Stellate Ganglion Block (SGB) for PTSD | Maryland

Capitol Pain & Wellness Center offers Stellate Ganglion Block (SGB) in Greenbelt, Maryland, for appropriately selected patients, including individuals seeking an additional treatment option for symptoms associated with post-traumatic stress disorder (PTSD).

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A stellate ganglion block is a minimally invasive, image-guided injection performed near a group of sympathetic nerves located in the neck. These nerves are part of the sympathetic nervous system, which helps regulate the body's “fight-or-flight” response.

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SGB and PTSD

PTSD may be associated with persistent activation of the sympathetic nervous system, contributing to symptoms such as hyperarousal, anxiety, irritability, difficulty sleeping, exaggerated startle response, and difficulty concentrating.

Research suggests that stellate ganglion block may help reduce certain PTSD symptoms in some patients by temporarily modifying sympathetic nervous system activity.

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SGB is not considered a cure for PTSD and is not a replacement for established mental health treatment. It is generally considered an adjunctive treatment option and should be incorporated into a comprehensive treatment plan when appropriate.

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What Happens During a Stellate Ganglion Block?

SGB is performed using image guidance to accurately position a small needle near the stellate ganglion in the neck. A local anesthetic is then carefully injected around the sympathetic nerves.

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The procedure itself is typically brief, and patients are monitored afterward before being discharged home.

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Temporary effects may include:

• Drooping of the eyelid

• Redness of the eye

• Nasal congestion

• Warmth or flushing of the face

• Hoarseness or a sensation of throat fullness

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These effects are generally temporary and may indicate that the sympathetic nerves have been successfully blocked.

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How Quickly Does SGB Work?

Response to stellate ganglion block varies from person to person. Some patients report improvement relatively soon after treatment, while others may experience a more gradual response or limited benefit.

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The duration of improvement also varies, and some patients may require additional treatment.

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Is SGB Right for You?

Stellate ganglion block may be considered for selected patients experiencing persistent PTSD-related symptoms despite conventional treatment or for those interested in exploring an additional treatment option.

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A consultation is necessary to review your medical history, symptoms, previous treatments, medications, and potential risks before determining whether SGB is appropriate.

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Experienced, Image-Guided SGB in Greenbelt, Maryland

At Capitol Pain & Wellness Center, stellate ganglion blocks are performed by Luis Telles, MD, a fellowship-trained, double board-certified anesthesiologist and interventional pain medicine physician.

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Our office in Greenbelt, Maryland serves patients throughout Prince George's County, the greater Maryland region, and the Washington, DC metropolitan area.

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If you are interested in learning whether stellate ganglion block may be an appropriate option for PTSD-related symptoms, contact Capitol Pain & Wellness Center to schedule a consultation.

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Important: Stellate ganglion block for PTSD is an off-label use of this procedure. Individual outcomes vary, and treatment should not replace appropriate psychiatric, psychological, or other established PTSD care.