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Chronic pain treatment · Salem, Oregon

Ketamine infusions for chronic nerve pain

When nerve pain hasn't responded to other treatments, a ketamine infusion protocol offers a non-opioid option. It is especially suited to neuropathic pain, CRPS and fibromyalgia.

  • 5.0 from 48 Google reviews
  • No referral needed
Woman stretching comfortably in a sunlit room overlooking evergreens

How ketamine helps pain

Calming an overactive pain system

With some chronic pain conditions, the nervous system itself becomes overly sensitive. Pain signals keep firing long after an injury has healed, or with no clear injury at all. This is called neuropathic or centralized pain, and it often doesn't respond well to standard pain medications.

Ketamine blocks NMDA receptors, which play a key role in this kind of pain sensitization. A series of infusions can help calm the nervous system and reduce pain for some patients. Ketamine is used off-label for chronic pain. We treat pain with IV infusions only. Oral ketamine is not used for pain.

Pain protocols are longer than the protocols we use for depression. Lasting relief usually takes several infusions given close together, so we plan the whole protocol with you before you start.

Often a good fit for

  • Complex regional pain syndrome (CRPS)
  • Fibromyalgia
  • Peripheral or diabetic neuropathy
  • Nerve pain after shingles (post-herpetic neuralgia)
  • Nerve pain after an injury or surgery
Reclining infusion chair in a calm, private treatment room

Getting started

What to expect

  1. Book a consultation

    Schedule online or call us. Consultations are $75 and may be covered by insurance.

  2. Careful evaluation

    Your provider reviews your symptoms, history and medications.

  3. Your plan

    We recommend the treatment that fits you, and explain costs and financing up front.

  4. Ongoing support

    We track your progress and adjust your plan as you improve.

Patient stories

Care that patients trust

"He listened to my experiences, explained everything well, answered my questions, and let me know how treatment would go and what to expect. Very comfortable, safe space."

Alicia P.Google review

"Dr. Fillmore spent the time to talk with us about the procedure, what it would be like and continued throughout the meeting to ask if we had further questions."

Kathleen W.Google review

"This therapy has been life changing in itself, and made all the more meaningful by the professionalism, kindness and down to earth manner of Dr. Fillmore."

Laurie P.Google review
Read all 48 reviews on Google

Questions

Chronic pain FAQs

What types of chronic pain does ketamine treat best?

Ketamine works best for neuropathic and centralized pain, such as CRPS, fibromyalgia and nerve pain from neuropathy, shingles or an old injury. Your provider will tell you honestly whether your type of pain is a good fit.

How many infusions will I need?

Pain protocols are longer than depression protocols, and lasting relief usually takes several infusions in a row. Your provider recommends a protocol at your consultation, based on your condition.

Do you prescribe opioids or manage pain medications?

No. Chronic pain care at Onward is ketamine treatment only. We don't prescribe or manage opioid or other pain medications, so your current provider continues to manage those.

How much does ketamine for pain cost?

Pain protocols are priced individually, based on your condition and how many infusions you need. We go over your cost at your consultation, which is $75 and may be covered by insurance. Financing is available.

Can I use oral ketamine for pain?

No. We treat chronic pain with monitored IV infusions only. Oral ketamine is not used for pain.

Can I drive home after an infusion?

No. You must have someone drive you home after every ketamine infusion.

Find out if ketamine can help your pain

Book a $75 consultation at our Salem clinic. No referral needed.