Stellate Ganglion Block (SGB) for PTSD, Anxiety, and Pain Management
The Stellate Ganglion Block (SGB) is a groundbreaking approach that is reshaping how we treat conditions like post-traumatic stress disorder (PTSD), anxiety syndromes, and chronic pain. Originally developed and widely used for pain conditions involving the head, neck, and upper extremities, SGB is now gaining national attention for its remarkable effects on psychiatric symptoms—particularly those associated with trauma and an overactive stress response.
Why SGB Works for PTSD and Anxiety
The stellate ganglion, located in the neck, is part of the sympathetic nervous system—the “fight or flight” system that governs our stress response. In PTSD and chronic anxiety, this system can become stuck in overdrive, leading to symptoms such as hypervigilance, panic attacks, intrusive thoughts, insomnia, and heightened startle responses.
A Stellate Ganglion Block involves a precise injection of local anesthetic around this nerve cluster, temporarily calming the overactive sympathetic system. The result for many patients is immediate and often profound relief from anxiety-driven symptoms. Veterans, first responders, and trauma survivors have reported improvements within minutes to hours, including:
- Reduced hyperarousal and irritability
- Fewer flashbacks, nightmares, and intrusive memories
- Better emotional regulation and mental clarity
- Improved sleep quality and overall sense of calm
By “resetting” the nervous system, SGB provides a window of relief that allows therapies such as counseling or EMDR to be far more effective.
Traditional Pain Management Uses
For decades, SGB has been a trusted treatment for complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), shingles pain, vascular headaches, and upper extremity neuropathic pain. These uses highlight its powerful ability to modulate nerve activity and reduce pain signals.
Today, while these pain-related indications remain important, the psychiatric applications of SGB have emerged as one of the most exciting frontiers in interventional medicine.
What to Expect During the Procedure
- Guided Injection: Performed under ultrasound or fluoroscopic imaging for precision and safety.
- Quick and Minimally Invasive: The procedure takes approximately 15–30 minutes and is done on an outpatient basis.
- Dual-Side Approach: Some patients benefit from a second block on the opposite side within days or weeks for enhanced results.
- Fast Recovery: Most return to normal activities the same day.
Is SGB Right for You?
SGB may be an option if you experience:
- PTSD symptoms not fully resolved with conventional treatment
- Severe anxiety, panic attacks, or hypervigilance
- Persistent stress-related insomnia
- Chronic head, neck, or upper extremity pain
While SGB is FDA-approved for certain pain conditions, its use for psychiatric symptoms is considered off-label. However, clinical studies, military research programs, and patient experiences strongly support its safety and effectiveness.
Guidance and Next Steps
At Evolve Medical, Dr. Sarij provides expert guidance and education on advanced therapies like SGB. If you’re seeking relief from PTSD, anxiety, or trauma-related symptoms, Dr. Sarij will carefully evaluate your health history and goals to determine whether this therapy may complement your treatment plan.
For scheduling and appointments, call (631) 253-1313 or fill out the request appointment form below.
