The application of ketamine in pain management for sports injuries and other medical conditions - literature review

Introduction: Ketamine is a well-established dissociative anesthetic. The discovery of its NMDA receptor antagonism revealed new potential applications in pain management. It has demonstrated promise as an analgesic for the treatment of chronic pain and has proven useful in managing acute pain, suc...

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Main Authors: Katarzyna Nowicka, Wiktor Klimek, Marta Ignatiuk-Chilkiewicz, Monika Olszanska, Dominika Hakało, Joanna Kałuska, Tomasz Suprun, Aleksandra Sokół, Klaudia Mościszko, Maria Majewska
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-07-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/61502
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author Katarzyna Nowicka
Wiktor Klimek
Marta Ignatiuk-Chilkiewicz
Monika Olszanska
Dominika Hakało
Joanna Kałuska
Tomasz Suprun
Aleksandra Sokół
Klaudia Mościszko
Maria Majewska
author_facet Katarzyna Nowicka
Wiktor Klimek
Marta Ignatiuk-Chilkiewicz
Monika Olszanska
Dominika Hakało
Joanna Kałuska
Tomasz Suprun
Aleksandra Sokół
Klaudia Mościszko
Maria Majewska
author_sort Katarzyna Nowicka
collection DOAJ
description Introduction: Ketamine is a well-established dissociative anesthetic. The discovery of its NMDA receptor antagonism revealed new potential applications in pain management. It has demonstrated promise as an analgesic for the treatment of chronic pain and has proven useful in managing acute pain, such as that resulting from sports injuries or in pediatric care settings. It is also a valuable alternative for patients who have not responded well to traditional pain medications. Materials and methods: This article reviews promising role of ketamine in pain management, especially in chronic or cancer pain, incorporating data from Google Scholar, PubMed, using keywords such as „ketamine”,„chronic pain”, „acute pain”, „pain management”.  Summary: Current evidence supports the use of subanesthetic ketamine as an effective option for acute pain management across various clinical settings, with potential to reduce opioid dependence. Its unique antidepressant properties also make it beneficial for chronic pain patients, especially those with comorbid depression. In conditions like CRPS and sickle cell disease, low-dose ketamine has shown promising results in improving pain and function. However, its effectiveness in fibromyalgia appears limited, with short-term infusions offering only temporary relief. The pediatric population may particularly benefit from ketamine’s rapid, intranasal administration, though dosing and safety must be carefully considered. While early findings are encouraging, more research is needed to establish optimal protocols and to explore its role in managing sport-related injuries.  Conclusions: Ketamine finds various applications in pain therapy and is a promising medication due to its efficacy in both chronic and acute pain management. However, further research is necessary to precisely determine the therapeutic dosage ranges, the long-term effects of its use, and the risk of addiction associated with its administration.
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spelling doaj-art-99586d5f174247ccb92b1898564d734d2025-08-20T03:16:42ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-07-014310.12775/QS.2025.43.61502The application of ketamine in pain management for sports injuries and other medical conditions - literature reviewKatarzyna Nowicka0https://orcid.org/0009-0006-5472-9157Wiktor Klimek1https://orcid.org/0009-0006-6271-799XMarta Ignatiuk-Chilkiewicz2https://orcid.org/0009-0005-7002-0829Monika Olszanska3https://orcid.org/0009-0006-2511-505XDominika Hakało4https://orcid.org/0009-0004-9363-8747Joanna Kałuska5https://orcid.org/0009-0003-3500-9494Tomasz Suprun6https://orcid.org/0000-0001-5610-9273Aleksandra Sokół7https://orcid.org/0009-0008-9707-9179Klaudia Mościszko8https://orcid.org/0009-0001-4919-6898Maria Majewska9https://orcid.org/0009-0003-3236-8950Regional Health Center in Kartuzy, Ceynowy 7, 83-300 KartuzyRegional Health Center in Kartuzy, Ceynowy 7, 83-300 KartuzyUniversity Clinical Hospital in Bialystok ul. M. C. Skłodowskiej 24a, 15-276 Białystok, PolandMedical University of BialystokUniversity Clinical Hospital in Bialystok ul. M. C. Skłodowskiej 24a, 15-276 Białystok, PolandIndependent Public Healthcare Complex in Minsk Mazowiecki, Szpitalna 37, 05-300 Minsk MazowieckiUniversity of Dundee, Nethergate, Dundee, DD1 4HN, Scotland, UKUniversity Clinical Hospital in Bialystok ul. M. C. Skłodowskiej 24a, 15-276 Białystok, PolandUniversity Clinical Hospital in Bialystok ul. M. C. Skłodowskiej 24a, 15-276 Białystok, PolandUniversity Clinical Hospital in Bialystok ul. M. C. Skłodowskiej 24a, 15-276 Białystok, Poland Introduction: Ketamine is a well-established dissociative anesthetic. The discovery of its NMDA receptor antagonism revealed new potential applications in pain management. It has demonstrated promise as an analgesic for the treatment of chronic pain and has proven useful in managing acute pain, such as that resulting from sports injuries or in pediatric care settings. It is also a valuable alternative for patients who have not responded well to traditional pain medications. Materials and methods: This article reviews promising role of ketamine in pain management, especially in chronic or cancer pain, incorporating data from Google Scholar, PubMed, using keywords such as „ketamine”,„chronic pain”, „acute pain”, „pain management”.  Summary: Current evidence supports the use of subanesthetic ketamine as an effective option for acute pain management across various clinical settings, with potential to reduce opioid dependence. Its unique antidepressant properties also make it beneficial for chronic pain patients, especially those with comorbid depression. In conditions like CRPS and sickle cell disease, low-dose ketamine has shown promising results in improving pain and function. However, its effectiveness in fibromyalgia appears limited, with short-term infusions offering only temporary relief. The pediatric population may particularly benefit from ketamine’s rapid, intranasal administration, though dosing and safety must be carefully considered. While early findings are encouraging, more research is needed to establish optimal protocols and to explore its role in managing sport-related injuries.  Conclusions: Ketamine finds various applications in pain therapy and is a promising medication due to its efficacy in both chronic and acute pain management. However, further research is necessary to precisely determine the therapeutic dosage ranges, the long-term effects of its use, and the risk of addiction associated with its administration. https://apcz.umk.pl/QS/article/view/61502ketaminepain managementchronic painacute pain
spellingShingle Katarzyna Nowicka
Wiktor Klimek
Marta Ignatiuk-Chilkiewicz
Monika Olszanska
Dominika Hakało
Joanna Kałuska
Tomasz Suprun
Aleksandra Sokół
Klaudia Mościszko
Maria Majewska
The application of ketamine in pain management for sports injuries and other medical conditions - literature review
Quality in Sport
ketamine
pain management
chronic pain
acute pain
title The application of ketamine in pain management for sports injuries and other medical conditions - literature review
title_full The application of ketamine in pain management for sports injuries and other medical conditions - literature review
title_fullStr The application of ketamine in pain management for sports injuries and other medical conditions - literature review
title_full_unstemmed The application of ketamine in pain management for sports injuries and other medical conditions - literature review
title_short The application of ketamine in pain management for sports injuries and other medical conditions - literature review
title_sort application of ketamine in pain management for sports injuries and other medical conditions literature review
topic ketamine
pain management
chronic pain
acute pain
url https://apcz.umk.pl/QS/article/view/61502
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