Intravenous (IV) Ketamine Infusion Therapy involves the release of ketamine into the bloodstream. Ketamine is a NMDA (N-methyl D-aspartate) receptor antagonist used for several anesthetic and sedative purposes, such as pain management. Ketamine plays a role in blocking nerve channels which cause serious pain sensations while still allowing the nerve to function properly and normally. Painful sensations will be alleviated for a period of time following these infusions.
Evidence shows that NMDA receptors are involved when people build up a tolerance to narcotics. In conditions where a person is struggling with hypersensitivity or hyperalgesia, increased abnormal pain responses, this treatment can be helpful. In some situations, patients can develop a pain response to even water, a breeze, clothing, a light touch, or other minimal sensations which are usually not felt as painful, this is called allodynia. Ketamine can block the receptors involved with these conditions, alleviating the symptoms. When this medication is infused with a patient’s blood, it can provide effective pain relief. At the practice, Dr. Miller offers this service to his patients struggling with chronic pain. If this is a good option for treatment, Dr. Miller will go over all the details with each patient.
A number of conditions can be treated using IV Ketamine Infusion Therapy including complex regional pain syndrome, also referred to as reflex sympathetic dystrophy, neuropathic pain, centralized pain, hyperalgesia, allodynia, or intense widespread pain. Ketamine can be a good option if traditional approaches, such as physical therapies, opioids and other medications, or standard clinical interventions, have not been successful in alleviating pain. Patients will have an ECG taken prior to the infusion to ensure no abnormal heart rhythms are present. The infusion is administered using a catheter in the hand or arm. Our medical staff will monitor each patient’s vital signs during the entire infusion process.
Some patients will feel like the pain has gone or is significantly decreased following the ketamine infusion. This can last for several hours up to many weeks. Patients will not be able to drive after the infusion and they must be sure to have a person ready to take them home. This person will also need to make regular contact with the patient for 24 hours following the infusion.
The infusion itself does not cause any discomfort. There can be some discomfort experienced with the placement of the catheter but this should be over quickly.
We accept most major PPO insurance plans, Medicare, and Personal Injury and Worker's Compensation plans. If you have any questions, please call our office.
"Amazing doctor with a wealth of knowledge in all facets of medicine. Will highly recommend him especially to manage pain."