How is SGB Performed?

Stellate ganglion block (SGB) is a well-established procedure used by specialists to relieve pain, and more recently a true breakthrough in PTSD treatment. SGB is a powerful new option for those with posttraumatic stress disorder who have not found relief from traditional evidence-based treatments such as therapy and medication.

There has been a surge of interest in stellate ganglion block for PTSD as more and more information comes in from physicians and the results of multi-site randomized controlled studies. This article will explain how it is performed.

The stellate ganglion is part of the sympathetic nervous system located in the neck, on either side of the voice box, and a SGB is an injection of medication into these nerves. Outside of PTSD is commonly used to treat reflex sympathetic dystrophy, shingles, phantom limb pain, and complex regional pain syndrome.

  • The procedure starts with IV medication in order to relax the patient

  • The patient lies back on an X-ray table and the neck is cleansed.

  • The doctor will insert a thin needle into the neck, near the voice box

  • Local anesthetic is injected

  • Using X-ray or ultrasound guidance the physician will insert a second needle and carefully inject anesthetic medication into the stellate ganglion

Who performs stellate ganglion blocks?

SGB is typically performed by anesthesiologists with unique subspecialty training. These are highly trained experts at medication management and precision needle placement.

The physicians in our network are the best of the best.

  • Fellowship trained

  • Board-certified 

  • Perform injections under image guidance 

Stellate Ganglion Block

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