A Partner For Complex Pain
For patients with persistent, function-limiting pain despite standard treatment, Vitalitas offers physician-led ketamine therapy and collaboration with the referring provider.
book a Provider-to-provider call to see if ketamine is right for your patient.
Condition-Specific Information
-
Complex regional pain syndrome (CRPS) is a nerve-related pain condition that can become severe, persistent, and difficult to manage with standard treatment. Vitalitas typically evaluates CRPS after patients have tried conservative treatment, such as medication, physical therapy, nerve blocks, or pain management care, and are still living with pain that affects their quality of life. Care is individualized, often beginning with a series of longer infusions, with dose, timing, and follow-up guided by pain response, tolerance, breakthrough symptoms, and clinical judgment.
-
Neuropathic pain is nerve-related pain that can remain disruptive even after medication, physical therapy, injections, or other conservative treatments. Vitalitas approaches neuropathic pain in a similar protocol family as CRPS, with individualized care based on the patient’s condition, age, comorbidities, symptom pattern, and ability to tolerate treatment. Care often begins with a series of longer infusions, with follow-up and maintenance guided by pain response, breakthrough symptoms, tolerance, and clinical judgment.
-
Migraine and chronic headache disorders can continue to disrupt daily life even after standard treatment has not helped enough. Vitalitas evaluates migraine-related pain based on symptom severity, frequency, prior treatment, and overall clinical context. Care is individualized, often beginning with a shorter initial infusion series than some other pain protocols, with follow-up guided by response, symptom recurrence, tolerance, and clinical judgment.
Clinical Readiness
A referral is most useful when a patient has a clear pain condition, persistent symptoms despite conservative care, and enough stability to participate in screening and follow-up.
If the patient has acute medical instability or needs urgent emergency care, stabilization should come first. Referral can be reconsidered once appropriate.
Patient Expectations
Ketamine therapy is not a standalone cure. It is a medically supervised treatment that may reduce pain intensity, improve function, and support better quality of life.
Response varies by patient. Some people have significant relief, while others have more modest improvement. Treatment planning is individualized through screening.
Referral PROCESS
Refer
01
Send a referral via fax, email, or phone or schedule a 1:1 with Dr. Langston to discuss a case.
Evaluate
02
Our team conducts a thorough consult to determine appropriateness.
Treat
03
Infusions are delivered at our clinic, with ongoing safety monitoring.
Report
04
We provide updates and remain available for collaboration throughout the process.
Records And Context We Look For
Pain History Summary
The pain presentation, duration, distribution, suspected mechanisms when known, and functional impact, plus what has already been tried and with what result.
Medication and Risk Context
Current medications, allergies, and relevant medical history that affects outpatient infusion safety, including cardiovascular history and substance use history when applicable.
PRIOR WORKUP and Care Team Notes
Relevant imaging or diagnostic summaries when available, prior specialist notes, and contact information for the treating provider or coordinator supporting shared care.
Clinician FAQs
-
Referral may be appropriate for patients with chronic pain syndromes such as CRPS, neuropathic pain, migraine, and other persistent pain conditions when standard treatment has not provided enough relief or function remains significantly limited.
-
A brief clinical summary is usually enough to begin. Helpful information includes the pain history, working diagnosis, symptom pattern, functional impact, current medications, relevant medical risks, and prior treatments or workup if available.
-
Safety starts before treatment. We review the patient’s medical history, mental health history, current medications, risk factors, and overall clinical context to determine whether ketamine is appropriate and whether outpatient care is a safe fit.
During treatment, each infusion is supervised by an anesthesiology-trained physician and supported by trained clinical staff. We monitor heart rate, blood pressure, and oxygen saturation throughout the infusion, and we have oxygen, anti-nausea medication, emergency medications, and appropriate safety equipment available if needed.
After the infusion, patients are monitored before release and must have a responsible adult drive them home. Dosing and treatment plans are individualized based on the patient’s condition, response, tolerance, vital signs, and clinical judgment.
-
Vitalitas is designed to support the patient’s existing care plan, not replace it. With patient authorization, we coordinate with the referring pain provider, primary care provider, or other treating clinician involved in the patient’s care.
Providers can refer by phone, email, or fax, and we are happy to speak directly when questions come up. After the initial pain treatment series, we send a follow-up letter with the treatment course, dose information, response to care, and expected next steps. For ongoing patients, we also send yearly updates with how the patient is doing, their current dose, and how often they are returning for treatment.
-
For more detail, review our research and resources section, chronic pain treatment information, and patient experience resources for additional context on how Vitalitas approaches care.
Deeper Clinical Detail
Research and Evidence
Evidence summaries and clinical context for clinicians who want citations and depth.
Ketamine Therapy Overview
An accessible, science-forward overview of how ketamine therapy works that you can share with patients who want context.
patient experience OVERview
Patients can learn what the process looks like, how scheduling works, and what to plan for at their first visit.
Complex Symptoms. Clear Next Steps.
Start a referral, and our team will review next steps, screening needs, timing, and provider coordination.