What Treatments Might Be Considered for Pain Management?
Potential treatments for chronic pain include:
- Opioid and non-opioids medications (we specialize in the appropriate use of buprenorphine for chronic pain)
- Physical therapy
- Acupuncture and Traditional Chinese Medicine
- Trigger point injections
- Massage, myofascial release, Rolfing
- Nutrition and dietary supplements
- Medical hypnosis
- Mindfulness training
- Ketamine augmentation
Additionally, more interventional modalities that may be arranged such as epidural injections, nerve ablations and even in rare cases surgery, are sometimes helpful.
Ketamine for Chronic Pain
Ketamine may be administered via intravenous infusion or intramuscular injection as an adjunctive intervention for chronic neuropathic pain, complex regional pain syndromes (CRPS) and treatment-resistant chronic headaches, in addition to other treatments. Neuropathic pain is a complex, often chronic type of pain often originally related to soft tissue or nerve injury, but over time developing into an interaction between brain and body that results in incorrect signals being sent and interpreted. There are both risks and benefits to ketamine treatment for any condition including chronic pain. Niesters, Martini, and Dahan (2014, British Journal of Clinical Pharmacology) have an excellent review of the research in this area, and recommend ketamine as an intervention only after first or second lines of treatment have failed.
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