TREATMENT OVERVIEW
A Stellate Ganglion Block (SGB) is a highly specialized injection that targets a collection of sympathetic nerves in the neck. This procedure has shown remarkable success in treating complex conditions, including chronic pain in the arm like Complex Regional Pain Syndrome (CRPS), and has emerged as a groundbreaking treatment for symptoms of Post-Traumatic Stress Disorder (PTSD) by helping to "reboot" the body's fight-or-flight response.
PROCEDURE DETAILS
For a Stellate Ganglion Block, you will be comfortably positioned on your back with your head slightly turned. The skin on the side of your neck will be cleaned with an antiseptic, and an IV line may be placed for monitoring.
This is a delicate procedure that demands extreme precision. Using live ultrasound and/or fluoroscopy (X-ray), your physician will carefully navigate a very thin needle through the neck tissues to the precise location in front of the stellate ganglion, avoiding critical structures like blood vessels and nerves.
Once the position is confirmed, a local anesthetic is slowly injected to numb the ganglion and interrupt its signals. The entire procedure is very quick. Afterward, you will be monitored closely in our recovery area as the block takes effect.
TREATMENT ADVANTAGES
A Stellate Ganglion Block can be a transformative procedure for some of the most challenging chronic pain and trauma-related conditions.
Provides powerful relief from the burning pain, swelling, hypersensitivity, and discoloration in the arm and hand caused by CRPS.
Can "reboot" the brain's fight-or-flight center (amygdala), reducing hypervigilance, anxiety, and other debilitating symptoms of PTSD.
By calming the sympathetic nerves, an SGB can dramatically improve circulation to the affected arm, reducing color and temperature changes.
For trauma survivors, the block can provide a profound and immediate sense of calm, allowing for more effective engagement in psychotherapy.
For pain patients, the relief from an SGB creates a vital window of opportunity to participate in therapy to restore function to the arm and hand.
A quick, outpatient procedure that can offer life-changing results with minimal downtime, especially compared to long-term medication regimens.
IMPORTANT INFORMATION
An SGB is very safe when performed by a skilled specialist with image guidance. It's important to understand that certain temporary side effects are normal and are actually signs of a successful block. True complications are very rare.
Important: The common side effects listed are known as "Horner's Syndrome." They are temporary (lasting a few hours) and are a clear indication that the medication was delivered to the correct location.
PREPARATION GUIDE
Proper preparation for this advanced procedure is key to ensuring your safety and a successful outcome. Please review these steps carefully.
Ensure you have a thorough review with Dr. Fura. Disclose all allergies, especially to medications like contrast dye.
Stop blood thinners and other specific medications as instructed by Dr. Fura before your procedure.
Do not eat or drink after midnight. You must arrange for a responsible adult to drive you home afterward.
Wear comfortable, loose clothing. Avoid jewelry and leave valuables at home for safekeeping.
RECOVERY GUIDE
Your post-procedure care involves a brief monitoring period in our clinic followed by careful observation at home. Understanding the recovery process is key.
You will be monitored for 30-60 minutes after the block. You MUST have a driver to take you home. Rest for the day. The expected side effects (droopy eyelid, etc.) will last for several hours. Start with sips of water, as swallowing may feel different.
The temporary side effects will have completely resolved. You can now begin to assess the true therapeutic benefit for your pain or PTSD symptoms. You can return to light, normal activities.
This is a critical period to build on the gains from the procedure. Engage fully with your physical or psychological therapist to maximize the "neural reboot" and achieve lasting results.
Your follow-up is essential to discuss your response. For some conditions, particularly PTSD, a second block may be recommended to solidify the benefits and provide a more durable outcome.
Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.