We’re pleased to announce that Pain Physicians of Wisconsin is now Pro Spine Pain.
The stellate ganglion is part of the sympathetic nervous system that is located in your neck, on either side of your voice box. A stellate ganglion block is an injection of medication into these nerves that can help relieve pain in the head, neck, upper arm and upper chest. It also can help increase circulation and blood supply to the arm.
A stellate ganglion block is used to diagnose or treat circulation problems or nerve injuries, including:
Some patients report pain relief immediately after the injection, but the pain may return a few hours later as the local anesthetic wears off. Other patients have longer term relief that outlasts the duration of the local anesthetic and helps them to reduce their medication use and increase their participation in physical therapy.
How long the pain relief lasts is different for each patient. Some may be pain-free for days or weeks. Usually people need a series of injections to continue the pain relief. Sometimes it takes only two injections; sometimes it takes up to ten. The relief tends to last longer with each treatment.
Do not drive or do any rigorous activity for 24 hours after your stellate ganglion block. You can return to your normal activities the next day. When your voice returns to normal, you may begin to sip water through a straw and gradually work up to eating solid foods.
The risk of complications from a stellate ganglion block is very low. However, there could be bruising or soreness at the injection site. Serious complications, including infection, bleeding and nerve damage, are uncommon.
Side effects of the procedure may include: drooping eyelids, red or “bloodshot” eyes, tearing, nasal stuffiness, hoarse voice, feeling of a “lump” in your throat, difficulty swallowing, and warmth or tingling in your arm or hand.
These effects will subside within a few hours.
Stellate ganglion blocks can help treat a range of nerve injuries and circulation problems, such as:
Before having a stellate ganglion block, you’ll need to undergo an initial consultation with one of our physicians. During this appointment, they will extensively discuss your medical history and symptoms and, if needed, refer you for diagnostic imaging tests. From there, they will recommend the best treatment for your condition.
Following a preliminary consultation and briefing, our physicians will schedule an appointment for your stellate block. Before the day of the procedure, they’ll likely advise you to fast and stop taking certain medications, such as blood thinners, to reduce the risk of complications.
Then, on the day of the procedure, they will:
After the procedure is complete, you may be kept in the clinic for 30-60 minutes afterward to ensure you feel no side effects or adverse reactions. It’s important to follow the instructions given by your physician and also not drive afterward due to the temporary numbness you may feel.
Many patients report feeling immediate relief after the injection. However, it’s also normal to experience some mild pain a few hours following the procedure as the local anesthetic wears off. Often, the pain relief can last for days or weeks. However, if it subsides quickly, you may need a further injection.
The interventional pain management physicians at Pro Spine & Pain are Ivy League-educated and trained. Recognized as Castle Connolly Top Doctors—a prestigious national accolade—we offer minimally invasive procedures to alleviate your pain and help you resume daily activities. Additionally, we specialize in regenerative medicine to initiate the healing process once you’re pain-free. Trusted by over 10,000 patients in Wisconsin, our team leverages multiple modalities to address your pain, including managing post-operative pain from previous surgeries. Our doctors prioritize upholding each patient’s dignity while delivering ethical and professional services.