The steroid medication begins to take effect in one to two days at which point you should start to see some benefit. The steroid effect continues to increase with the peak effect occurs at about two weeks. Thereafter, the effect will stabilize and should last several weeks to months. Typically, the pain relief experienced from this procedure lasts 3-6 months, but there is significant variability from patient to patient and from one procedure to another. If and when the pain starts to return, this procedure can be repeated to try and attain some pain relief once again. Keep in mind that this injection may work very well for pain certain areas but may not help with others. This is normal. Areas of pain that do not respond may need other treatments, which you can discuss with your doctor.
Ketamine infusion therapy, while rarely performed, can be very effective in treating neuropathic pain which is resistant to other treatments. It is most commonly used for pain from RSD or CRPS (chronic regional pain syndrome). It is also used in fibromyalgia, phantom limb pain, and postherpetic neuralgia. In part, Ketamine infusion works on receptors in the central nervous system to reduce sensitivity to pain. Francis Corrigan, . has the experience to confidently provide this advanced pain management technique for the rare patient who does not respond to other treatments. Dr. Corrigan is currently the only Pain Management doctor providing this treatment in the Raleigh, Durham and Cary marketplace. He has successfully treated patients in Pinehurst for several years with this advanced treatment option.