Reno-Taho Leading Ketamine & Spravato
Clinic for Pain and Depression

Compassionate, cutting-edge care at Thunder Pain & Wellness
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When You’ve Tried Everything and Still Don’t Feel Better

Most people find us when they’re exhausted by symptoms that won’t resolve: persistent pain, depression that won’t lift, or both tangled together. They’ve seen multiple specialists, tried medications, undergone imaging, changed lifestyles, and still feel stuck. If that sounds familiar, you’re not alone, and you’re exactly who we built this clinic for.

Your Symptoms Are Connected — and So Is Our Treatment

Thunder Pain & Wellness offers something rare in today’s healthcare system: time, deep expertise, and a whole-person model that understands pain and depression as interconnected conditions. Chronic pain isn’t just physical. Depression isn’t just emotional. Both involve real, measurable changes across the nervous system, immune function, hormones, sleep, and cognition. Treating only one piece almost never works, which is why we treat the whole system.

Pain, Depression, or Both — We Help When Nothing Else Has Worked

Most clinics divide physical and mental health into separate lanes. Visits last a few rushed minutes, and treatment decisions are based on checklists. Patients leave feeling unheard.

We do the opposite.
Our approach is grounded in integrated mind-body medicine and modern neuroscience. We look at how stress, inflammation, trauma, mobility, posture, thought patterns, and neurochemical signaling interact to shape your symptoms. Appointments last longer, evaluations look deeper, and plans are personalized. We never copy-and-paste.

Patients often tell us, “For the first time, this actually makes sense.” That moment of clarity is the beginning of real healing.

Most Clinics Miss the Full Picture. We Don’t.

Our team specializes in advanced therapies for chronic pain and treatment-resistant depression, including IV ketamine, SPRAVATO®, transcranial magnetic stimulation (TMS), and functional strategies that help regulate the nervous system. These treatments target the core biological pathways that drive pain and mood disorders, helping reset unhealthy neural patterns and restore resilience.

We're a certified SPRAVATO® REMS treatment center and were the first to provide IV ketamine in Reno and Northern Nevada.

Accessible Care That Meets You Where You Are

We accept Medicare and most major commercial insurance because we believe innovative, whole-person care should be accessible, not exclusive.

From your first visit, you’ll notice the difference. We take the time to understand your story, identify the patterns behind your symptoms, and build a plan that evolves as you heal. Whether you’re seeking chronic pain treatment, help for depression that hasn’t responded to medication, or simply a provider who listens, this is where your next chapter begins.

https://www.askp.org/

The Science of Healing,
The Art of Caring

We treat chronic pain and depression with a unique mix of proven medical care and integrative therapies. Our goal: ease symptoms, restore function, and deliver lasting relief.

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Featured Treatment Options

We offer a variety of traditional and integrative treatments for chronic pain and depression, often combined.

Auricular Acupuncture
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Manual Physical Therapy
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Medication Management
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Medically Related Botox® Injection
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QUTENZA® for Nerve Pain
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Transcranial Magnetic Stimulation (TMS)
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Trigger Point Injections
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IV Ketamine
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Chronic Pain and Depression Treatments

Meet Our Team

After their first visit with us, patients often say they feel like they’ve finally been heard. Meet our skilled, compassionate team of professionals that will work with you to break the cycles of pain and depression.   

Meet the Team

Insurance We Accept

Jamie R.

"By far the best medical practice I’ve ever been to. Dr. Thunder and RN Pearla are hands down, the most caring and knowledgeable professionals in the field. I’ve got a complex medical history. It’s rare to find providers that don’t need to google my conditions. Not them! Every issue heard. From cutting edge technology (TMS) to physical therapy, acupuncture and even pelvic floor exercises, they do it all to help people regain quality of life. I’ve been a patient since 2018. I’d move but I’m afraid I’ll never find this level of care anywhere else. Thank you Pearla and Dr. Thunder for always taking so much time with me!"

Laura S.

"Dr.Thunder and nurse practitioner Pearla plus the friendly staff helped me immensely through horrific pain for 1.5 years at level 10. I didn't have a correct diagnosis until Dr.Thunder saw me for an hour and he gave me thorough check up with information. It took awhile for his regime to work but I finally got out of bed (praise Jesus) and can walk again! (My pain 2-4) I am now cooking, gardening and even hiking. Dr.Thunder has a holistic approach to pain and is open to learning better techniques for pain management."

Jodi A.

"I have been going here for a couple years. Great doctor. Staff is very friendly, compassionate and caring. Doctor truly cares how we are when we walk through the door. Even got a second chance after life crisis. Thank you Dr Thunder."

Robin N.

"I highly recommend Thunder pain management. They are caring and professional."

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What our patients say Testimonials

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Carly L.

"I cannot begin to express how grateful I am for Dr Thunder and his amazing staff! Trina, the manual therapist literally changed my life with her magical hands. I’ve been in chronic pain and on pain meds for 15 years. For the last month I have felt almost zero pain AND I'm weaning off of the pain meds. I don’t even need them anymore. The staff is extremely professional. I recommend Thunder Pain to anyone suffering from pain! THANK YOU!"

Rachel M.

"I can NOT thanks Dr Thunder and his staff enough! I came to him after being emotionally exhausted from my former pain clinic. I was diagnosed by an orthopedic surgeon with hip dysplasia! I was sent to the university of Standford with the same poor care I received from the former pain clinic. I tried dr thunders trigger point injections to the ketamine infusions! Both helped on a minor scale. I knew their was something more to my hip issue! I went to the university of Utah for a 3rd opinion! Upon reviewing my x-rays they determined a hip reconstruction would be necessary. I scheduled surgery. Dr Anderson’s(surgeon from Utah) nurse had some concerns about my pain management. Dr Thunder made sure I had enough to tie me through the 8 hour car ride home and after surgery care! My case wasn’t cut and dry! Upon opening me my socket was completely shredded and dr Anderson had to do a little more than planned to me! 24 hours after surgery I am resting in my home! More than grateful for Dr. Thunder’s and Dr Anderson’s teams! If your in pain and frustrated from the same run of the mill pain clinics give Dr Thunder a call! He’s so kinda and makes the hardest processes a breeze! I can not thank them enough!"

Cierra A.

"AMAZING doctor and AMAZING practice. In only 2 hours with Dr. Thunder he noticed I have symptoms of fibromyalgia, a condition no doctor for the last 6 years has thought of. He immediately started me on different treatments. Anytime I am having herrendous pain that I cannot bare they get me in that day to see what they can do for me. I love that they don't push pain pills and are actually very hesitant to give them, it makes me feel very good to know he is not done trying to get me feeling better without a controlled substance. Recommend to everyone."

Pam C.

Amazing doctor and staff. Dr.Thunder it's not your typical doctor. He actually takes his time with his patients, and never rushes through like the typical 10 minute doctor appointment. He takes the time needed to address your issues every single visit. He has a top-notch staff that treats everyone so well from the very moment you walk in the door.  My pain is addressed with a wide variety of treatment modalities.  Physical therapy at his office is customized for my comfort while effectively easing my pain. If you are in pain, try Dr. Thunder's office. He looks for many different ways to treat  pain, not just the normal algorithm of pills that most doctors want to prescribe.  I feel like I am truly under a "physician's care."