Interstitial Cystitis

Interstitial Cystitis Pain Management Specialist, Tampa

What is Interstitial Cystitis (IC)?

Also know as Bladder Pain Syndrome, IC is characterized by chronic pelvic, perineal, or bladder pain in addition to lower urinary tract symptoms.

What treatments are available for IC?

According to the American Urological Association (AUA) guidelines, pain management remains an important aspect in better managing IC symptoms >> Link

When to seek help from pain management specialist?

AUA guidelines recommend seeing a pain management specialist as soon as a diagnosis of IC is made and continue pain therapy along side other interventions recommended by urologists/gynecologists/uro-gynecologists.

How is IC pain managed?

Like most pelvic pain, conservative measures like pelvic physical therapy, oral medications, hydrodistension are used prior to or in conjunction with pudendal nerve blocks and | or superior hypogastric plexus blocks.

Why chose Dr. Kalava?

Dr. Kalava pioneered the use of pudendal nerve blocks and | or superior hypogastric plexus blocks, which can significantly improve IC symptoms. These nerve blocks can potentially avoid more invasive nerve stimulation and major surgery in majority of patients.

Recent scientific articles published by Dr. Kalava:

Images: Pudendal Nerve & Superior Hypogastric Plexus

Want to learn more about better symptom management of your IC? Schedule a consultation with Dr. Kalava

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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.