✓ Last verified: April 16, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Ignite Orthopaedic & Wellness in Roanoke combines IV ketamine infusions with orthopedic sports medicine, hormone therapy, and IV nutritional treatments. Led by double board-certified orthopedic surgeon Dr. James M. Farmer and certified nurse anesthetist Sheila Farmer, CRNA, the clinic offers ketamine for both mood disorders and chronic pain conditions in a medically sophisticated setting.
Contact for pricing — financing available through Advanced Care Card
Insurance
Contact for insurance details
KAP Available?
No — infusion-based model
Clinical Lead
Dr. James M. Farmer, MD (Orthopedic Surgery); Sheila Farmer, CRNA, MSN (Ketamine Specialist)
HealingMaps Take: Ignite Orthopaedic & Wellness brings a unique combination of surgical expertise and anesthesia-level ketamine administration to the Roanoke market. Having a CRNA administer ketamine infusions ensures expert IV management, while the orthopedic background means chronic pain patients get providers who deeply understand musculoskeletal conditions. The nearly perfect Google rating and financing options make this an accessible, well-regarded option in southwestern Virginia.
Market Position: Ignite Orthopaedic & Wellness is a verified ketamine provider in the Roanoke metro on HealingMaps — one of 1,473 clinics we have mapped and tracked across 3,142 U.S. counties.
Is Ignite Orthopaedic & Wellness Right for You?
✓ Choose Ignite Orthopaedic & Wellness if:
You're treating chronic pain (CRPS, fibromyalgia, neuropathy) and want IV ketamine protocols
You want supervised IV ketamine with real-time medical monitoring
✗ Look elsewhere if:
You want ketamine-assisted psychotherapy (KAP) with integrated talk therapy (this clinic uses the medical model)
You need insurance-covered Spravato (esketamine) — only IV is offered here, typically self-pay
You want Spravato or KAP options alongside IV (single-protocol clinic)
Estimate your out-of-pocket range based on patient-reported pricing and HealingMaps proprietary clinic data.
Estimated per session
$401–$687
Range: $344–$1,145/session
Estimated total program
$2,405–$4,123
Range: $2,061–$6,871/6-session series
Your estimate vs. national patient-reported medianBased on national tracking, adjusted for Richmond, VA market
Select a treatment type to see pricing context.
Get matched to verified clinics
A HealingMaps specialist will follow up within one business day with providers that match your estimate, protocol, and insurance situation.
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A HealingMaps specialist will reach out within one business day with clinic matches based on your estimate. In the meantime, review the verified providers below.
Industry pricing reference. Ignite Orthopaedic & Wellness has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
Protocol
Typical Industry Cost
Offered Here
IV Ketamine Infusion
$350–$650/session
✓
Spravato (esketamine)
$0–$250 copay (insured)
—
IM Ketamine
$250–$400/injection
—
KAP (with integrated talk therapy)
$400–$1,200/session
—
At-home oral troches
$150–$300/month
—
What to Expect at Your First Ignite Orthopaedic & Wellness Appointment
Initial intake call — Medical history review and clinical eligibility check.
Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Ignite Orthopaedic & Wellness clinical team.
First treatment session — supervised ketamine therapy session in a private treatment room, lasting approximately 60–90 minutes. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session. Arrange for a ride home; do not drive for 24 hours after your ketamine session.
What to Ask on Your Ignite Orthopaedic & Wellness Consult Call
How long has the Ignite Orthopaedic & Wellness clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
What’s a typical 6-session total cost at Ignite Orthopaedic & Wellness, and do you offer payment plans, HSA/FSA-eligible billing, or sliding-scale pricing?
What does Ignite Orthopaedic & Wellness recommend for patients who don’t respond to the standard 6-session acute series?
Patient Questions about Ignite Orthopaedic & Wellness
This 4-question summary is matched to the protocols and conditions Ignite Orthopaedic & Wellness treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Is Ignite Orthopaedic & Wellness suited for treatment-resistant depression?
Ignite Orthopaedic & Wellness treats depression via IV ketamine (off-label, evidence-based). Insurance coverage is rare for IV/KAP — most patients pay out of pocket. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Does Ignite Orthopaedic & Wellness treat chronic pain conditions?
Yes — Ignite Orthopaedic & Wellness treats chronic pain. They use IV ketamine for pain, which typically means longer infusion times and higher cumulative doses than mental-health protocols. Common indications include complex regional pain syndrome (CRPS), fibromyalgia, and certain neuropathic pain syndromes. Pain pricing varies significantly by structure: per-infusion vs. multi-day inpatient packages — verify how this clinic structures their billing.
Does Ignite Orthopaedic & Wellness treat PTSD?
Yes — Ignite Orthopaedic & Wellness treats PTSD. Ketamine for trauma differs from depression treatment: dosing is often lower per session, and pairing the protocol with trauma-focused therapy between sessions is common. A reasonable consult question: whether PTSD patients here typically use ketamine alone or alongside an outside therapist.
Can Ignite Orthopaedic & Wellness help with anxiety disorders?
Yes — Ignite Orthopaedic & Wellness treats anxiety, including generalized anxiety, social anxiety, and panic disorder. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines. Worth asking which of their protocols they typically recommend for anxiety-primary patients.
The Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.
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