The Stellate Ganglion is a collection of nerves formed from the sympathetic nerves of the cervical and thoracic area. It is located in front of the seventh cervical vertebrae and near the first rib. They are part of the sympathetic nervous system and lead to the face and arm. These nerves do not provide feeling or motor function.
Sometimes, after a nerve is traumatized, or sensitized for example, by an infection, the increased sympathetic activity can produce pain. A Stellate Ganglion Block can either be diagnostic to determine the cause of the pain or therapeutic for pain relief.
This procedure consists of the placement of an anesthetic, as well as a corticosteroid solution, on the sympathetic nerves or ganglions (Stellate Ganglion) that rest on the anterior aspect of the cervical spine. The purpose of this injection is to diagnose and treat sympathetic-mediated pain. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as complex regional pain syndrome (RSD), shingles (post-herpetic neuralgia) and trauma as well as other neurologic conditions. All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
Amazingly efficient and professional manner. Dr. Freeman has a great way of listening and caring for his patients. I would highly recommend to all.
Stephen
When you have a stellate ganglion block, you’ll first receive an IV medication to help you relax. You’ll lie on an x-ray table on your back, and the doctor will clean your neck. They will then inject a local anesthetic with a thin needle inserted into your neck. Finally, using ultrasound or x-ray guidance, the doctor will use a second needle to inject another anesthetic medication. This procedure typically takes 30 minutes or less. Patients are monitored in the recovery room and then discharged to return home the same day.
For the first 24 hours after a stellate ganglion block, you should avoid driving and strenuous activities. Generally, you will be able to return to your normal activities the following day. Once your voice has returned to normal, you can sip water, working back up to eating solid foods gradually.
Often, patients report immediate pain relief after a stellate ganglion block, but then notice that the pain returns in a few hours, once the local anesthetic has worn off. Other patients experience lasting relief from the beginning; they can reduce the amount of pain medication they’re taking and participate more in physical therapy and other activities. Patients experience different durations of pain relief — some report no pain for days or even weeks. Often, a series of blocks are needed for continued pain relief. The results tend to last longer with each procedure.
If you respond to the first Stellate Block Injection, further injections may be recommended. A series of 2-4, and up to 10 may be needed to completely treat the problem.
The risks associated with this treatment are minor. Serious complications such as nerve damage, bleeding, and infection are rare. More common side effects include drooping eyelids, tearing, bloodshot eyes, nasal congestion, hoarseness, difficulty swallowing, and tingling or warmth in your arm or hand. These effects are temporary and subside within a few hours.“Stellate ganglion blocks are a minimally-invasive treatment that help many patients achieve significant and long-lasting pain relief,” says a Redefine Healthcare spokesperson. “We are very pleased to be offering this procedure and look forward to continuing to provide exceptional care for our patients.”
If you would like more information about stellate ganglion blocks or are wondering if this treatment might be right for you, you can book a consultation with Redefine Healthcare. Please call (732) 313-2610.
The Best of the best .. Dr freedman. Doing the best for me Thank You for your caring & expertise. Anita Pugliese..
Anita
At Redefine Healthcare, our specialists are board-certified, highly educated, and rigorously trained in various fields, including pain management, neurosurgery, orthopedic spine surgery, chiropractic care, physical therapy, occupational therapy, psychiatry, and podiatry. Many of our doctors have earned the prestigious Castle Connolly Top Doctors recognition from their peers. We prioritize listening to your concerns, identifying the root cause of your pain, and determining the most effective treatment plan to provide quick relief and prevent future conditions. With advanced non-surgical pain rehabilitation, our New Jersey centers in Union, Edison, and Paterson offer top-tier care for severe and chronic pain.
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