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How Ketamine Therapy Helps Treat Fibromyalgia

Man with sleep apnea using a CPAP machine

Fibromyalgia is a chronic disorder marked by widespread pain, fatigue, sleep disturbances, and difficulties with memory and focus. It primarily affects women and is thought to be linked to the brain’s way of processing pain signals. In fibromyalgia patients, pain signals are often intensified, causing even gentle touches to be perceived as painful.

Conventional treatments for fibromyalgia, such as pain medication, physical therapy, and counseling, don’t always provide adequate relief. As a result, some medical professionals are turning to ketamine therapy as a new approach to managing symptoms.

In this piece, we’ll explore how ketamine therapy can help manage fibromyalgia-related pain, the method of administration, the safety of the treatment, its potential suitability for different individuals, and tips for finding a reliable ketamine therapy provider in Florida.

How Ketamine Alleviates Pain

Ketamine, a drug originally developed as an anesthetic for surgical procedures, has recently been found to help with pain management in low doses. It’s proven effective even for conditions like fibromyalgia, which are difficult to treat.

Ketamine mainly works by inhibiting the NMDA receptors in the brain. These receptors act like “pain amplifiers,” and in people with fibromyalgia, they are often overstimulated, leading to extreme pain sensitivity. By blocking these receptors, ketamine can help reduce the intensity of pain signals.

Moreover, ketamine also influences other systems in the brain that are linked to mood and pain, making it a potentially beneficial option for individuals who also experience anxiety or depression alongside fibromyalgia.

What Studies Reveal About Ketamine and Fibromyalgia

Several studies have highlighted ketamine’s effectiveness in easing fibromyalgia pain, especially for patients who haven’t had success with conventional treatments. Key research findings include:

Systematic Review by Noppers et al. (2011)

This review of various clinical trials found that ketamine infusions significantly reduced pain in patients with chronic pain disorders, including fibromyalgia. Most participants experienced marked pain relief during and shortly after the treatment, though the benefits were often temporary, lasting only a few hours or days. The findings underscore the need for more research to make pain relief more durable.

Randomized Controlled Trial by Sorensen et al. (2015)

In a double-blind study involving 24 fibromyalgia patients, researchers administered either ketamine or a placebo. The results showed that those who received ketamine had a substantial reduction in pain during and immediately after the infusion. However, similar to the review by Noppers et al., the relief was short-lived, and researchers emphasized the need for strategies to prolong these effects.

Case Report by Maher et al. (2023)

This case report detailed the experience of a 68-year-old woman with severe fibromyalgia who underwent ketamine infusions. Over time, she not only felt less pain but also saw improvements in her overall well-being, reduced reliance on traditional pain medications, and even discontinued antidepressants. While this is an isolated case, it indicates that some patients may experience long-lasting benefits from ketamine therapy, though individual results can vary.
Overall, research suggests ketamine can offer rapid and significant pain relief for fibromyalgia sufferers, but there is a pressing need to explore longer-term treatment options.

How Ketamine Therapy Is Administered

Ketamine for pain management is typically given through an IV in a controlled medical environment. The doses are lower than those used for anesthesia, so patients remain conscious and aware during the session. Each infusion usually lasts about 40 minutes, and medical staff monitor patients closely for any adverse effects.

Since the pain relief from a single session is often short-lived, doctors usually recommend a series of infusions spread over several days or weeks. Booster infusions may be necessary to maintain pain relief.

Is Ketamine Therapy Safe?

Ketamine is generally safe when administered under medical supervision, but side effects such as dizziness, nausea, or dissociation (a feeling of being disconnected from reality) can occur. These side effects typically wear off quickly after the treatment.

While ketamine has the potential for misuse, the risk of addiction is low when it’s used in a controlled, clinical setting. Still, because long-term safety data is limited, doctors usually reserve this treatment for patients who haven’t benefited from traditional therapies.

Could Ketamine Therapy Be Right for You?

If conventional treatments haven’t been effective for your fibromyalgia, ketamine therapy might be worth exploring. It is usually considered a secondary option, and your doctor will assess your health history, current medications, and any psychological conditions before recommending it.

People with a history of substance abuse, certain heart conditions, or those who are pregnant may not be suitable for ketamine therapy. Consulting with a healthcare provider experienced in ketamine treatment is crucial to determine if it’s a safe choice.

How to Choose a Ketamine Therapy Provider

Selecting the right ketamine provider is key to effective treatment. Here’s what to keep in mind:

Qualified Professionals
Make sure your provider is a licensed medical expert, like an anesthesiologist, psychiatrist, or pain specialist, with experience in administering ketamine therapy for chronic pain. Their knowledge of fibromyalgia should be thorough.

Safety Precautions

A reliable clinic will prioritize safety, using continuous monitoring and having emergency protocols in place. This includes tracking your vital signs and having trained staff available to handle emergencies if necessary.

Customized Treatment Plans
Since fibromyalgia symptoms vary, treatment should be tailored to your specific needs. A competent provider will evaluate your medical history, understand your symptoms, and adjust the ketamine dosage and schedule accordingly, with regular assessments and adjustments.

Follow-Up Care
Ketamine therapy often requires ongoing support. A good provider will schedule follow-up appointments to monitor your progress and adjust your treatment as needed. They should also coordinate care with your other healthcare professionals.

Mental Health Support
Given the link between fibromyalgia and conditions like anxiety and depression, it’s beneficial to find a provider who also addresses mental health. Clinics that offer counseling or employ mental health specialists can provide a more comprehensive approach to your well-being.

Clear Costs
Ketamine therapy can be costly, and insurance coverage is not always guaranteed. A transparent provider will explain the costs, the number of sessions needed, and payment options. They should also assist with insurance reimbursement if possible.

Patient Feedback
Look for reviews from other patients or ask for referrals to get a sense of the clinic’s reputation. Positive feedback can give you confidence in the clinic’s ability to provide quality care and support throughout the treatment process.
Doing your research and choosing a well-qualified ketamine therapy provider can greatly influence the effectiveness of your fibromyalgia treatment.
Dr. Megan Barnett at Physicians Ketamine Institute of Destin has been providing ketamine therapy for chronic pain since 2021. If you suffer from fibromyalgia and are looking for relief, check out Dr. Barnett’s approach to treating chronic pain here and reach out to schedule a free consultation.

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