Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome Pain Management Specialist in Tampa, FL

What is Complex Regional Pain Syndrome (CRPS)?

CRPS is a chronic pain condition (extending past six months) that most often affects the limbs (arms, legs, feet, or hands). CRPS has typically developed in patients after an injury, a surgery, or a stroke. Living with a chronic, painful condition like CRPS can be challenging. The healing process starts with talking with your doctor about ways to improve your quality of life. Treatment is most effective when started early.

What are the two types?

  • Type 1: Reflex Sympathetic Dystrophy Syndrome (individuals without confirmed nerve injury)
  • Type 2: Causalgia (individuals with confirmed nerve injury)

What are some symptoms?

  • continuous burning or throbbing pain
  • sensitivity to touch or cold
  • joint stiffness, swelling and damage
  • decreased ability to move the affected body part
  • abnormal sweating pattern in affected area

Steps in Diagnosing & Managing your CRPS:

  • Clinical Examination
  • Diagnostic Nerve Block (Ultrasound-Guided): To identify the nerve involved

What treatments are available?

What unique treatments with superior results are offered by Dr. Kalava?

Dr. Kalava’s training at Mayo Clinic, allows him to offer peripheral nerve catheters & peripheral nerve stimulators to facilitate aggressive physical therapy sessions. These peripheral interventions potentially avoid placement of DRG spine stimulators or intrathecal pumps.

Evidence strongly suggests use of peripheral nerve catheters: Evidence 1, Evidence 2, Evidence 3

Peripheral Nerve Catheters & Peripheral Nerve Stimulators Used for Our Patients

CRPS Patient Outcome

Right Stellate Ganglion Block

Complex Regional Pain Syndrome

Contact Us  Accepted Insurances  Professional Fees

Frequently Asked Questions

Ketamine is an anesthetic medication. It is a schedule 3 dissociative anesthetic, which has shown promising antidepressant effects that are both rapid and robust. It has been safely used for years as the ideal anesthetic in hospital and medical settings. When used under medical supervision, studies have shown ketamine infusions to have significant effects in healing treatment-resistant depression. It is on the World Health Organization’s List of Essential Medicines because of its safety and efficacy for anesthesia.

More recently, ketamine has been discovered as a safe and effective treatment for depression, and randomized controlled trials have shown rapid improvement in mood as well as reduction in suicidality compared to people who receive a placebo or another drug. Ketamine has the ability to go to work right away, unlike most antidepressants, which take weeks, sometimes months, to provide relief.

Ketamine infusion therapy is an IV procedure performed in-office by Dr. Kalava. Dr. Kalava & his associates will monitor your response and level of consciousness throughout the infusion.

Please contact our office to discuss Ketamine Infusion Therapy, and see if it is right for you.

The most important factors when choosing a ketamine provider are the doctor’s experience and commitment to providing safe, compassionate care. Dr. Kalava is the nation’s leading practitioner of ketamine infusion therapy and is a recognized expert in the field of anesthesiology.

[Scientific articles on Ketamine published by Dr. Kalava: Article 1 & Article 2 ]

Every patient is unique and deserves special care. Whether determining dose, infusion duration, the number of initial infusions, or the interval between return visits, we make individual assessments and structure ketamine treatments to match each patient’s response and unique needs.

Low dose ketamine is administered by Dr. Kalava, who is a Double Board Certified, Mayo Clinic fellowship trained Anesthesiologist. Ketamine, as we know, is an anesthetic and is best administered under the constant vigilance of a qualified anesthesiologist.

Depending on the medical condition being treated, IV ketamine can be administered over 1 minute, 40 minutes, one hour, or 4 hours. The actual type of treatment will be discussed with you during your initial consultation. The number of infusions and duration of ketamine therapy varies and is individualized. An average of 6-8 treatments are required for a good clinical response.

There are a handful of studies since 2014 that show promising results in managing symptoms from PTSD after ketamine infusion. (Study 1) (Study 2)(Study 3).

Mild psychotomimetic (confusion, hallucinations) effects, increase in heart rate, blood pressure, mild headache, and nausea are possible in some patients and are usually well tolerated.