Dr. Nitish Mandal
Fibromyalgia
Fibromyalgia treatment in Bangalore starts with understanding the pattern of widespread pain, fatigue, sleep disturbance and brain fog. Dr Nitish Mandal evaluates fibromyalgia and chronic widespread pain at his Koramangala and J.P. Nagar pain clinics, with treatment tailored to the individual's symptoms and previous treatment response.
What is fibromyalgia?
Fibromyalgia is chronic widespread pain, often with poor sleep, fatigue, and brain fog. The nervous system can become more sensitive over time, so ordinary touch or effort feels louder than it should, and thinking can feel slower than the day needs.
Ketamine infusion protocols are one option for fibromyalgia and chronic widespread pain. That option is discussed after the story of the pain, not as the opening of the visit.
How does fibromyalgia feel?
- Aching or burning in many places, not a single injured joint.
- Sleep that does not restore you.
- Brain fog: thinking feels slower, words sit just out of reach, or the day is harder to follow.
- Work, family, and walking around the house all take more effort.
What happens at the first visit?
The first visit is conversation and examination: where the pain lives, how sleep is, whether brain fog is part of the day, and what has already been tried. Imaging is not the whole story in widespread pain.
Ketamine, when discussed, is a medically monitored low-dose infusion in clinic, not recreational use.
Why are my reports normal?
- Painkillers that blunt the day but do not change the pattern.
- Advice that the reports look normal, so the pain should not be this loud.
- Rest that leaves you weaker, without making the pain quieter.
When is ketamine discussed?
Daily pattern
- Avoid the activities that sharply increase the pain, without weeks of complete rest.
- Move in ways that are not painful, including other parts of the body.
When an infusion is discussed
- Low-dose ketamine infusion protocols for fibromyalgia and chronic widespread pain.
- Sessions are monitored by the doctor. An infusion generally lasts about one hour.
Frequently asked questions
- Is this only a ketamine clinic?
- No. This page is about widespread pain, sleep, and brain fog. Ketamine infusions are one option for fibromyalgia and related chronic pain, in a medically monitored setting.
- Where are infusions offered?
- Koramangala Pain Clinic and J.P. Nagar Pain Clinic. Prior appointment is preferred.
- Will one session be enough?
- An infusion generally lasts about one hour. Some resistant cases may require more than one session. That is decided after you are seen, not from a webpage.
- Is fibromyalgia all in my head?
- No. Normal scans are common. The nervous system can become more sensitive. The visit still starts with conversation and examination.
- Does fibromyalgia cause brain fog?
- Many people with widespread pain also describe foggy thinking, slower recall, or a day that is hard to follow. The visit still starts with the pattern of pain, sleep, and how the day actually works.
- Will exercise make it worse?
- Avoid what sharply increases the pain. Do not use weeks of complete rest. Move in ways that are not painful.
Fibromyalgia is not treated with one injection for everyone. Ketamine is for selected, difficult cases. The first visit is to understand the pattern, then decide whether an infusion belongs in the plan.
Reviewed by Dr. Nitish Mandal, MBBS, MD, FIPM, TIPM (Nashville). Clinics: Koramangala and J.P. Nagar.
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The pain is all over and I cannot sleep. Is this only ketamine?
No. This page is about widespread pain and sleep. Ketamine infusions are one listed option for selected, difficult cases, in a medically monitored setting.