Start your path to a healthier lifestyle

Roanoke and Salem’s best in Wellness and Orthopedic Care

Ketamine infusions are helping patients to achieve a higher level of wellness by reestablishing balance and restoring pathways. Ignite Wellness Clinic is committed to assisting you in achieving the best you.


Your Trusted Ketamine Treatment & IV Therapy Provider

Ignite Wellness Clinic is designed to meet the growing needs of patients who have encountered difficulties making progress with traditional approaches to certain disorders, like chronic pain, depression, anxiety, and PTSD. At Ignite Wellness Clinic, creative and holistic methods, such as infusion therapy, are utilized to break through degenerative physiologic tendencies and entrenched pyscho-physiologic patterns.

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Roanoke's Top Rated Orthopedic Doctor

Regardless of your age or activity level, Dr. James Farmer will help you move better — and feel good while doing it. Ignite Wellness provides the finest orthopedic services in Roanoke, VA. Learn why athletes, weekend warriors, seniors and more trust us to help them get back on track.

Get In Touch

Phone: (540) 358-8455
Fax: (540) 617-0110

Business Hours

Mon - Fri: 10 A.M.  - 4 P.M
Saturday, Sunday: Closed


See Our Innovative New Treatments

Financing Available

The quickest and easiest way to pay for procedures and treatments not covered by your insurance. Advanced Care Card can help with the cost of ketamine treatment and hormone therapy.

Financing for ketamine treatment and hormone therapy

Orthopaedic & Wellness in Roanoke & Salem, VA

We are a clinic that believes strongly in Integrative Medicine. With over 56 combined years of experience in healthcare, our clinicians firmly believe that traditional medicine does not necessarily produce better living. Although sometimes helpful and necessary, a pill or surgery does not always lead to health. We incorporate several non-surgical treatments into our practice because health issues are multi-faceted. We believe you must treat the person, not the symptoms. Many widespread clinical diagnoses such as depression, anxiety, chronic pain, and obesity are interconnected and can affect treatment outcomes. A healthy diet, vitamin supplementation, lifestyle choices, and avoidance of toxins can make a huge difference in one’s health and recovery.

Best ortho in roanoke, va doctor james farmer

Dr. Farmer made Roanoker Magazine’s “top ortho doc in Roanoke, VA” in 2021 and in many previous years as well.


Meet our Team

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James M. Farmer, MD

Orthopaedic Surgeon
Dr. James Farmer is a transplanted Texan who has lived and practiced in Salem since 2008. He grew up in Katy, Texas, where he played baseball and swam competitively in high school. He graduated from the University of Texas Medical Branch with a Bachelor of Science in Physical Therapy. After practicing P.T. in the U.S. Air Force, he returned to medical school and graduated from Baylor College of Medicine with honors. He completed his residency in Orthopedic Surgery at Wake Forest University. Following residency, he practiced for six years in the U.S. Navy at Naval Hospital Camp Lejeune where he specialized in sports medicine. Dr. Farmer achieved the rank of Commander before resigning his commission to enter civilian practice.

Dr. Farmer is double board certified in sports medicine and general orthopedic surgery. He specializes in minimally invasive and arthroscopic surgery of the shoulder, elbow, hip, knee and ankle as well as partial and total knee replacements. He performs ligament reconstructions and cartilage restoration procedures. He performed the first meniscal transplant in the Roanoke Valley in 2008. Due to Dr. Farmer's expertise in treating athletes, he joined the medical staff for the Virginia Tech Athletic Department in 2009. He served as the team physician for the Salem Red Sox and continues to be the Orthopedic surgeon for Salem High School and Roanoke College.

Dr. Farmer utilizes a combination of prevention strategies, physical rehabilitation, medications, biologic therapies, hormone optimizing, and surgery to restore function and improve quality of life. He is certified in the Biote Method of hormonal balancing.

Dr. Farmer is especially known for his genuinely kind bedside manner. As a former physical therapist, he brings a unique approach to musculoskeletal injuries and treatment. “I make the effort to get to know the person and the impact that the injury has on the person's life. I carefully develop a treatment plan focused on a return of function and the ability to enjoy favorite activities and lifestyle once again.”

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Sheila Farmer, CRNA, MSN

Nurse Anesthetist
Sheila received her BSN from Clarkson College in Omaha, NE in 1996. In 4 years following, she gained valuable Medical, Surgical and Neuro Intensive Care experience at the University of Missouri’s Truman Medical Center and Wake Forest Baptist Medical Center.

Sheila received her MSN from University of North Carolina-Greensboro and completed her Nurse Anesthesia Residency at Wake Forest University Baptist Medical Center/Bowman Gray School of Medicine in Winston-Salem, NC in 2002.

Sheila is Certified by the National Board of Certification and Recertification for Nurse Anesthesiologists (NBCRNA). She is a member of the American Association of Nurse Anesthesiologists (AANA), the Virginia Association of Nurse Anesthetists (VANA), and the American Society of Ketamine Physicians, Psychotherapists & Practitioners (ASKP3). Sheila has completed training with the Ketamine Academy, IV Therapy Academy, and is Certified in the Biote Method of Hormone Optimization.

In addition to spending the last 2 decades providing anesthesia, Sheila is now using non-traditional approaches to reduce chronic pain and inflammation. Her approach to minimizing pain and the associated anxiety and depression is centered around excellent listening skills, multi-discipline collaboration and careful adjustments in treatment. “Most of the time, my patients show up having ‘tried everything’. Often, they don’t understand the effect that hormonal imbalances, nutrition, food sensitivities, toxins and inactivity can have on their pain and mood. I use ketamine as a powerful tool to reset the brain pathways that are not serving them well. Additionally, lifestyle changes, therapy, and involving other necessary disciplines of care will get the best response. Problems are always dynamic, and I understand that. My Philosophy is the greatest benefit with lowest risk, and we have some great tools in our belt here. My mission is simply to try my best to get people back to what they consider an enjoyable life.”


The First Step Towards Mental Wellness

Learn how you can start the amazing journey to better mental health and well-being. Ketamine infusions are helping patients achieve a higher level of wellness by reestablishing balance and restoring pathways. Ignite Wellness Clinic is committed to assisting you in achieving the best you. Want to discover more about the benefits of ketamine infusions? schedule a free consultation



At the Ignite Wellness Clinic, highly-trained professional staff works with your team of professionals to implement a community approach to helping every patient achieve the desired result of freedom from chronic issues and optimizing balance in their life.


Find the Answer

Ketamine is a synthetic medicine that has primarily been used as an anesthetic agent in humans and animals for over 50 years. It is one of the most commonly used anesthetic agents in the world because of its unique properties that make it incredibly safe to administer. 

Ketamine binds to NMDA receptors and creates a glutamate surge, releasing growth factors that help make new synaptic connections in your brain. This paves the way for healthier thought patterns and increases your resilience to chronic stress.

The literature for depression shows a 70% success rate. Individual clinics have seen higher rates because they have seen increased efficacy with increased dosing.

The low doses used for depression are in the empathogenic "heart opening" psychedelic dose range. People report feelings of love, peace, compassion, forgiveness, and a touch of euphoria.

Ketamine will not be provided to individuals with schizophrenia, psychosis, or certain seizure disorders. Those taking aminophylline for asthma or COPD should not undergo ketamine infusions. If you have serious medical problems, like uncontrolled high blood pressure, cardiac disease, or pulmonary problems, a clearance will be requested from your primary care physician before undergoing treatment.


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