Rheumatoid Arthritis Treatment in Kentuckiana Integrative Medicine
About the clinic
For rheumatoid arthritis-related joint symptoms, Kentuckiana Integrative Medicine in Jeffersonville, Indiana, offers diagnostic reviews and non-surgical therapies. A consultation may cost around $300; Prolotherapy around $600, PRP around $1,500, and amniotic injections around $2,500. Dr. Rafael F. Cruz has over 30 years of experience and is a founding fellow of the American Academy of Ozone Therapy.
Assessment and injection planning
The clinic reviews imaging and movement patterns during regenerative medicine consultations. Patients can also get self-pay blood tests, with X-rays, ultrasound, or fluoroscopy used to guide injection planning.
Dr. Cruz is board-certified twice in Emergency Medicine and trained in IV Vitamin C and ozone therapies at The Riordan Clinic. Out-of-state and international patients can request an initial telehealth consultation.
Injection and medication options
- Prolotherapy or Prolozone injections. These injections aim to support the body’s repair of joints, tendons, and ligaments. Prolozone adds ozone. The same-day procedure may cost around $600, with image guidance when needed.
- Platelet-rich plasma (PRP). The clinic uses a high-volume PRP preparation, enhanced with procaine and B vitamins, then photo-energized. It may cost around $1,500 and includes Prolotherapy or Prolozone and image guidance when needed.
- Amniotic regenerative injections. Amniotic and placenta-based tissue products are injected into affected joints. The treatment may cost around $2,500 and includes Prolotherapy or Prolozone.
- Personal messenger signaling cell injections. Cells are collected from abdominal fat or bone marrow and injected with image guidance. One to three injections are planned based on the patient’s history, exam, and imaging. A series may cost around $7,000–$9,000.
- Hyaluronic gel injections. Fluoroscopy or ultrasound guides injections into the joint. The knee protocol uses five weekly injections and may be repeated every six months. The treatment is FDA-approved and covered by Traditional Medicare for knee arthritis.
- Bone marrow aspiration therapy. Bone marrow aspirate is injected into the affected joint.
- Low-dose naltrexone. Compounded oral doses of 1.5–4.5 mg are taken overnight to support immune regulation.
- Neural therapy. Procaine and Prolozone injections target small nerves trapped in scar tissue.
Injection packages may include image guidance when needed; travel and accommodation are not included. Patients can request a consultation through Bookimed to discuss which options may fit their needs.
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Kentuckiana Integrative Medicine: more details about the clinic
Achievements and Medical Leadership
Medical Director Dr. Rafael F. Cruz leads the clinical team. He has over 30 years of expertise in integrative medicine. Dr. Cruz holds a certification in IV Chelation and Plaquex therapies. He also maintains membership in the American Academy of Alternative Medicine (ACAM).
Dr. Cruz brings over 25 years of experience in ketamine administration. He personally oversees every mental health patient receiving this therapy. The clinic was among the first in its region to offer medical ketamine. It reports zero serious adverse events for this program.
Mental Health and Ketamine Therapy
The Kentuckiana Ketamine Institute provides physician-monitored treatments for complex psychological conditions. This department focuses on treatment-resistant cases where standard therapies have failed. Specialists screen for depression, bipolar disorder, PTSD, and anxiety. The institute offers both intravenous and intramuscular ketamine in private office settings.
A standard protocol includes seven sessions for optimal results. For depression, national data shows improvement in up to 75% of patients. The clinic treats several conditions through this program:
- Treatment-resistant depression and suicidal thinking
- Bipolar affective disorder
- Post-traumatic stress disorder (PTSD)
- Obsessive-compulsive disorder (OCD)
- Neuropathic pain and fibromyalgia
- Complex regional pain syndrome (CRPS)
Best results typically require six treatments within three weeks. Some patients receive periodic booster sessions to maintain relief. The clinic also provides addiction support to help patients wean off alcohol or opiates. This recovery process can last from 60 days to 18 months.
Regenerative Injections and Stellate Ganglion Block
The clinic specializes in PRP-enhanced Stellate Ganglion Block (SGB). Standard SGB uses local anesthetics to temporarily block nerve signals. Kentuckiana Integrative Medicine instead uses autologous platelet-rich plasma around the nerve. This approach aims for natural anti-inflammatory support and long-lasting relief. Specialists perform these injections using ultrasound guidance for precise placement.
Regenerative therapies also include prolotherapy and prolozone. These injections stimulate the body's natural healing responses for musculoskeletal issues. The clinic reports that 85% to 95% of patients see improvement in low back pain. These methods offer non-surgical options for patients with chronic neuroinflammation or circulatory concerns.
Vascular Support and IV Therapies
Physicians provide IV Chelation Therapy for circulatory and vascular support. This intravenous treatment uses EDTA to address heavy metal toxicity. The clinic offers it as a supportive strategy for cardiovascular-related health concerns. Patients can also access IV Vitamin therapies, such as the Meyer's Cocktail. These infusions support patients dealing with recurrent infections or severe fatigue.
Services for International Patients
Kentuckiana Integrative Medicine provides telehealth appointments for initial consultations. Virtual visits let patients speak with a physician before traveling to Indiana. The clinic treats individuals from across the region who travel specifically for regenerative care. Mental health screenings are available online to help determine the appropriate course of action.
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Ronald Barnes
Amy Nelson
Tonya Knebel
Jim Gilpin
Jane Salko
405 E Court Ave #102, Jeffersonville, IN 47130, United States
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