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Possible relief for adolescents with crps

Nov 12, 2015 4:50 AM

A new study suggests that ketamine may be a safe and effective way to relieve chronic pain in adolescents suffering from a variety of chronic pain conditions including crps, according to a report published by Pain Medicine News.

Nov 12, 2015 8:38 AM

Yeah, I've read some of the studies, and read some good things about ketamine, it just doesn't usually get covered by insurance, so it's expensive for a chance at remission, but some people need treatment every few weeks and...

Anyway, it could be helpful to kids, but also adults. I've asked my pain management and neuro about it, they both seem skeptical.

Nov 12, 2015 4:05 PM

It would be good if it was easier to afford the treatment. 🙏🌼

Nov 12, 2015 6:05 PM

I'm skeptical because ketamine is used for animals. I'm not sure I would trust using it on my child.

Nov 12, 2015 7:53 PM

Mopar, have you seem some of the teens who have recieved ketamine treatment? They've recovered a surprising amount of the time, considering there's no cure for CRPS. It is also used in human surgery, but the big problem is it's expensive.

Nov 12, 2015 8:31 PM

@ferret, Yes it's expensive but it can also cause big time issues with some people(me included) on immergance from general anesthesia. For me, it was just an issue with agitation, but some can be much worse.

Nov 12, 2015 9:34 PM

What's really weird is that Ketamine is an animal tranquilizer and they use it on people. They said it was used in humans before horses and dogs, etc.. Now they are bringing it back to use on people again. I don't know why, but I'm a bit Leary about it. I hope that they DO have success in treating folks with it and they can help to get adolescents out of pain. It's bad enough when you're older but to deal with it when you're young.. Forget it. I'm already 50 and it breaks my heart when I welcome a "newbie" and they're only 13-18. Nobody should have to suffer in pain. With all the money that goes into research you would think it would be on the way to becoming a thing of the past!! Medicine is big business. If they used half of the stuff they've come up with I guess a hell of a lot of doctors and pharmaceutical companies would go out of business. (Not really because there would always be someone new presenting symptoms and they would have to treat them. The whole thing has to change it hurts me to see so many suffering!! Sending {{}Hugs}}} and for all to have a good night's sleep and a peaceful and light pain day on Friday!!💕🙏🏻🌻😊

Nov 13, 2015 2:15 PM

Ketamine was the primary sedation that we used with out critical pediatric patients(newborn cardiac) when I was doing my clinical rotations. I have not experienced any issues with the safety of the drug. Yes, ketamine is used in veterinary medicine but it is also a street drug 'Special K' or tripping down a K-hole. I had a compound cream that had anti-inflammatory and ketamine mixed and it worked very well. I would have no problems with using it on my child if needed. Every drug we use started out being tested on animals before it ever gets to human use. Most are still being used in both areanas, human and animal.

Nov 13, 2015 2:17 PM

I read some where online (not sure if it true just mentioning it) that if some has CRPS and they catch it soon enough, the ketamine could help with it being put into almost full "remission". To the point that flare ups would be less likely.
Ugh if this is true I wish they discovered this when I was 11. But like I said. Idk if it's even true.

Nov 13, 2015 2:36 PM

After my hysterectomy for cervical cancer (they left my ovaries and fallopian tubes due to my age and not wanting me to go through menopause) I ended up back in hospital a few months later to get a fallopian tube removed and they had me on ketamine after that particular surgery. I dont remember a thing that happened in the three days after other than what my partner and kids told me. It wasn't good apparently and I had a bedside vigil of doctors and nurses but from what I thought, the ketamine was used to help increase my blood pressure which was dangerously low. I didnt realise it was a painkiller..... 😕

Nov 13, 2015 2:48 PM

Jenna, there are few boys following kids with CRPS, through treatment, flares, and remission. It doesn't always work, but my dad was like "let's go to Canada, so we can try Ketamine" before he found the mess of meds that help me.

It looks like it could help CRPS, and some adults have experienced remission from it, but one person pointed out that they tried it, and it worked for a few months, but insurance won't pay for it, by itself, unless during a surgery.

I hope it will at some point become an official (as in covered by insurance) treatment for CRPS, it could help some people.

Nov 15, 2015 1:55 PM

This is a good question!
Ketamine has a very unique mode of action targeting a specific receptor (NMDR) and thereby produces strong pain relief. It works well for neuropathic pain like in CRPS (even better than morphine). It also increases the body's own pain-inhibiting ability and improves opioid (e.g. morphine) efficacy. Together they work additively and reduce morphine consumption. Sometimes it's used after operation to prevent opioid-induced hyperalgesia. In our clinic we sometimes use it (intravenous) to wean patients from high doses of opioids. It needs to be
administered intravenously and works only during administration. If it's given as a long term infusion (e.g. 2 weeks) the pain relief can last for several weeks, max 3 months, but then stops. Unfortunately this isn't mention in the Pain Medicine News. Side effects are a problem too and include psychedelic symptoms (hallucinations, memory defects) vomiting, dizziness and many others. So it's not a long term option.
In chronic pain states the treatment strategy is often one of "trial and error" since there is insufficient research data. The same applies for CRPS. Many standard treatments for CRPs have no supporting evidence incl. opioid analgesics, antidepressants and anticonvulsants. Best evidence suggests functional therapies like mirror therapy and graded motor imagery.

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