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Joel Castellanos

10 papers in the library · 246 citations · publishing 2020-2026

Papers

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Feasibility and Tolerability of Psilocybin for Phantom Limb Pain.

Journal of Pain August 1, 2026 Jon G. Dean, Ethan Hurwitz, T. Furnish et al.

Phantom limb pain (PLP) is a refractory condition defined by pain experienced in a missing limb. Psilocybin, a classical serotonergic psychedelic drug, can alleviate various treatment-resistant disorders but has scantly been investigated for chronic pain. This placebo-controlled, double-blind, randomized clinical pilot trial (NCT05224336) tested the feasibility, tolerability, and preliminary...

Chronic pain education: past, present, and future of psychedelics for the management of chronic pain

Pain Medicine December 10, 2024 Christopher L. Robinson, Pawan Solanki, S Snyder et al.

Known for their capacity to alter perception and consciousness, psychedelics are increasingly being explored for therapeutic applications in treating conditions such chronic pain, major depressive disorder, and post-traumatic stress disorder.1,2 Despite historical stigmas and legal restrictions, recent changes in legislation and the United States Food and Drug Administration (FDA) recognition...

Refractory CRPS pain treated with psilocybin: A case report

Clinical Case Reports September 1, 2024 David S Jevotovsky, Harman Chopra, Court Wing et al. 9 citations

Key Clinical Message Psilocybin shows promise as a treatment for CRPS, offering significant pain relief and functional improvement in a patient with refractory symptoms. This case highlights the need for further research into psilocybin's efficacy and optimal dosing for chronic pain management.

Psilocybin and chronic neuropathic pain: a systematic review

Regional Anesthesia & Pain Medicine August 5, 2024 Harman Chopra, Shravani Durbhakula, Alexander Shustorovich et al. 8 citations

Background/Importance Chronic pain affects many people globally, requiring alternative management strategies. Psilocybin is gaining attention for its potential in chronic pain management despite being classified as Schedule I. Objective This systematic review critically evaluates the evidence for psilocybin, a Schedule I substance, in the treatment of chronic pain. The exact purpose of the...

Long‐COVID symptoms improved after MDMA and psilocybin therapy: A case report

Clinical Case Reports May 28, 2024 Harman Chopra, Tim Furnish, Monica Verduzco-Gutierrez et al. 6 citations

Key Clinical Message Long‐COVID syndrome lacks effective holistic treatment options. We present a case of a 41‐year‐old fully vaccinated female with Long‐COVID syndrome who obtained significant symptomatic relief after self‐medicating with psilocybin and MDMA. Abstract Long‐COVID, a syndrome persisting after the acute phase of coronavirus disease 2019 (COVID‐19), lacks effective holistic...

Chronic pain as an emergent property of a complex system and the potential roles of psychedelic therapies.

Front Pain Res (Lausanne) April 19, 2024 Maya Armstrong, Joel Castellanos, Devon Christie 15 citations

Despite research advances and urgent calls by national and global health organizations, clinical outcomes for millions of people suffering with chronic pain remain poor. We suggest bringing the lens of complexity science to this problem, conceptualizing chronic pain as an emergent property of a complex biopsychosocial system. We frame pain-related physiology, neuroscience, developmental...

Microdosing psilocybin for chronic pain: a case series

Pain September 5, 2022 Matthew Lyes, Joel Castellanos, Timothy Furnish et al. 55 citations

Abstract Psychedelic serotonergic agonists such as psilocybin have recently been shown to produce sustained benefit in refractory depression, end of life anxiety, and addiction when administered in hallucinogenic doses and coupled with psychotherapy. Although it has been suggested that similar high-dose protocols may help chronic pain conditions, there are few published clinical trials of...

The Use of Psychedelics in the Treatment of Medical Conditions: An Analysis of Currently Registered Psychedelics Studies in the American Drug Trial Registry.

Cureus September 1, 2022 Joshua S Kurtz, Neal A Patel, Julian L Gendreau et al. 35 citations

Although early therapeutic research on psychedelics dates back to the 1940s, this field of investigation was met with many cultural and legal challenges in the 1970s. Over the past two decades, clinical trials using psychedelics have resumed. Therefore, the goal of this study was to (1) better characterize the recent uptrend in psychedelics in clinical trials and (2) identify areas where...

Chronic pain and psychedelics: a review and proposed mechanism of action

Regional Anesthesia & Pain Medicine May 4, 2020 Joel Castellanos, C. Leonard Woolley, Kelly Bruno et al. 118 citations

The development of chronic pain is a complex mechanism that is still not fully understood. Multiple somatic and visceral afferent pain signals, when experienced over time, cause a strengthening of certain neural circuitry through peripheral and central sensitization, resulting in the physical and emotional perceptual chronic pain experience. The mind-altering qualities of psychedelics have been...