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Pain management technique


The Answers You Need

What is your COVID-19 procedure?

Due to COVID-19, we have altered our clinic operations for your safety. We are carefully screening all patients via phone prior to appointments in our clinic.

In accordance to local guidelines, we are now seeing patients for in-person clinic appointments.

Drivers and chaperones are kindly requested to remain in the car. 

Please continue to social distance at home and at the practice. Please wear a face covering to your appointment when you arrive.

Are your services covered by my insurance?

Great question! Pain and Wellness Solutions is pleased to accept health plans from most major insurance providers, giving us the ability to provide care for most patients who walk through the door. Please feel free to call us anytime to see whether we accept your particular plan and an explanation of benefits.

When's the soonest I can be seen?

We currently offer same week appointments! Call today to set up an appointment and we will find a time that works best for you. Also note, we are pleased to confirm there is no additional facility fee at Pain and Wellness Solutions. We look forward to meeting you!

What different ketamine services do you provide?

Pain and Wellness Solutions of the Carolinas offers ketamine infusions as well as intranasal esketamine, Spravato. 

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What are the side effects of ketamine?

The most common side effects of ketamine include dissociative psychiatric symptoms, confusion, inebriation, anxiety, dizziness, headache, euphoria, elevated blood pressure and heart rate, and increased libido. Chronic ketamine use can also have deleterious effects on liver and urinary tract function.  Please refer to our patient informed consent for an extensive listing of possible side effects.

You will be closely monitored throughout the process. Most side effects dissipate soon after the infusion is complete and do not require any treatment.

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When will I begin noticing results?

Most patients report significant improvement by the 3rd infusion and more than 80% report remission at the 4th infusion. In addition, there are some patients that initially become aware of improvement in mood and well-being through loved ones such as a spouse, and this can occur after only one infusion.


Some patients want further gains before moving into maintenance and will continue to receive infusions at a frequency of two infusions per week until they reach remission or improvement levels they deem satisfactory. Typically this is achieved by the 6th infusion.


Once patients complete this loading dose protocol they begin the maintenance phase of treatment which is highly patient-specific. As a general rule, patients can expect to return for maintenance infusions about every 4 weeks for the first 12 months following treatment onset.

What can ketamine be used to treat?

Ketamine can be used to treat a variety of conditions including depression, anxiety, PTSD, OCD, migraine headaches, complex regional pain syndrome, and fibromyalgia and chronic pain.

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