A stellate ganglion injection is a procedure used to manage pain and improve circulation in the neck, head, chest, and upper arms. It involves injecting a local anesthetic, sometimes with a steroid, near the stellate ganglion, a cluster of nerves in the neck. This procedure may help with complex regional pain syndrome, reflex sympathetic dystrophy, shingles-related pain, and blood flow issues like Raynaud’s disease. It is also being explored for PTSD, anxiety, and depression, though research is ongoing.

During the procedure, you’ll lie on your back, and a needle is guided using X-ray or ultrasound for precise placement. You may receive medication to help you relax, and we’ll monitor you closely for about an 30 minutes to an hour afterward. The procedure itself takes less than 30 minutes.

Alternatives to a stellate ganglion injection include physical therapy, medications, nerve blocks, spinal cord stimulation, or in some cases, surgical interventions. The best option depends on your condition and response to previous treatments.

Before the procedure, let us know if you have an infection or take blood thinners. If sedations is necessary, you should fast for at least 8 hours for solid foods and 2 hours for clear liquids and arrange for someone to drive you home.

Temporary effects like a droopy eyelid or warmth in the arm are common and should go away on their own. Serious risks like infection or nerve damage are rare, but any unusual symptoms should be reported immediately.

Pain relief varies—some patients experience immediate improvement, while others may need follow-up injections for longer-term relief. We’ll work with you to track your progress and adjust your treatment plan as needed.