From what I've been told of nerve stimulators, and from my own experiences with them, it's unlikely (though possible) that they'll help if nerve blocks do not help or you doctor does not believe that you are experiencing neuralgia. However, as in my case, when there's nothing else to try, it's sometimes worth a shot.
Speaking of doctors, since you said that you go to JHC, do you mind telling me which neurologist that you see. You might have read in an older thread on here that I see Dr. Nahas primarily.
As I said, I don't know very much about
ketamine other than in regard to it's use with RDS/CRPS. I've seen a little research that suggest that it may be able to halt aura symptoms, but I really don't know if it truly transfers over to head pain.
Actually I just did a bit more reading and apparently it is sometimes used in the treatment of migraine, hmm. Okay, the name of the article that I stumbled upon is called "AGGRESSIVE INTERVENTIONAL TREATMENT OF INTRACTABLE HEADACHES IN THE CLINIC SETTING". I don't want to post a private domain journal article online, but if you'd like I'd be happy to email you a copy. It describes the mechanism of IV ketamine treatment as well as many other strong IV drug treatments (about
half of which I've been treated with). For the rest of you and for now, here are a pertinent section:
"Ketamine is an agent that is active against NMDA-type glutamate
receptors that has been shown to decrease migraine attacks when given
subcutaneously. This anesthetic agent has been studied little thus far but
may have theoretic implications for preventing chronic migraines [74–76].
One recent study administered ketamine intranasally to patients who had
migraine with pronounced and disabling aura. Less than 50% had
successful resolution with ketamine . The dose of ketamine was low
in both sets of studies; however, more work needs to be done with this
specific blocker of glutamate receptor subtypes."
Krusz JC - Clin Fam Pract - 2005 Sep; 7(3); 558
DX: NDPH, Recovered CRPS
RX: Lamictal, Abilify, Verapamil, Provigil, Clonazepam, Ambien CR, Rozerem, Emsam, Namenda
PRN: Haloperidol, Zyprexa, Lodine, Zofran, Oxycodone
Post Edited (korbnep) : 11/13/2007 10:26:42 PM (GMT-7)