Home » Stellate Ganglion Blocks: Introduction Of SGB, Impact & Risks

Stellate Ganglion Blocks: Introduction Of SGB, Impact & Risks

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The Stellate ganglion are nerves found on both sides of the voice box. They are a cluster of sympathetic nerves near the collarbones that innervate the head, neck, arms, and upper chest.

Chronic pain from stellate ganglion can be exhausting, hindering your quality of life.

Stellate Ganglion Block, or SGB, is an FDA-approved treatment for pain. It is injected into a cluster of nerves at the anterior neck’s base.

Learning about SGB and its procedure may help you understand its functioning in addressing pain conditions affecting these areas. Can SGB be effective for lowering cluster headaches, phantom limb, and neck pain?

Introduction Of Stellate Ganglion

The stellate ganglion is a sympathetic nerve collection situated near the front of the neck and adjoining the first ribs beneath the collarbones. It could transmit nerve signals to various regions, including the head, neck, arms, and upper chest.

This bundle of nerves on each side of the neck resembles an oval or a star shape. They are crucial components of the autonomic nervous system.

The sympathetic nervous system may help control heart rate, blood pressure regulation, sweating, and other involuntary bodily processes.

The stellate ganglion is a primary source of sympathetic nerve signals to critical areas of the body, influencing responses that occur without conscious effort. These signals could impact blood vessel dilation/constriction, sweat gland activation, and even the fight-or-flight response.

Stellate Ganglion Blocks

Introduction Of Stellate Ganglion Block

Stellate ganglion block (SGB) is the medicine injected into the stellate ganglion. It could alleviate head, neck, upper arm, and upper chest pain. It may help in enhancing circulation and blood flow to the arm. The SGB technique is utilized for diagnosing:

  • Sympathetically mediated pain
  • Treating circulation problems
  • Managing pain symptoms from nerve injuries
  • Complex pain syndrome
  • phantom limb pain
  • Cluster headaches

What Does A Stellate Ganglion Block Treat?

Stellate ganglion blocks diagnose sympathetically mediated pain and treat conditions such as circulation problems, pain symptoms, nerve injuries, and specific disorders.

  • Reflex sympathetic dystrophy
  • Complex regional pain syndrome
  • Peripheral vascular disease
  • Complex regional pain syndrome
  • Postherpetic neuralgia
  • Chronic post-surgical pain
  • Causalgia
  • Hyperhidrosis
  • Raynaud’s syndrome
  • Scleroderma
  • Orofacial pain
  • Atypical chest pain
  • Ménière’s disease
  • Intractable angina
  • Refractory cardiac arrhythmias

Is It Possible That Everyone Has A Stellate Ganglion?

Approximately 80% of people globally possess a stellate ganglion due to the fusion of the inferior cervical ganglion and first thoracic ganglion.

Reasons for Variability in Stellate Ganglion Presence:

  1. Genetic Factors: Genetic makeup variations could influence ganglia’s fusion process during development.
  2. Anatomical Variances: Structural differences in people may impact the alignment and integration of ganglia.
  3. Developmental Anomalies: Abnormalities during embryonic growth might lead to atypical configurations of nerve ganglia.

Impact Of Stellate Ganglion Block On Mental Conditions

Stellate Ganglion Block (SGB) is a targeted medical procedure that addresses various mental health conditions, especially PTSD symptoms.

SGB may reduce symptoms such as anxiety, depression, and hyperarousal by targeting the fear center of the brain and modulating sympathetic nervous system activity. This approach could benefit people who have not responded well to conventional treatments.

However, research into the use of SGB for mental health conditions beyond PTSD is ongoing. There is some scarce evidence that suggests its utility in addressing a spectrum of psychiatric disorders.

Impact Of Stellate Ganglion Block For PTSD

SGB could target the fear center of the brain to alleviate PTSD symptoms like anxiety and flashbacks by blocking sympathetic nerve impulses, which in turn might reduce sympathetic nervous system activity.

Studies have shown that SGB could help relieve pain in areas commonly affected by PTSD, such as the head, neck, upper arm, and upper chest.

A Department of Defense study reported a success rate of approximately 70% in reducing PTSD symptoms through SGB. Clinical trials have demonstrated a decrease in PTSD symptoms in people who underwent SGB compared to those who received a placebo injection.

Behavioral health clinicians have approved SGB as a potential treatment option for PTSD.

Further research is ongoing to understand its full benefits.

However, SGB could be utilized as an adjunct therapy for chronic PTSD cases not responsive to conventional treatments.

How Effective Are Stellate Ganglion Blocks?

The effectiveness of stellate ganglion blocks in managing pain varies among people and may require multiple injections for sustained relief.

  • Some people may experience immediate pain relief after the process, while the relief may be delayed for others.
  • The number of injections needed could vary significantly from person to person.
  • To sustain the pain-free period, a series of injections every 1-2 weeks may be recommended by healthcare providers.

Health Risk Of SGB

Experiencing slight bruising or soreness around the SGB injection site is expected during a stellate ganglion block procedure. However, these side effects are typically mild and temporary.

There are other potential effects that people should be aware of:

Ocular Effects:

  • Tearing up
  • Droopy eyelids (which could affect your balance)
  • Bloodshot (red) eyes

Respiratory Effects:

  • Stuffy nose
  • A hoarse voice
  • The feeling of a lump in your throat
  • A hard time swallowing

Neurological Effects:

  • A tingly or warm feeling in your hand or arm

These side effects usually disperse within 4-6 hours post-procedure. However, informing your doctor of any persistent or severe side effects is essential.

In some rare cases, using SGB injections might cause severe complications such as infection, bleeding, or nerve damage.

Frequently Asked Questions

  • Can SGB Be Used as a Preventative Measure for PTSD?
    Stellate Ganglion Block (SGB) is not typically used as a preventative measure for PTSD or other mental health conditions. It is primarily considered an adjunct therapy for chronic PTSD cases that are unresponsive to conventional treatments.
  • Are There Any Specific Dietary Restrictions to Follow Before or After Getting a Stellate Ganglion Block?
    It is recommended not to eat 4-6 hours after the Stellate Ganglion Block procedure. You could have liquids two hours before the procedure. However, it is advisable to follow standard pre- and post-procedure guidelines provided by your doctor, which may include fasting before the procedure.
  • How Soon After a Stellate Ganglion Block Can Someone Resume Their Normal Exercise Routine?
    After a stellate ganglion block procedure, people should wait at least 24 hours before resuming everyday exercise routines. This precaution may help with recovery and reduce the risk of complications.
  • Is There a Minimum Age Requirement for Undergoing a Stellate Ganglion Block Procedure?
    Anyone above the age of 18 years can undergo a stellate ganglion block procedure after seeking proper guidance from the doctor.
  • Are There Any Alternative Therapies or Options That Can Be Combined With SGB?
    Alternative therapies like cognitive-behavioral therapy, eye movement desensitization, reprocessing, and mindfulness techniques could complement SGB in treating PTSD. Combining pharmacotherapy or virtual reality exposure therapy may enhance benefits for people with complex PTSD.

Conclusion

Stellate ganglion block could help treat various pains and circulation conditions to help you regain control of your life. However, the results of this procedure could vary.

Stellate ganglion block could be a suitable treatment option as it could target inflamed areas while minimizing its effects on other body parts.

Stellate ganglion block may help improve circulation and provide pain relief. It is essential to remain aware of its potential adverse effects. Connect with the doctor to resolve your queries about the SGB procedure.

SGB may help you reset the emotional patterns related to anxiety and PTSD. However, you must follow a healthy lifestyle after your SGB session to experience calmness and pain relief in the long run. You should follow up with high-quality follow-up care after getting an SGB treatment to avoid falling back into a state of overdrive.

Disclaimer

  • The information in this article is for informational purposes only and should not be considered medical advice.
  • It is not recommended to disregard/delay seeking professional medical advice or treatment because of what you read or accessed through this article.
  • The results may vary from individual to individual.
  • It is recommended to consult your doctor for any underlying medical conditions or if you are on any prescribed medicines before trying any tips.
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