© Therapeutic Pain Management Medical Clinic 2016 - Site created by Dr. Dhruva 1335 Buenaventura Blvd, Ste 100, Redding, CA 96001. T: (530) 247-7246; (530) 24-7-P-A-I-N.   F: (530) 245-0849   email: mail@TPMclinic.com
Therapeutic Pain Management Medical Clinic (TPM) Improving Quality of Life
Stellate Ganglion Injection FAQ’s The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Stellate   Ganglion   Injection.   The   following   material   is   given   as   general   information   only, and is not to be considered as medical advice or consultation. What is a Stellate Ganglion Injection? Stellate   Ganglion   Injection   is   an   injection   of   local   anesthetic   in   the   “sympathetic   nerve   tissue”   –   the   nerves   which   are   a   part   of   Sympathetic   Nervous   System.      The nerves are located on the either side of the voice box, in the neck. What is the purpose of it? The   injection   blocks   the   Sympathetic   Nerves.      This   may   in   turn   reduce   pain,   swelling,   color,   and   sweating   changes   in   the   upper   extremity   and   may   improve mobility.      It   is   done   as   a   part   of   the   treatment   of   Reflex   Sympathetic   Dystrophy   (RSD),   Sympathetic   Maintained   Pain,   Complex   Regional   Pain   Syndrome,   and Herpes Zoster (shingles) involving upper extremity or head and face. How long does the injection take? The actual injection takes only a few minutes. What is actually injected? The injection consists of a local anesthetic (like lidocaine or bupivacaine).  Epinephrine (adrenaline) may be added to prolong the effects of the injection. Will the injection hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a   “tetanus   shot”).      So,   there   is   some   discomfort   involved.      However,   we   may numb   the   skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   before   inserting   the   actual   block   needle.      Most   of   the   patients   also   receive intravenous sedation and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? No.      This   procedure   is   done   under   local   anesthesia.      Most   of   the   patients   also   receive   intravenous   sedation   and   analgesia,   which   makes   the   procedure   easy   to tolerate.  The amount of sedation given generally depends upon the patient tolerance. How is the injection performed? It   is   done   either   with   the   patient   laying   flat   or   slightly   sitting   up.      The   chin   is   slightly   raised.      The   patients   are   monitored   with   EKG,   blood   pressure   cuff   and   blood oxygen-monitoring   device.      Temperature   sensing   probes   may   also   placed   on   your   thumbs   or   hands.      The   skin   in   the   front   of   the   neck,   next   to   the   “voice   box”   is cleaned with antiseptic solution and then the injection is carried out under x-ray guidance (fluoroscopy). What should I expect after the injection? Immediately   after   the   injection,   you   may   feel   your   upper   extremity   getting   warm.      In   addition,   you   may   notice   that   your   pain   may   be   gone   or   quite   less.      You   may also   notice   “a   lump   in   the   throat”   as   well   as   hoarse   voice,   droopy   and   red   eye,   and   some   nasal   congestion   on   the   side   of   the   injection.      You   may   also   develop   a headache. What should I do after the procedure? You   should   have   a   ride   home.      We   advise   the   patients   to   take   it   easy   for   a   day   or   so   after   the   procedure.      Perform   the   activities   as   tolerated   by   you.      Some   of   the patients may go for immediate physical therapy. Can I go to work to work the next day? Unless   there   are   complications,   you   should   be   able   to   return   to   your   work   the   next   day.      The   most   common   thing   you   may   feel   is   soreness   in   the   neck   at   the injection site. How long the effect of the medication lasts? The   local   anesthetic   wears   off   in   a   few   hours.      However,   the   blockade   of   sympathetic   nerves   may   last   for   many   more   hours.      Usually,   the   duration   of   relief   gets longer after each injection. How many injections do I need to have? If   you   respond   to   the   first   injection,   you   will   be   recommended   for   repeat   injections.      Usually,   a   series   of   such   injections   is   needed   to   treat   the   problem.      Some may need only 2 to 4 and some may need more that 10.  The response to such injections varies from patient to patient. Will the Stellate Ganglion Injection help me? It   is   very   difficult   to   predict   if   the   injection(s)   will   indeed   help   you   or   not.      The   patients   who   present   early   during   their   illness   tend   to   respond   better   than   those who have this treatment after about six months of symptoms do.  Patients in the advanced stages of disease may not respond adequately. What are the risks and side effects? This   procedure   is   safe.      However,   with   any   procedure   there   are   risks,   side   effects,   and   possibility   of   complications.      The   most   common   side   effect   is   pain   –   which is   temporary.      The   other   risk   involves   bleeding,   infection,   seizures,   spinal   block,   epidural   block,   and   injection   into   blood   vessels   and   surrounding   organs.     Fortunately, the serious side effects and complications are uncommon. Who should not have this injection? If   you   are   allergic   to   any   of   the   medications   to   be   injected,   if   you   are   on   a   blood   thinning   medication   (e.g.   Coumadin,   Plavix),   or   if   you   have   an   active   infection going on near the injection site, you should not have the injection.
© Therapeutic Pain Management Medical Clinic 2016 Web designed and  created by Dr. Dhruva
Therapeutic Pain Management Medical Clinic Improving Quality of Life
Stellate Ganglion Injection FAQ’s The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Stellate Ganglion   Injection.   The   following   material   is   given   as   general   information   only, and is not to be considered as medical advice or consultation. What is a Stellate Ganglion Injection? Stellate   Ganglion   Injection   is   an   injection   of   local   anesthetic   in   the   “sympathetic nerve   tissue”   –   the   nerves   which   are   a   part   of   Sympathetic   Nervous   System.      The nerves are located on the either side of the voice box, in the neck. What is the purpose of it? The    injection    blocks    the    Sympathetic    Nerves.        This    may    in    turn    reduce    pain, swelling,   color,   and   sweating   changes   in   the   upper   extremity   and   may   improve mobility.      It   is   done   as   a   part   of   the   treatment   of   Reflex   Sympathetic   Dystrophy (RSD),    Sympathetic    Maintained    Pain,    Complex    Regional    Pain    Syndrome,    and Herpes Zoster (shingles) involving upper extremity or head and face. How long does the injection take? The actual injection takes only a few minutes. What is actually injected? The    injection    consists    of    a    local    anesthetic    (like    lidocaine    or    bupivacaine).      Epinephrine (adrenaline) may be added to prolong the effects of the injection. Will the injection hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a “tetanus   shot”).      So,   there   is   some   discomfort   involved.      However,   we   may   numb the   skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   before inserting   the   actual   block   needle.      Most   of   the   patients   also   receive   intravenous sedation and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? No.      This   procedure   is   done   under   local   anesthesia.      Most   of   the   patients   also receive   intravenous   sedation   and   analgesia,   which   makes   the   procedure   easy   to tolerate.        The    amount    of    sedation    given    generally    depends    upon    the    patient tolerance. How is the injection performed? It   is   done   either   with   the   patient   laying   flat   or   slightly   sitting   up.      The   chin   is slightly   raised.      The   patients   are   monitored   with   EKG,   blood   pressure   cuff   and blood   oxygen-monitoring   device.      Temperature   sensing   probes   may   also   placed on   your   thumbs   or   hands.      The   skin   in   the   front   of   the   neck,   next   to   the   “voice box”   is   cleaned   with   antiseptic   solution   and   then   the   injection   is   carried   out   under x-ray guidance (fluoroscopy). What should I expect after the injection? Immediately   after   the   injection,   you   may   feel   your   upper   extremity   getting   warm.     In   addition,   you   may   notice   that   your   pain   may   be   gone   or   quite   less.      You   may also   notice   “a   lump   in   the   throat”   as   well   as   hoarse   voice,   droopy   and   red   eye,   and some   nasal   congestion   on   the   side   of   the   injection.      You   may   also   develop   a headache. What should I do after the procedure? You   should   have   a   ride   home.      We   advise   the   patients   to   take   it   easy   for   a   day   or so   after   the   procedure.      Perform   the   activities   as   tolerated   by   you.      Some   of   the patients may go for immediate physical therapy. Can I go to work to work the next day? Unless   there   are   complications,   you   should   be   able   to   return   to   your   work   the next   day.      The   most   common   thing   you   may   feel   is   soreness   in   the   neck   at   the injection site. How long the effect of the medication lasts? The    local    anesthetic    wears    off    in    a    few    hours.        However,    the    blockade    of sympathetic   nerves   may   last   for   many   more   hours.      Usually,   the   duration   of   relief gets longer after each injection. How many injections do I need to have? If    you    respond    to    the    first    injection,    you    will    be    recommended    for    repeat injections.      Usually,   a   series   of   such   injections   is   needed   to   treat   the   problem.     Some   may   need   only   2   to   4   and   some   may   need   more   that   10.      The   response   to such injections varies from patient to patient. Will the Stellate Ganglion Injection help me? It   is   very   difficult   to   predict   if   the   injection(s)   will   indeed   help   you   or   not.      The patients   who   present   early   during   their   illness   tend   to   respond   better   than   those who   have   this   treatment   after   about   six   months   of   symptoms   do.      Patients   in   the advanced stages of disease may not respond adequately. What are the risks and side effects? This   procedure   is   safe.      However,   with   any   procedure   there   are   risks,   side   effects, and   possibility   of   complications.      The   most   common   side   effect   is   pain   –   which   is temporary.      The   other   risk   involves   bleeding,   infection,   seizures,   spinal   block, epidural    block,    and    injection    into    blood    vessels    and    surrounding    organs.      Fortunately, the serious side effects and complications are uncommon. Who should not have this injection? If   you   are   allergic   to   any   of   the   medications   to   be   injected,   if   you   are   on   a   blood thinning   medication   (e.g.   Coumadin,   Plavix),   or   if   you   have   an   active   infection going on near the injection site, you should not have the injection.