before your procedure. The procedure as well as pre-procedure instructions will be given to you at that time and all your questions will be answered.

How long does the relief from the injections last?2017-01-09T22:00:44+00:00

It depends on the Pain Condition for which the steroid is injected. As well as the physical condition and well-being of the patient. A series of three steroid injections could last for a year or longer.

How long will the procedure take?2017-01-09T22:00:20+00:00

Most procedures will be less than 30 minutes.

How long do I have to stay after my procedure?2017-01-09T22:00:01+00:00

In most cases, you should be able to go home about 30-45 minutes after the procedure is done.

Do I receive sedation during my procedure?2017-01-09T21:59:43+00:00

Most patients will receive intravenous sedation during the procedure and are very comfortable. There is no need for general anesthesia for these procedures.

Are steroid injections “curing” my pain?2017-01-09T21:59:21+00:00

Steroids decrease the local inflammation in the area of injection. In many cases the local inflammation is the cause of the pain and therefore reducing or eliminating the inflammation should cure your pain.

Do Steroids have “side-effects” such as weight gain?2017-01-09T21:59:01+00:00

Since the injections are done locally and precisely using a fluoroscope (x-ray) machine, the amount of steroid injected is very small. Steroid side effects are dose dependent and at these small doses rarely one develops side effects.

How often can I have steroid injections?2017-01-09T21:58:44+00:00

Most of the steroid injections are safe up to six times per year. The number of steroid injections needed by a patient depends upon their response to the injections.

What are the procedures like?2016-12-19T21:02:35+00:00

Procedures can vary completely in the type that are done but the basic premise is to find the nerve or joint that is painful and guide placement medication upon that region. This can be done by different modalities, including fluoroscopy, ultrasound or trigger point type injections. To make the procedure more comfortable, we can offer sedation, if needed.

What happens at the first appointment?2016-12-19T21:02:15+00:00

During your first visit, you will have a comprehensive medical examination where several people with sit with you and review your pertinent history. A detailed and through medical exam with be tailored to identify specific musculoskeletal pathologies. After a throughout exam, we will formulate a targeted treatment options and modalities that are targeted to you uniquely.

What exactly is this pain I’m experiencing?2016-12-19T21:01:49+00:00

Pain is a warning system, alerting you that something is wrong your body. Neurons are specialized nerve cells that transmit pain signals are found throughout the skin and others. Most forms of pain can be divided into two general categories: acute and chronic. Acute pain is temporary. It can last a few seconds or longer but wanes as healing occurs. Some examples of things that may cause acute pain include burns, cuts, and fractures. Chronic pain, such as that seen in people with osteoarthritis and rheumatoid arthritis, ranges from mild to severe and can last a lifetime.

Living with depression, anxiety, and other mood disorders can be a challenge for both the patient and their loved ones. With our Ketamine infusions, we hope to offer you relief with this treatment options.

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