Excited to announce the launch of SPRAVATO®..... Click Here to Learn More →
Phantom limb pain (PLP) is a distressing and complex condition that affects many individuals following an amputation. Despite the physical absence of a limb, patients may continue to feel intense sensations—described as burning, throbbing, stabbing, or even electric shocks—where the limb used to be. These experiences are not imagined; they are very real, originating from the brain and spinal cord, not from the site of amputation.
The mechanisms behind phantom limb pain are deeply embedded in neuroplastic changes that occur in the nervous system after limb loss. The brain’s pain processing centers adapt to the absence of sensory input from the amputated limb by reorganizing neural networks—often in maladaptive ways. These changes can result in the brain misinterpreting signals and generating pain where none should exist. Conventional treatments such as opioids, mirror therapy, anticonvulsants, or nerve blocks often yield only partial or inconsistent results.
At Tennessee Ketamine & Wellness Center in Franklin, TN, we offer a cutting-edge alternative for those battling phantom limb pain: intravenous ketamine therapy. Unlike medications that merely suppress symptoms, ketamine addresses the dysfunctional neural activity responsible for chronic pain. By modulating the brain’s pain response, ketamine offers a powerful and potentially lasting form of relief for individuals living with PLP.
When a limb is amputated, the nervous system undergoes structural and functional shifts as it attempts to adjust to the absence of normal input. Unfortunately, this reorganization often results in the continuation—or even amplification—of pain signals originating from nerves that are no longer connected to physical tissue. This neurological mismatch is one of the primary drivers behind persistent phantom limb pain.
Ketamine plays a crucial role in correcting this imbalance. It acts as an NMDA (N-methyl-D-aspartate) receptor antagonist, which means it blocks the activity of these receptors that are known to mediate pain sensitization and memory. By inhibiting glutamate, a neurotransmitter heavily involved in transmitting and amplifying pain, ketamine interrupts the abnormal signaling that causes the brain to interpret phantom sensations as pain.
Patients receiving ketamine infusions for PLP at our Franklin clinic often report a marked decrease in symptoms—particularly burning, cramping, and electric-like pain—after just a few sessions. Many also find improvements in sleep quality, mobility, and emotional well-being, as well as reduced reliance on other pain medications, including opioids. By directly targeting the neurological origin of phantom limb pain, ketamine offers a holistic and more effective approach to long-term relief.
Traditional pain medications, especially opioids, often fail to provide meaningful relief for PLP and carry the risk of dependence. Ketamine, on the other hand, offers a non-addictive treatment that works by altering the central pain pathways, not simply masking symptoms.
One of the most compelling benefits of ketamine is its rapid onset of action. Many patients begin to notice pain relief within just one to three infusions, providing much-needed hope and immediate improvement in daily functioning.
Ketamine doesn’t just treat pain in the moment—it helps facilitate long-term reorganization of the brain’s pain circuits. This neuroplasticity supports durable symptom relief, which may last weeks or months after a course of treatment is completed.
At Tennessee Ketamine & Wellness Center, we understand that every patient’s pain story is unique. Our team develops personalized infusion plans based on your amputation history, symptom profile, and overall health status. Dosing and frequency are adjusted to optimize safety and effectiveness.
Infusions are delivered in peaceful, private treatment rooms designed to promote healing and relaxation. Throughout each session, our experienced medical staff closely monitors your vitals, comfort level, and response to treatment, ensuring a secure and positive therapeutic experience.
Living with phantom limb pain can take a toll on every part of your life—from sleep and mood to your ability to work, move, and enjoy time with loved ones. If you’ve exhausted traditional pain management strategies without lasting success, ketamine therapy may offer the relief you’ve been searching for.
At Tennessee Ketamine & Wellness Center in Franklin, TN, we’re committed to providing compassionate, evidence-based care for individuals struggling with chronic post-amputation pain. Our goal is to help you move forward—not just by easing discomfort, but by restoring a sense of control and confidence in your body and mind.
Contact us today to schedule your consultation and learn more about how IV ketamine therapy can be part of your path to healing. Relief from phantom limb pain is possible, and we’re here to help you find it.
Conditions Treated
1909 Mallory Lane, Suite 300, Franklin, TN 37067
[vc_row height=”small”][vc_column][vc_row_inner][vc_column_inner width=”1/2″][vc_column_text]
RN & Clinical Manager
Trina Haag is a highly experienced and compassionate Registered Nurse with over 15 years of expertise in patient care and advocacy. Her diverse background includes roles as a Medical Assistant, Phlebotomist, and Registered Nurse specializing in ICU and perioperative care. In addition to her clinical skills, Trina has successfully managed medical offices, where she excelled in delivering exceptional customer service and personalized patient care.
Trina’s commitment to patient advocacy is evident through her involvement with the National Patient Advocacy Foundation, where she passionately supports patient rights and quality healthcare. Her dedication to individualized care ensures that every patient at TNKWC receives the highest level of compassionate and personalized treatment.
Outside of her professional life, Trina values time spent with her family, including her loving husband, her daughter who brings joy to her days, and their loyal furry friend.[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/2″][us_image image=”568″ style=”shadow-2″][us_separator][us_btn label=”Schedule A Consultation” link=”url:%2Fcontact%2F|title:Contact” width_type=”1″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]
[vc_row height=”small”][vc_column][vc_row_inner][vc_column_inner width=”1/2″][vc_column_text]
Dr. Rachel Rome is a board-certified anesthesiologist and interventional pain specialist with a deep expertise in regenerative medicine and palliative care. Her commitment to individualized patient care, innovative treatment approaches, and her prioritization of utilizing a holistic approach has made her a respected figure in the medical community.[/vc_column_text][vc_column_text]Witnessing the transformative impact of ketamine on patients suffering from depression and chronic pain, Dr. Rome pursued advanced training in ketamine administration. In November 2021, she founded Mindful Infusions of TN, a concierge ketamine and wellness clinic, where she served as Medical Director. In addition, she has had the privilege of serving the local community at several clinics including David Price Regenerative Medical Center, LifeLinc Pain, and Empatia Palliative Care.
Dr. Rome earned her undergraduate degree in biology from Christian Brothers University and her medical degree from the University of Tennessee College of Medicine in Memphis. She completed her residency in anesthesiology and a fellowship in pain management at the University of Virginia in Charlottesville. She is an active member of the American Society of Anesthesiologists and the American Society of Interventional Pain Physicians.[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/2″][us_image image=”599″ style=”shadow-2″][us_separator][us_btn label=”Schedule A Consultation” link=”url:%2Fcontact%2F|title:Contact” width_type=”1″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]
[vc_row height=”small”][vc_column][vc_row_inner][vc_column_inner width=”1/2″][vc_column_text]
Dr. Malchow served as an anesthesiologist for 25 years in the armed forces before retiring as a colonel in 2008. He then became an associate professor at Vanderbilt University Medical Center in Nashville, where he was the first Vanderbilt physician to offer intensive ketamine infusion therapy in 2014. In 2015, he established one of the few ketamine infusion centers (KIC) in the Veteran Health Administration and the only KIC in the U.S. specifically targeting opioid cessation/reduction.
He is an acknowledged U.S. expert on ketamine administration, having presented his extensive experience with ketamine in the veteran population at the American Society of Ketamine Physicians in 2018 and has given multiple lectures regarding the use of ketamine to national audiences in 2021. Dr. Malchow has published over 20 peer-reviewed journal articles and serves regularly on worldwide medical missions supporting those in need.
Dr. Malchow is honored to serve as the Medical Director for the Tennessee Ketamine & Wellness Center to provide compassionate and competent care for those suffering from depression, PTSD, OCD, chronic pain, and opioid dependence.[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/2″][us_image image=”162″ style=”shadow-2″][us_separator][us_btn label=”Dr. Malchow’s Full CV” link=”url:%2Fwp-content%2Fuploads%2F2021%2F06%2F03-2021-Malchow-CV.pdf|target:_blank” width_type=”full” icon=”fas|file-alt”][us_btn label=”Schedule A Consultation” link=”url:%2Fcontact%2F|title:Contact” width_type=”1″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]