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Stelleate ganglion block for PSTD and pain

Posted by bodhisattva_guy on February 5, 2011, at 1:31:22

Hello,

I was wondering if anyone has tried this treatment for PTSD or pain - it is called stellate ganglion block.


I did a search on this forum, but nothing specific came up - it seems this topic has not been extensively debated. I have considered stelleate ganglion block for facial pain few years back. But have not heard much about it lately. I wonder if this treatment has been implemented. I first read about it as being used for Vetarans coming back with PTSD. a procedure of injecting the stellate ganglion (which is a main switching station for the sympathetic nervous system in the neck and controls the blood flow and certain pain sensors) This ganglion nucleus is injected with local anesthetic while you are out and they do live floroscopy to make sure they inject in the right place. The procedure mentioned in news was about vets coming back with PTSD. They were getting relief from this injection ( at least it was reported that few patients had this done and were relieved). It is thought to work by regulating sympathetic system - calming it down.
I didn't go for procedure - as there are risks associated. And also, it is generally agreed that patient should first try clonodine patch to see if my pain gets better. Clonodine also calm down sympathetic system.

It is said when a traumatic event is experienced, it leads to an increase in the nerve growth factor. This spike causes nerves to sprout, leading to feelings of anxiety. By applying the local anesthetic to block the specific nerve group in the neck, the growth factor returns to normal and symptoms subside.

Here is a free medical article for those who would like more details.

http://www.hindawi.com/journals/prt/2010/963948.html
Pain Research and Treatment
Volume 2010 (2010), Article ID 963948, 5 pages
doi:10.1155/2010/963948




Case Report


Successful Use of Stellate Ganglion Block and Pulsed Radiofrequency in the Treatment of Posttraumatic Stress Disorder: A Case Report


Eugene Lipov
Abstract:

Objective. To report our successful treatment of acute symptoms of posttraumatic stress disorder (PTSD). By the use of stellate ganglion block (SGB) and pulsed radiofrequency (PRF) to the stellate ganglion(SG) , sequentially. Background. A 48-year-old male a victim
of armed robbery , who presented with extreme symptoms consistent with the diagnosis of PTSD. He was treated with antianxiety medications, as well as psychotherapy, but his symptoms persisted.
Methods. Fifty-five days post trauma, we administered a SGB to the patient. One month later, we administered PRF to the right SG . We repeated the pulsed radiofrequency 30 weeks post trauma and performed a second SGB two weeks after that. Results. After the SGB , the patient experienced a major reduction in anxiety. Over the next week his improved allowing a significant reduction of antianxiety medications. One month later the symptoms returned and again subsided substantially following PRF , and that relief lasted four months. The patient than required another following PRF and a SGB with good responses. Conclusion. We report that selective blockade of the stellate ganglion via injection and the treatment with PRF, relieved our patient's symptoms of PTSD. And we also provide a plausible explanation of the effect.


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URL: http://www.dr-bob.org/babble/20110130/msgs/978681.html