Pelvic Pain Management Specialist in Tampa, FL
In females, pelvic pain can arise from the urinary bladder, uterus, ovary, or genitalia. In males, pelvic pain can arise from the prostate or genitalia. It can also be due to pudendal nerve irritation (pudendal neuralgia) or from the bony pelvis following trauma or surgery. Patients who typically come to our clinic have seen urologists, gynecologists, oncologists, or colo-rectal surgeons and had any structural abnormality ruled out. Having ruled this out, the nerves that sense the pelvic organs need to be assessed as the cause of pain. Dr. Kalava can perform ultrasound-guided nerve blocks to manage pelvic pain and completely avoid opioids.
Conditions that can cause pelvic pain, which we will be able to help are:
Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis.
The pudendal nerve supplies areas including the:
Pudendal neuralgia can be very uncomfortable and distressing, but we can help.
Pudendal neuralgia can happen if the pudendal nerve is damaged, irritated or trapped.
Possible causes include:
In some cases, a specific cause is not found.
Not only does Dr. Kalava treat complex pelvic pain, he also teaches and publishes on pelvic pain management.
Recent international scientific articles:
Images of Pudendal Nerve Block and Pudendal Nerve Cryoneurolysis (freezing)
Schedule an appointment with Dr. Kalava to get back to doing the activities you enjoy
Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis.
The pudendal nerve supplies areas including the:
Pudendal neuralgia can be very uncomfortable and distressing, but we can help.
Pudendal neuralgia can happen if the pudendal nerve is damaged, irritated or trapped.
Possible causes include:
In some cases, a specific cause is not found.
Steps in Diagnosing & Managing your Pelvic Pain:
Not only does Dr. Kalava treat complex pelvic pain, he also teaches and publishes on pelvic pain management.
Recent international scientific articles:
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.
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.
