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Stellate Ganglion Block

An injection near a group of nerves in the neck that can help certain pain and circulation problems in the face, neck and arms.

What Is Stellate Ganglion Block?

The stellate ganglion is a group of sympathetic nerves at the base of the neck. These nerves help control blood flow and can play a role in some pain conditions. A stellate ganglion block places numbing medicine near these nerves to calm their activity.

Conditions It May Help

  • Complex regional pain syndrome (CRPS) of the arm or hand
  • Certain nerve pain conditions of the face, neck or arm
  • Shingles-related pain
  • Some circulation problems of the arm

How It Is Done

You lie on your back and the skin on the front of the neck is cleaned and numbed. Using ultrasound or fluoroscopy, Dr. Rema guides a thin needle to the target area and injects the medicine. The procedure usually takes about 15 to 30 minutes.

What to Expect

It is common to have temporary, expected effects on that side, such as a droopy eyelid, red eye, nasal stuffiness, hoarseness, or a feeling of a lump in the throat. These usually fade within hours. You will be observed briefly and should have a driver. A series of blocks is sometimes recommended.

Possible Side Effects and Risks

Temporary hoarseness or difficulty swallowing, soreness and bruising. Uncommon risks include infection, bleeding, and injection into a blood vessel, with rare serious complications that Dr. Rema will review. Dr. Rema will review your medical history and medications, including blood thinners, before your procedure.

Take the Next Step

Call 845-245-6033 to schedule a consultation with Dr. Rema at Hudson Valley Pain Management, 33 Grand Street, Suite 33A, Kingston, NY 12401. Results vary from person to person, and Dr. Rema will review the benefits and risks for your situation.

Elvis W. Rema, MD · Pain Management · 33 Grand Street, Suite 33A, Kingston, NY 12401 · Phone 845-245-6033 · Fax 845-245-6054 · Castle Connolly Top Doctor

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