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Ketamine

Ketamine for Pain: A New Hope for Complex Regional Pain Syndrome

Ketamine for Pain: Transforming Lives with CRPS Relief

Complex Regional Pain Syndrome (CRPS) is a chronic and debilitating condition that affects millions of individuals worldwide. Characterized by severe, persistent pain and a range of other symptoms, CRPS often leaves patients struggling to maintain their quality of life. For those who have exhausted traditional treatment options, ketamine therapy offers new hope. This cutting-edge approach has shown promising results in managing CRPS symptoms and providing relief where other treatments have failed. If you or a loved one is navigating the challenges of CRPS, it may be time to explore ketamine for pain.

What Is Complex Regional Pain Syndrome?

CRPS, or Complex Regional Pain Syndrome, is a mysterious and deeply distressing condition that often develops after an injury, surgery, stroke, or heart attack. While the physical wounds may heal, the pain lingers, defying explanation and growing more severe, sometimes to unbearable levels. For those living with CRPS, every day can feel like a battle against an invisible foe, as the relentless pain infiltrates not just the body but the spirit. This condition robs its sufferers of the sense of relief and recovery they desperately seek, leaving them feeling isolated and misunderstood.

Understanding the Two Types of CRPS: A Closer Look at the Syndrome's Variations

CRPS Type 1

CRPS Type 1 occurs without a confirmed nerve injury, making its onset even more puzzling and difficult to diagnose. This type often develops after a minor trauma, such as a sprain or fracture, and manifests as persistent, intense pain that seems disproportionate to the original injury. Despite the absence of visible nerve damage, individuals with CRPS Type 1 experience debilitating symptoms, including swelling, changes in skin color or temperature, and an extreme sensitivity to touch that can make even light contact unbearable.

CRPS Type 2

By contrast, CRPS Type 2 involves a distinct and identifiable nerve injury, making its cause more apparent but no less devastating. This type typically follows a specific trauma, such as a surgical incision or direct nerve damage, and is characterized by intense, burning pain that radiates along the affected nerve's pathway. The symptoms of CRPS Type 2 can be similar to those of Type 1, including swelling and temperature changes, but the clear link to nerve injury can provide more direction for targeted treatments, even as the condition remains challenging to manage.

Recognizing the Symptoms of CRPS: What to Look For

The symptoms of CRPS can be as complex and varied as the condition itself, often making diagnosis a challenging process. While pain is the hallmark feature, it is far from the only symptom individuals experience. 

Symptoms of CRPS often include:

  • Intense, burning pain
  • Swelling and inflammation
  • Changes in skin temperature and color
  • Abnormal sweating
  • Limited range of motion

While the exact cause of CRPS remains unclear, researchers believe it involves a malfunction in the central nervous system and peripheral nervous system, particularly in how the body processes pain signals. 

CRPS can affect nearly every aspect of a person’s physical and emotional well-being. Recognizing these symptoms early is crucial for managing the condition and preventing further complications, as untreated CRPS can lead to long-term disability and a significantly diminished quality of life.

Traditional Treatment Options for CRPS

Managing CRPS is a complex and often emotional journey that requires a multidisciplinary approach, blending physical therapy, medications, and psychological support. For many, it’s not just about addressing the physical pain but also coping with the emotional toll of living with a condition that feels relentless and isolating. 

Common treatments aim to restore mobility, ease the intense pain, and help patients reclaim a sense of control over their lives, offering hope amidst the challenges.

  • Physical Therapy: Exercises to improve mobility and reduce stiffness
  • Medications: Over-the-counter pain relievers, nerve pain medications, and corticosteroids
  • Nerve Blocks: Injections to interrupt pain signals
  • Psychological Therapy: Counseling to address the emotional impact of chronic pain

Unfortunately, these treatments don’t work for everyone. Many patients continue to experience debilitating symptoms despite their best efforts. This is where ketamine therapy can make a difference.

Understanding Ketamine for Pain

Ketamine, originally developed as an anesthetic, has gained recognition for its ability to manage chronic pain conditions like CRPS. Its unique mechanism of action targets the NMDA receptors in the brain, which play a crucial role in pain perception. By blocking these receptors, ketamine can "reset" the nervous system and provide significant relief.

How Ketamine Therapy Works

Ketamine therapy typically involves a series of intravenous (IV) infusions administered in a controlled clinical setting. The treatment is closely monitored by medical professionals to ensure safety and effectiveness. Many CRPS patients report a reduction in pain levels after just a few sessions, with lasting benefits that can improve their overall quality of life.

Benefits of Ketamine for Pain Relief

  • Rapid Onset: Unlike traditional pain medications, which may take weeks to show results, ketamine often provides relief within hours.
  • Improved Mobility: Reduced pain allows patients to engage in physical therapy and regain lost functionality.
  • Mood Enhancement: Ketamine’s antidepressant effects can help alleviate the emotional burden of living with chronic pain.
  • Minimal Side Effects: When administered by trained professionals like our team at Transcend, ketamine therapy is generally well-tolerated.

Why Choose Ketamine Therapy in Austin and San Antonio?

If you’re considering ketamine for pain, Transcend Health Solutions offers two of the leading clinics in San Antonio and Austin specializing in this innovative treatment. Here are a few reasons why patients are turning to ketamine for pain at Transcend:

  1. Experienced Providers: Transcend’s team of medical professionals is well-versed in administering ketamine infusions for CRPS and other chronic pain conditions. 
  2. Comprehensive Care: Transcend’s clinics in Austin and San Antonio take a holistic approach, addressing both the physical and emotional aspects of CRPS.
  3. Convenient Access: With two local facilities, finding ketamine therapy in our area has never been easier.

What to Expect During Ketamine Therapy

The process of undergoing ketamine therapy at Transcend is straightforward and designed to ensure patient comfort. Here’s what you can expect:

  1. Initial Consultation: Your team of providers at Transcend will assess your medical history and determine if ketamine therapy is right for you.
  2. Treatment Plan: A customized plan will be developed, outlining the number of sessions and infusion dosage.
  3. Infusion Sessions: Each session lasts about 40-60 minutes. You’ll be monitored throughout the process to ensure safety.
  4. Post-Treatment Care: Follow-up appointments will help track your progress and make any necessary adjustments.

The Science Behind Ketamine’s Effectiveness

Research continues to shed light on why ketamine is so effective for CRPS. Studies suggest that ketamine’s ability to block NMDA receptors not only reduces pain but also helps "reboot" the brain’s pain pathways. This unique mechanism sets it apart from traditional treatments and makes it particularly effective for conditions like CRPS, where the nervous system plays a central role.

Supporting Evidence

While most still consider IV ketamine for pain to be an innovative option, much clinical research has gone into the safety and effectiveness of this treatment. A few samples of these clinical trials include:

  • In 2018, the journal Regional Anesthesia and Pain Medicine published the results of a number of studies which led to guidelines for 
  • In a 2021 a survey was completed of clinical trials where ketamine infusion, in which it was discovered that the majority of patients who received this treatment experienced relief of their CRPS symptoms 
  • Another study published in 2025 affirmed the effectiveness of IV ketamine for pain in the treatment of CPRS, including the low incidence and general mildness of this treatment’s side effects. 

Addressing Common Concerns About Ketamine Therapy

Trying a new treatment can feel overwhelming, especially when you're already struggling with pain or mental health challenges. It's natural to have questions or concerns about whether it will work, what to expect, or how it might affect you. To help ease these worries, here are some of the most common concerns patients share and how ketamine therapy provides answers and hope.

Is Ketamine Safe?

When administered by trained professionals, ketamine therapy is considered safe. Side effects are typically mild and short-lived, such as nausea or dizziness.

What does ketamine therapy feel like?

While every patient’s experience is unique, you can read more about what to expect at this article

Will I Need Ongoing Treatments?

The frequency of ketamine infusions varies depending on individual needs. Some patients require periodic maintenance sessions to sustain their results.

How Much Does Ketamine Therapy Cost?

Costs can vary based on the clinic and the number of sessions required. At Transcend, we are transparent about our pricing and offer a sliding scale. Read more about Transcend’s pricing structure here.

Next Steps: Exploring Ketamine Therapy in Austin and San Antonio

If you’re ready to take the next step in managing your CRPS, start by scheduling a consultation with our teams at our offices in San Antonio and Austin. We can answer your questions, address your concerns, and help you determine if ketamine for pain is the right choice for you.

Reclaim Your Life from CRPS with Ketamine Therapy

Complex Regional Pain Syndrome is a challenging condition, but it doesn’t have to define your life. Ketamine therapy offers a new avenue for relief, providing hope for those who have struggled with chronic pain for too long. With experienced providers and state-of-the-art facilities, ketamine therapy at Transcend is making a difference for CRPS patients every day. Don’t let pain hold you back—explore ketamine therapy and take the first step toward reclaiming your life.

References

Allen, C. A., & Ivester, J. R. (2017). Ketamine for pain management—side effects & potential adverse events. Pain Management Nursing, 18(6), 372-377. https://doi.org/10.10s16/j.pmn.2017.05.006

Chitneni, A., Patil, A., Dalal, S., Ghorayeb, J. H., Pham, Y. N., & Grigoropoulos, G. (2021). Use of ketamine infusions for treatment of complex regional pain syndrome: A systematic review. Cureus, 13(10), e18910. https://doi.org/10.7759/cureus.18910  

Cohen, S. P., Bhatia, A., Buvanendran, A., Schwenk, E. S., Wasan, A. D., Hurley, R. W., Viscusi, E. R., Narouze, S., Davis, F. N., Ritchie, E. C., Lubenow, T. R., & Hooten, W. M. (2018). Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists. Regional Anesthesia and Pain Medicine, 43(5), 521–546. https://doi.org/10.1097/AAP.0000000000000808

Janig, W., & Baron, R. (2003). Complex regional pain syndrome: Mystery explained? The Lancet, 2(11), 687-697.

Kaye, A.D., Tynes, B.E., Johnson, C.D., Strong, B. C., Abbott, B. M., Vučenović, J., Viswanath, O., Fox, C. J., Ahmadzadeh, S., Amarasinghe, S. N., Kataria, S., Shekoohi, S. (2025). Ketamine infusion for complex regional pain syndrome treatment: A narrative review. Neuropathic Pain, 29(26). https://doi.org/10.1007/s11916-025-01360-9 

Lii, T. R., & Singh, V. (2023). Ketamine for Complex Regional Pain Syndrome: A Narrative Review Highlighting Dosing Practices and Treatment Response. Anesthesiology Clinics, 41(2), 357–369. https://doi.org/10.1016/j.anclin.2023.03.005 

Niesters, M., Martini, C., & Dahan, A. (2014). Ketamine for chronic pain: Risks and benefits. British Journal of Clinical Pharmacology, 77(2), 357-367. https://doi.org/10.1111/bcp.12094 

Wu, H., Savalia, N. K., & Kwan, A. C. (2021). Ketamine for a boost of neural plasticity: How, but also when? Biological Psychiatry, 89(11), 1030-1032. https://doi.org/10.1016/j.biopsych.2021.03.014

Ketamine for Pain: A New Hope for Complex Regional Pain Syndrome
February 22, 2025
Will Ratliff
Director of Operations