Post-Traumatic Stress Disorder (PTSD) & Stellate Ganglion Block

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can occur after an individual experiences or witnesses a traumatic event. It is characterized by a range of symptoms that can significantly impact a person’s daily life and overall well-being.

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What is already known about this subject?

►  Exaggerated hyperarousal is an independent predictor of non-response to standard post-traumatic stress disorder (PTSD) treatment.

►  For over 100 years, a simple, safe procedure called stellate ganglion block (SGB) has been used successfully to treat a variety of sympathetically modulated pathologies (eg, chronic regional pain syndrome, postherpetic neuralgia), and over the past 10 years SGB has also been used in some locations to treat post-traumatic

stress symptoms with a success rate of

approximately 70%–80%.

►  Fourteen peer-reviewed publications

since 1990 support SGB’s safety and effectiveness in the successful treatment of PTSD symptoms across a variety
of patient demographics and trauma etiologies, but what has not been identified is how best to integrate SGB into standard trauma-focused treatment.

What are the new findings?

►  When surveyed, from a sample of behavioral health clinicians who have experience with SGB for PTSD, 96% identified ‘Arousal/Reactivity’ as the symptom cluster most improved following treatment with SGB.

Symptoms:

Intrusive Memories:

  • Recurrent distressing memories or flashbacks.
  • Nightmares about the trauma.

Avoidance:

  • Steering clear of reminders or discussions about the trauma.
  • Avoiding places or people associated with the event.

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Other Symptoms:

Negative Changes in Thinking and Mood:

Persistent negative thoughts about oneself or others.
Feelings of hopelessness or detachment.
Difficulty experiencing positive emotions or recalling details of the trauma.

Altered Arousal and Reactivity:

Irritability, aggression, or hypervigilance.
Difficulty concentrating and sleep disturbances.

Causes:

PTSD can develop after experiencing or witnessing a variety of traumatic events, such as:

  • Combat exposure or military trauma.
  • Sexual or physical assault.
  • Natural disasters (e.g., hurricanes, earthquakes).
  • Serious accidents (e.g., car crashes).
  • Sudden loss of a loved one.
  • Any event that causes significant emotional distress.

Other Conditions