An Interventional Pain and Sports Medicine Practice

An Interventional Pain & Sports
Medicine Practice

LDN for chronic pain | Outsmart Your Pain | Barr Center | Virginia Beach, VA

Low Dose Naltrexone (LDN) is currently under study in patients with various types of chronic pain including migraines, fibromyalgia, and neuropathy. Other chronic pain states, various types of cancers, and autoimmune related disorders are also being studied. While these studies are underway, it is used widely in the U.S. for a variety of pain related disorders and autoimmune conditions.

Studies Show Low Dose Naltrexone is Safe.

Current studies show that Low Dose Naltrexone is a safe, cost effective yet effective treatment for chronic pain and autoimmunity. It is believed that LDN works in the brain by reducing pro-inflammatory chemicals called cytokines, which are known to inflame and sensitize various tissues that can cause pain.

By down regulating inflammation in the nervous system, it reduces pain, improves fatigue, sleep, and mood as well as physical function.

Differences Between Low Dose and High Dose Naltrexone

Low Dose Naltrexone as opposed to High Dose Naltrexone is still considered investigational with the FDA. High Dose Naltrexone (50 mg), on the other hand, has been FDA approved for the treatment of drug and alcohol abuse/addiction and withdrawal for many years.

Low Dose Naltrexone is generic and is a cost effective TX. LDN does have to be compounded at a special pharmacy as it is currently only available at regular pharmacies in the 50 mg dose.

While higher dose Naltrexone has been used for many years to treat various forms of addiction, there is currently no stigma of addiction associated with the use of lower dosage. The quoted price of compounded LDN runs around $50  per month.

Beneficial for Treating Cancer and Other Conditions.

Low Dose Naltrexone has also been shown in various cancer studies to possibly effect immune function by impacting gene expression. It has also been shown to be beneficial in the treatment of brain and nervous system disorders including MS, ALS, and Parkinson’s.

This prescription medication is not addicting. It should be used with caution in patients currently taking opioids,  including Tramadol. It works by blocking opioid receptors throughout the body for three to four to five hours. To avoid drug interactions, opioid pain RX should be discontinued or reduced approximately one week before starting this medication. This will be assessed on an individual basis.

The starting dose is 0.5 to 1.0 mg at bedtime and is gradually increased up to a target dose of 4.0  – 4.5 mg at bedtime. You will be started on 1.0 mg in the morning. and every thirty days you will increase by 1.0 mg until you feel relief up to a maximum dose 4.0 mg nightly. When taken at night, insomnia my result.

Naltrexone Side Effects
Side effects of Low Dose Naltrexone are very rare. People sometimes report having vivid dreams in the first week or two of treatment. Very rare side effects include fatigue, anxiety, and dizziness. Side effects are much more common at the higher doses (greater than 10 times the lower dosage) used to treat addiction and are rarely seen with typical low dosages.

People with organ transplants and those who are immunosuppressive drugs may want to avoid LDN. Additionally, people with Hashimoto’s thyroiditis should also use this medication with caution as they may have to adjust their thyroid supplement often in the early stage of treatment.

 

Compounding Pharmacies:

  1. Pharmacy Innovations (757) 934-0533
  2. Lawerence Pharmacy in Chesapeake, VA (757) 487-3458
  3. Hague Pharmacy at CHKD (757) 622-0222
INNOVATIVE PAIN & REGENERATIVE THERAPIES
INNOVATIVE PAIN & REGENERATIVE THERAPIES
Expert care for spine, joint, nerve, sports injuries, and chronic pain.

Find Relief From the Conditions Holding You Back

Dr. Lisa Barr is a leading pain management physician in Virginia Beach with over 35 years of experience diagnosing and treating spine, joint, nerve, and musculoskeletal pain. As a Board Certified PM&R specialist, she focuses on whole-body, non-surgical solutions that uncover the true root cause of pain. She is also the international bestselling author of Outsmart Your Pain and one of the region’s most experienced experts in regenerative medicine, PRP, and advanced biologic therapies.

Spinal Conditions
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Myofascial Pain
    • Trigger Point
      injections
    • What is Sarapin?
  • Fibromyalgia
  • EOS/Hypermobility
    Syndrome
  • Autoimmunity
    • LDN (Low dose
      Natrexone)
    • Testing
  • Prolotherapy
  • Neuroprolotherapy
  • Neural Therapy
  • Cold Laser
  • Entrapment Neuropathy
    • Carpal Tunnel Syndrome
    • Radial & Ulnar Nerve Entrapment
    • Lower Extremity Entrapment
    • Occipital Neuritis
  • Scar Tissue
  • Peripheral Neuropathy
    • Fatty Acid Testing & Specialized Therapies
    • Cold Laser
    • Nutritional Support
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Inner Arsenal
  • Vagus Nerve Support
  • Power over Pain Mindset
  • Breathing Practices
Resources

Chronic Pain Management Articles

Barr Center Video Playlist

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OVERVIEW

The Barr Center for Innovative Pain and Regenerative Therapies, led by Dr. Lisa Barr, is dedicated to helping people in pain. With over forty years of experience, Dr. Barr and her staff offer a range of evaluation and treatment options, including osteopathic assessment, trigger point injections, prolotherapy, and regenerative therapies. They prioritize a caring atmosphere and involve patients in their own care, ensuring they understand the recommended treatments. If necessary, they collaborate with other professionals to provide a comprehensive approach. Dr. Barr’s expertise has been recognized with the Top Doc award for thirty years.

FAQ

Pain Management and Treatment

The Barr Center for Innovative Pain & Regenerative Therapies is located at:

933 First Colonial Road, Suite 200
Virginia Beach, VA 23454

Phone: 757-578-2260
Email: info@BarrCenter.com

Monday–Thursday: 8:30 am–5:00 pm

Friday: Closed (note: physician on call)

Not always. Some insurance plans—especially HMOs—require a referral before seeing a specialist. To confirm what your specific plan requires, call your insurance provider or contact our office at 757-578-2260.

We accept most major insurance plans (except Medicaid). If your plan requires a referral or pre-authorization to see a specialist, you will need one for your first visit. After your initial consultation, our office obtains any future pre-authorizations, sometimes with assistance from your referring provider. Visit our Patient Resources page for details.

Yes. We offer telemedicine visits for certain appointment types, including follow-up visits and treatment discussions. Some procedures require in-office evaluation, and our team will help determine whether a virtual visit is appropriate.

Conditions and Treatment Questions

Led by pain management specialist Lisa Barr, M.D., the Barr Center provides comprehensive musculoskeletal and pain treatments including:

• Acupuncture
• Mind-body medicine and lifestyle optimization
• Interventional spinal procedures
• Sports medicine
• Physical therapy
• Regenerative medicine (PRP, prolotherapy)

We treat a wide range of pain and musculoskeletal conditions, including:

• Neck, shoulder, hip, back, and knee pain
• Sports injuries and repetitive strain conditions
• Posture, sleep, and movement-related pain
• Car accident injuries, including whiplash

Our approach provides proven alternatives to surgery and long-term medications through targeted injections, hands-on physical therapy, acupuncture, lifestyle guidance, and regenerative medicine.

If your pain is persistent, recurring, or limiting daily activities, it is time for an evaluation. We assess how your joints move, how your muscles function, and whether lifestyle factors are contributing to your symptoms.

We offer a comprehensive, root-cause approach to pain in a boutique practice setting.

Our team is highly specialized, and we combine interventional pain medicine, regenerative therapies, physical therapy, and whole-person care—all under one roof.

Our team includes board-certified physicians, licensed physical therapists, regenerative medicine specialists, acupuncture providers, and experienced clinical support staff with focused expertise in musculoskeletal medicine and pain management.

Preparing for your First Appointment

To help make your first visit efficient, please bring:

• Photo ID
• Insurance card
• Referral (if required by your insurance)
• Completed new-patient paperwork
• Co-pay, if applicable

If you have MRIs, CT scans, X-rays, or lab results, please have your referring provider fax them to our office. You may also download our Medical Records Request Form to expedite the process.

Experiencing Pain? Reach Out For Medication-Free Treatment