What is Ketamine?

Ketamine was developed 50 years ago and has been used as an anesthetic, during surgery, since the 1960s.  Recent research demonstrates that Ketamine is rapidly effective, within hours, in treating multiple mental and physical conditions.

Ketamine has been found to effectively treat the following conditions, many of which have not been receptive to conventional treatment approaches: both unipolar and bipolar depression, including suicidal ideation, Post-Traumatic Stress Disorder (PTSD), anxiety, Complex Regional Pain Syndrome (CRPS), Reflexive Sympathetic Dystrophy (RSD), Fibromyalgia, migraines and small fiber neuropathy.

Chronic pain, depression and anxiety damage the areas of the brain responsible for memory, learning and higher-order thinking.  These traumatized and irritated nerve endings are responsible for depressed mood, anxiety and send pain signals directly to the brain.

Ketamine promotes the biochemicals necessary to repair this damage, within hours, by creating new pathways with new nerve endings. These new nerve endings act as highways for healthy communication to occur with the brain. The process essentially reboots our brain and central pain centers, providing long-term relief. Therefore, Ketamine may provide lasting relief from depression. This process and effects act in contrast to the effects of opiates on the body; opiates have been shown to increase pain sensitivity in patients, over time.



Ketamine IV therapy is often used when other treatment modalities have failed. For patients suffering from chronic pain,

moderate to severe depression, PTSD or anxiety, completing IV therapy requires a patient to undergo a series of low dose

Ketamine infusions.

Generally, treatment is well-tolerated, however; certain patients may experience side-effects, some of which may require

discontinuation of therapy. Though recent research shows promise for the use of Ketamine for the above listed conditions;

currently, the FDA would consider the use of Ketamine for anything other than an anesthetic as off-label prescribing.


  • Conditions Treated

    Please call our office at 503-376-9200 or fill out the information with a convenient time to reach you. We request a referral, chart notes and relevant imaging( CT Scan, MRI report) from your referring provider. These documents can be faxed at 503-376-9201
  • Treatments Offered

    ​ Interventional pain management, is a minimally invasive approach for pain control, which deploys state-of-the-art treatment strategies to diminish discomfort and restore quality of life. It is used both a diagnostic and treatment tool.
  • Your First Visit

    We will begin by collecting detailed medical history, review medical records, a thorough physical examination. After which a individualized planned course of action is decided. You may need further diagnostic testing, Imaging at this point.

Ketamine and Depression

Depression is widely prevalent all over the world. 1 in 5 individuals are affected with depression. Although mental health treatment has come a long way, but still 30 percent (1/3rd) of individuals do not respond to traditional treatment methods, and called to have Treatment resistant depression (TRD).


Often, patients endure many attempts at seeking relief and improvement from medications and other forms of therapy. Combination of anti-depressants, addition of anti-epileptics/mood stabilizers, addition of antipsychotics, ECT, TMS therapy are alternative way to treat Treatment resistant depression.

Ketamine IV therapy has been effectively utilized in the treatment of depression, PTSD or Anxiety disorder that has been resistant to other treatment methods. Ketamine works to repair deranged areas of the brain that lead to the continuation of depressive or other mental health symptoms. Research has demonstrated that Ketamine IV therapy can effectively and quickly help manage treatment resistant mood disorder, in a safe manner, thereby allowing patients to return to an active and more fulfilling lifestyle.

Make An Appointment

Being in control of your life and having realistic expectations about your day-to-day challenges are the keys to stress management.

— Josh Billings

Ketamine and Chronic Pain

Everybody has experienced some sort of pain in their life. Chronic pain differs from acute pain that it lasts more than 3 months, time period when you would expect injury or trauma causing pain would have healed.

Usually treating the cause of your pain have been helpful, but after trials of multiple medications, interventional methods, surgeries. You may still continue to experience chronic pain. Chronic pain have detrimental effects on your day to day life and mental health, studies have shown that brain starts processing things differently when receives prolonged pain signals for extended length of time.

Given that chronic pain has been linked to deranging areas of the brain responsible for sending and receiving pain messages; the cycle of continued pain can feel endless. Those who suffer from chronic pain can, often times, feel hopeless in the pursuit of finding relief.

Unfortunately, patients are often prescribed opiates for chronic pain. Though opiates may appear to be helpful in the immediate circumstance, their effects on the body eventually lead to increased pain sensitivity for the patient. Many patients fall victim to having to continually increase their dosage of opiates, only to find that in the end, they have more pain.

Ketamine works through a different mechanism in the body, it works to repair damaged neural pathways and create new ones as well. Through this mechanism, Ketamine IV therapy offers new hope to patients suffering from chronic pain, an end to the cycle they have endured for far too long.