IV Pain & Inflammation Support · Scottsdale AZ

Living with Pain
That Won't Go Away?

Chronic pain is not a single condition — it is an overlapping web of inflammation, nutritional depletion, nervous system sensitization, and hormonal disruption. IV nutritional therapy — Toradol for acute inflammatory pain, magnesium for muscle and nerve pain, NAD+ for cellular repair, glutathione for oxidative burden — addresses the physiological underpinning of chronic pain syndromes alongside physician-directed evaluation of modifiable root causes.

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50M+Americans live with chronic pain — the leading cause of disability

MgMagnesium deficiency dramatically lowers pain threshold via NMDA sensitization

NAD+Supports nerve repair, anti-inflammatory signaling, and pain modulation

Chronic pain checklist:

Pain lasting more than 3 months
Joint, muscle, or nerve pain that limits daily function
Fatigue and sleep disruption from pain
Post-injury or post-surgical persistent pain
Fibromyalgia, neuropathy, or arthritis diagnosis
Pain unresponsive to standard treatment
Inflammatory markers elevated on bloodwork

Toradol IV IV Magnesium NAD+ Glutathione

Understanding the Problem

What Drives Chronic Pain?

Chronic pain differs fundamentally from acute pain. It involves changes in how the nervous system processes pain signals — and nutritional, hormonal, and inflammatory factors that perpetuate the pain state independent of the original injury.

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Central sensitizationChronic pain rewires the central nervous system — a process called central sensitization. The pain pathways become hypersensitive, amplifying normally non-painful stimuli and maintaining pain states that outlast the original tissue damage. Magnesium's NMDA receptor blocking activity directly modulates central sensitization, reducing the nervous system's amplification of pain signals.

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Systemic inflammationChronic low-grade inflammation maintains pain states through continuous prostaglandin and cytokine production. IV glutathione and Vitamin C reduce oxidative stress and inflammatory mediator burden — addressing the biochemical environment that perpetuates pain rather than just blocking pain signals at the receptor level.

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Mitochondrial dysfunctionChronic pain syndromes — particularly fibromyalgia and neuropathic pain — are associated with impaired mitochondrial energy production in affected tissues. NAD+ is the central cofactor for mitochondrial function and has shown early but compelling evidence for reducing pain severity in fibromyalgia — potentially through improved cellular energy and reduced oxidative stress in pain-generating tissue.

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Pain-sleep cyclePain disrupts sleep; poor sleep dramatically lowers pain threshold. Every 1-hour reduction in sleep is associated with measurably increased pain sensitivity. The pain-sleep cycle is bidirectional and self-reinforcing. IV magnesium improves sleep quality while directly reducing pain threshold — addressing both ends of this cycle simultaneously.

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Hormonal contributorsLow testosterone in men reduces anti-inflammatory signaling and tissue repair capacity. Estrogen fluctuation in women modulates pain sensitivity throughout the menstrual cycle and dramatically worsens during perimenopause. Low thyroid hormone impairs tissue metabolism and repair. Addressing hormonal contributors to chronic pain often produces improvements that pain-specific treatments alone cannot achieve.

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Magnesium depletionPain itself — through the stress and sleep disruption it causes — accelerates magnesium excretion. Low magnesium removes the NMDA receptor's natural "brake" on pain signal amplification, worsening central sensitization and lowering pain threshold further. This creates a direct cycle where chronic pain depletes the mineral most responsible for modulating the pain response.

Treatment Options

Viva Chronic Pain IV Protocols

IV-based interventions targeting inflammation, central sensitization, cellular repair, and the nutritional depletions that amplify chronic pain states.

Acute Relief

Toradol IV Push

$30 as add-on

IV Toradol (ketorolac) is a potent NSAID anti-inflammatory administered directly into the bloodstream — bypassing the GI absorption limitations of oral NSAIDs. Effective for acute flares of inflammatory joint pain, muscle pain, and injury-related pain. Available as an add-on to any IV session.

Rapid IV anti-inflammatory action
Bypasses GI absorption issues
No opioid sedation or dependence risk
Available as IV add-on ($30)

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Nerve & Muscle Pain

IV Magnesium Protocol

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IV magnesium provides rapid NMDA receptor modulation — reducing central sensitization and directly lowering muscle and nerve pain threshold. Particularly effective for fibromyalgia, muscle cramp syndromes, and neuropathic pain components. Most patients notice reduced pain intensity during and after the infusion.

NMDA receptor modulation (central sensitization)
Direct muscle relaxation effect
Reduces nerve pain amplification
Immediate effect during infusion

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Cellular Repair

NAD+ IV Therapy

From $200

NAD+ supports mitochondrial function, DNA repair, and anti-inflammatory sirtuin activation — addressing the cellular energy deficits and inflammatory signaling that perpetuate chronic pain syndromes. Monthly sessions provide the best outcomes for chronic pain management.

Mitochondrial energy restoration
Anti-inflammatory sirtuin activation
Nerve repair support
250mg ($200) to 1000mg ($700)

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Hormonal Evaluation

Optimization Program

Custom

For chronic pain patients who may have hormonal contributors — low testosterone, thyroid dysfunction, or hormonal inflammation. Comprehensive bloodwork identifies all modifiable contributors to the pain state beyond the structural or neuropathic diagnosis.

Identifies hormonal pain contributors
Inflammation markers assessed
Nutrient deficiency panel included
Physician-designed integrated protocol

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Medical Director & Founder

Dr. Jerome Cordova, MD

Critical Care Physician · Biomedical Engineer · Founded Viva IV Therapy 2017 · Old Town Scottsdale

"Chronic pain patients are often the most neglected in conventional medicine — passed between specialists, prescribed medications that manage symptoms without addressing causes, and told to 'live with it.' What I find consistently is that many of these patients have significant magnesium depletion, hormonal imbalances, and inflammatory burdens that can be meaningfully addressed. We can't fix every pain condition, but we can often make it substantially more manageable by fixing the biology around it."

Common Questions

Chronic Pain FAQ

No — we work alongside pain management, rheumatology, neurology, and other specialists, not as a substitute for them. Our role is to address the physiological factors — nutritional deficiencies, hormonal imbalances, inflammatory burden — that amplify pain states and reduce the effectiveness of other treatments. Many of our chronic pain patients continue their primary pain management relationships and find IV therapy provides meaningful additional relief.

For ongoing chronic pain management, most patients benefit from monthly sessions — maintaining magnesium, NAD+, and antioxidant levels above the thresholds associated with amplified pain. Acute flares can be treated on-demand with Toradol and magnesium IV. The frequency is adjusted based on your specific condition, response to treatment, and goals.

Fibromyalgia involves central sensitization, mitochondrial dysfunction, and often significant magnesium depletion — all of which IV therapy addresses directly. Clinical evidence for IV magnesium and NAD+ in fibromyalgia is promising, and many fibromyalgia patients report meaningful pain reduction with regular IV sessions as part of a comprehensive management approach. We're honest about expectations: this is not a cure, but for many patients it is a significant and consistent improvement.

Living with Pain
That Won't Go Away?

What Drives Chronic Pain?

Viva Chronic Pain IV Protocols

Chronic Pain FAQ

Also Explore

Address the Biology Behind Your Pain.

Living with PainThat Won't Go Away?

What Drives Chronic Pain?

Viva Chronic Pain IV Protocols

Chronic Pain FAQ

Also Explore

Address the Biology Behind Your Pain.

Living with Pain
That Won't Go Away?