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Stellate Ganglion Block (SGB) for Posttraumatic Stress Disorder (PTSD)

Stellate ganglion block 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 SGB for PTSD as more and more information comes in from physicians and the results of multi-site randomized controlled studies.

What is Posttraumatic stress disorder (PTSD)?

PTSD is a condition that can occur when people have experienced or witnessed a traumatic event such as a natural disaster, serious accident, terrorist act, war/combat, rape, or violent personal assault.

Over 1 In Every 30 U.S. Adults Affected
Currently Suffer From PTSD (U.S.)
Will Be Diagnosed With PTSD In Their Lifetime

Quick background on Stellate ganglion block

SGB is new in its application as a treatment for PTSD, but it’s been used since 1925 – almost 100 years. It is well documented in medical literature as a treatment of choice for certain pain-related conditions and is typically administered by anesthesiologists with specific subspecialty training. SGB is considered a low risk procedure and is regularly used to this day.

How does Stellate Ganglion Block work to treat PTSD?

Post-Traumatic Stress Disorder (PTSD) develops in response to trauma. It’s believed that nerves in the sympathetic nervous system (our “fight or flight” response) branch out or grow after extreme trauma leading to elevated levels of norepinephrine (an adrenaline-like substance) which, in turn, over activates the brain’s fear center (the amygdala). Additional findings suggest the two areas of the brain which help keep the amygdala in check, the hippocampus and the anterior cingulate cortex, do not appear to function as well in those with PTSD. This chain of events results in PTSD symptoms that may persist for years or decades.

Stellate Ganglion Block for PTSD

In other words, our baseline “normal” is changed dramatically after trauma exposures and some people become stuck in “fight or flight” mode. This phenomenon can be observed in certain types of brain scans.

The sympathetic nervous system has a collection of nerves in the neck called Stellate Ganglion and this seems to control the activation of the amygdala; SGB essentially “reboots” the sympathetic nervous system to its pre-trauma state, similar to a computer reboot. Placing an anesthetic agent on the stellate ganglion causes norepinephrine levels to reduce rapidly and the extra nerve growth retreats. This can relieve the symptoms of PTSD in as little as 30-minutes and last for years.

Ketamine Infusion NEW

Ketamine Infusion

Shown to work for those who don’t respond to other treatments

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“I had nightmares every night. I feel different now…like I’m back to normal”

“I’ve been feeling really good [since treatment]. I have more confidence and don’t have the negative thoughts. I’m calm.”


“I’m happy. I feel like a weight has been lifted”

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