Stellate Ganglion Block

A Stellate ganglion block can be performed for many conditions causing chronic pain of the shoulder and/or arms, such as Chronic Regional Pain Syndrome (CRPS) of the upper extremities. The stellate ganglion is formed from fusion of the first thoracic and inferior cervical sympathetic ganglion, and it receives innervation from the T1-T4 sympathetic outflow. Stellate ganglion blockade provides sympathetic interruption of the head, neck, upper extremities, and intrathoracic structures. The block is performed by injection of LA near the ganglion where it lies on the anterior surface of the vertebral column, through placement of a needle in the anterior neck.
What conditions can this treat?
- Complex Regional Pain Syndrome (CRPS)
- Phantom limb pain
- Post-herpetic neuralgia (shingles pain)
- Poor circulation in the upper extremities
Conditions
- Arthritis
- Cancer Pain
- Cervical Radiculopathy
- Compression Fractures of the Spine
- Herniated Discs
- Lumbar Radiculopathy (Sciatica)
- Post Laminectomy Syndrome
- Trigeminal Neuralgia
- Whiplash CAD
- Complex Regional Pain Syndrome
- Fibromyalgia
- Neck Pain
- Chronic Abdominal Pain
- Chronic Pelvic Pain
- Neuropathy
- Diabetic Neuropathy
- Migraine Headaches
Treatments
- Kyphoplasty
- Lidocaine Infusion
- Lumbar Epidural Spinal Injection (LESI)
- Lumbar Radiofrequency Neurotomy
- Medial Branch Block (MBB)
- Minimally Invasive Lumbar Decompression (MILD)
- Peripheral Nerve Stimulation
- Radiofrequency Ablation (RFA)
- Regenerative Medicine
- SI Joint Injections
- Spinal Cord Stimulation (SCS)
- Stellate Ganglion Block
- Sympathetic Nerve Block
- Transforaminal Epidural Spinal Injection (TFESI)
- Trigger Point Injections
- Vertebroplasty
- Capsaicin (8%) Patch
- Cervical Epidural Steroid Injection
- Disc Nucleoplasty
- Dorsal Root Ganglion Stimulator (DRG)
- Endoscopic Discectomy
- Facet Joint Syndrome
- Intrathecal Pain Pumps
- Ketamine Infusion
- Hip Joint Injections
- Platelet Rich Plasma
- Knee Joint Injections
- Botox Injections
- Lumbar Sympathetic Ganglion Block
- Intercostal Nerve Block
- Minuteman Procedure
- Vertiflex Procedure