Stellate Ganglion Block Injections for Pain Relief

in Maryland, Pennsylvania, Florida, and Virginia


 A stellate ganglion block is a local anesthetic neck injection that helps relieve pain in neck, upper arms, and head by blocking nerves from sending pain signals to brain.

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Stellate Ganglion Block Treatment

An SGB injection is often used to treat pain in the face, neck, and arms. The injection targets the ganglion nerves in the neck with a medication solution that blocks the nerves from sending pain signals to the brain.

A pain specialist will perform the treatment in a sterile environment. the injection procedure takes about 15 minutes to administer. Many patients report immediate relief, but it can sometimes take a day or two for the medication to take full effect.

To learn more about the injection procedure and the conditions it treats, use the resource buttons below. If you are ready to speak to pain specialists then you can call our offices here or schedule a consultation here.


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

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Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Stellate Ganglion Blocks Treatment Guide

Stellate Ganglion Blocks Digital Guide

Explore our comprehensive digital guide on SGB injections. This guide provides detailed information about the procedure, ideal candidates, the diagnosis process, and answers to many frequently asked questions about SGB injections. We aim to empower you with the knowledge about stellate ganglion block pain management to make the best decisions for your health. 

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What Are Stellate Ganglion Blocks?

Part of the body’s nervous system, the stellate ganglion are sympathetic nerves that are involved with movement and feeling in your arm and face. This complex collection of nerves is found at the sixth and seventh cervical vertebrae of the neck. If you are experiencing pain sensations in your face, neck, and arms, your physician may recommend a stellate ganglion block as a form of treatment.

A stellate ganglion block is a local anesthetic that is administered to the front of the neck. The medication in the injection’s solution relieves the pain and the pain signals from the nerves that reach the neck, upper arms, and head. Stellate ganglion blocks can also help improve the body’s circulation to the arms.

Outside of immediate treatment for pain symptoms, a stellate ganglion block for pain is also utilized to determine the presence of nerve injury or problematic circulation. 

These conditions include: 

Whether used therapeutically to relieve pain or diagnostically to determine the source of your pain, a stellate ganglion block for chronic pain can be incredibly effective. If a patient is able to find relief from this injection, their doctor may recommend a series of these blocks for long term pain management.  


How Do Stellate Ganglion Blocks Work?

Stellate ganglion therapy is an injection of local anesthetic in the sympathetic nerve tissue found in the neck. The nerves are located on both sides of the voice box found in the neck. Sometimes a steroid is combined with the medicated solution to prolong the pain-relieving effects of the injection. This injection is able to block the nerve signals from sending pain messages to the brain, thus managing your symptoms. While either as a diagnostic tool or therapeutic treatment, a stellate ganglion treatment can help you return to a fully functioning life.

The procedure is performed in a sterile environment. You will be positioned according to the location of your pain. The injection site will be cleansed using betadine or alcohol. Your physician will anesthetize your skin using local anesthetic. A small needle with medication will deliver the anesthetic to the site of pain. You may experience pressure at the site. The process may take up to 15 minutes to administer. You may begin to notice immediate relief, but it may take a day or two for the medication to take full effect.

The nerves, muscles, and tissue surround the affected area of the neck are bathed in the solution from the injection, reducing inflammation and pain. This allows patients to experience better mobility and help them return to a fully functioning life. Some patients may even benefit from the short term relief because it allows them to participate in physical therapy, which is another treatment method for neck, face, and chest pain, for long term relief. 


What Conditions Do Stellate Ganglion Blocks Treat?

What is a stellate ganglion block used for? A stellate ganglion block can assist your physician or pain management specialist in diagnosing the source of your pain. If your pain does not go away with the stellate ganglion injection, then the source of pain is not the nerves in the neck. If the pain returns after the local anesthetic wears off, patients may require several injection treatments to maintain relief.

A nerve block shot in neck also treat nerve injury like causalgia, pain from shingles, intractable angina, and pain from reflex sympathetic dystrophy. These sympathetic blocks can also treat poor blood circulation that is a result from Raynaud’s disease or CREST syndrome.

Immediately after stellate ganglion block therapy, a patient may also experience a temporary increase in pain before the anesthetic is experienced. You will need to take precautions to not overexert yourself and injure the injection site. You will also be asked not to sit in any pools or tubs for 48 hours after the injection to prevent infection. The steroid medication may take two to three days to start having a full effect. Patients can use an ice pack applied to the area to alleviate any discomfort.  

Along with pain, a SGB shot have also shown to be effective at treating PTSD and even long COVID. If you are interested, check out our page on SGB for PTSD.


Frequently Asked Questions

What types of doctors offer Stellate Ganglion Block Injections?

Stellate Ganglion Block Injections are typically offered by anesthesiologists, pain management specialists, and some neurologists. It's important to ensure that the medical professional is experienced with this specific procedure.

Is Stellate Ganglion Block Injections covered by insurance?

Coverage for Stellate Ganglion Block Injections can vary greatly depending on your insurance provider and plan. It's best to contact your insurance company directly to confirm whether this treatment is covered.

What are the alternatives to Stellate Ganglion Block Injections treatment?

Alternatives could include other types of nerve block injections, physical therapy, medication management, or in some cases, surgical interventions. The right alternative will depend on your specific condition and should be discussed with your doctor.

Is Stellate Ganglion Block Injections considered minimally invasive?

Yes, Stellate Ganglion Block Injections are considered a minimally invasive procedure as they involve the use of a needle to inject medication, but do not require any large incisions or general anesthesia.

How do I find a Stellate Ganglion Block Injections treatment center near me?

You can use online resources like health directories or medical review sites to find treatment centers in your area that offer Stellate Ganglion Block Injections. Consultation with your primary care physician may also provide referrals.

How do I find a Stellate Ganglion Block Injections specialist near me?

Similar to finding a treatment center, you can use online directories, review sites, or recommendations from your primary care physician to find specialists in your area.

Is Stellate Ganglion Block Injections considered a minimally invasive treatment?

Yes, as mentioned earlier, Stellate Ganglion Block Injections are considered minimally invasive.

How much does Stellate Ganglion Block Injections cost?

The cost can vary based on factors such as your location, the specific provider, and your insurance coverage. It's best to contact potential treatment centers or your insurance provider for the most accurate information.

What treatments are often tried before considering Stellate Ganglion Block Injections?

Prior to considering Stellate Ganglion Block Injections, doctors may recommend treatments such as physical therapy, medication management, lifestyle changes, or other less invasive procedures depending on the condition being treated.

What are the reviews for Stellate Ganglion Block Injections?

Reviews can vary greatly based on individual experiences and outcomes. It's advisable to read reviews from various sources and consult with a healthcare professional.

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We are a comprehensive pain management practice with board-certified doctors in Maryland, Pennsylvania, and Virginia that specialize in innovative treatments like SGB Injections

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Related Pain Regions

Stellate Ganglion Blocks are often used to treat pain in the following regions:

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Stellate Ganglion Blocks Specialists in Maryland, Pennsylvania, Florida and Virginia


At Pain and Spine Specialists, our stellate ganglion block specialists are committed to giving you the most effective treatment to relieve your chronic pain. We believe that all patients should have access to comprehensive care, including SGB block injections, and that is why you can find our locations conveniently located throughout Maryland, Pennsylvania, Florida, and Virginia.

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At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

MEET OUR PARTNER

MEET OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

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