Integrative Pain Management

Integrative Approaches to Managing Pain

We work with each individual patient to determine all the contributors to pain and other symptoms that limit their functional abilities. Our process starts with a complete medical and psychological evaluation, and a detailed review of all the modalities that have been tried previous to arriving at My Doctor Medical Group. Frequently new insights surface, leading to a collaboratively-determined set of next diagnostic and therapeutic steps. Our goal is to curate a process by which we make continual adjustments to your individualized plan until you achieve your treatment goals.

Our medical director, Dr. Paul Abramson is trained in a variety of conventional modalities, and also studied integrative medicine under Dr. Andrew Weil, giving him a large toolkit of options from which to construct a comprehensive treatment plan.

We are not a conventional pain management practice, and as such as a policy we do not prescribe standard opioid agonist medications (oxycodone, hydrocodone, fentanyl and similar) for chronic pain. There are many other specialists in the San Francisco area who do this, and our patients choose us because we take a different approach.

Office Hours

Monday to Friday
9am to 5pm
by Appointment

450 Sutter St. – Suite 840
San Francisco, CA 94108


What Treatments Might Be Considered for Pain Management?

Potential treatments for chronic pain could include, but are not limited to:

Additionally, more interventional modalities that may be arranged by referral to specialty centers, such as epidural injections, PRP or stem cell therapies, nerve ablations, implanted nerve stimulators and even in some 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. Chronic pain is often originally related to soft tissue or nerve injury, but over time develops into an interaction between brain and body that results in incorrect signals being sent and interpreted.

Ketamine for pain is an off-label use, and ketamine is not always appropriate for each situation. A careful clinical evaluation is required to determine whether it will likely be safe and effective. 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 multiple other lines of treatment have failed.

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