Many so called “Psychosomatic Issues” can be treated with SPG Blocks.

Sphenopalatine Ganglion Blocks have many uses including treating and preventing severe headaches, migraines, cluster headaches and TMJ disorders but they also have many other areas of use. Many remote effect syndromes are regulated by the autonomic nervous system   Sometimes, the patients are diagnosed as having “psychosomatic issues” which is very unfair to patients. The Psychosomatic diagnosis arises when the Physician …

Intractable Hiccups: Sphenopalatine Ganglion Blocks may be the answer.

An older article from 1979 in Arch Phys Med Rehabil discusses use of Sphenopalatine Ganglion Blocks or SPG Blocks for treating multiple “remote effects” including “psychosomatic” symptoms. SPG Blocks are routinely utilized to treat headaches, migraines and especially Cluster Headaches as well as other Trigeminal Autonomic Cephalgias (TAC).  Sphenopalatine Ganglion Blocks may be the safest treatment for intractable headache as well. …

Non-Invasive Sphenopalatine Ganglion Modulation with Myomonitor For Craniofacial and Orofacial Pain

The Sphenopalatine Ganglion (also known as Nasal Ganglion, Pterygopalatine Ganglion, Sluder’s Ganglion and Meckel’s Gangliion) is the largest Parasympathetic Ganglion of the head.  While it is a Parasympathetic Ganglion it also carries Sympathetic Fibers from the Superior Sympathetic Cervical Chain and Somato-Sensory Nerves of the Trigeminal Nerve and the Facial Nerve. It was originally described in 1908  by Dr  Greenfeld …

Hemicrania Continua: Diagnosis and Treatment. The Role of Sphenopalatine Ganglion in Diagnosis and Treatment of all Types of Headaches.

Hemicrania Continua is discussed in a new article in Neurology Advisor (NA). According to NA Hemicrania continua (HC), one of the trigeminal primary headaches, causes intense unilateral pain for several months, as well as autonomic symptoms.  MY COMMENTS WILL BE IN ALL CAPITAL LETTERS.   ALL HEADACHES ARE TRIGEMINAL HEADACHES.  THE TRIGEMINAL NEERVE, OFTEN CALLED THE DENTIST’S NERVE IS THE LARGEST …

Sphenopalatine Ganglion Blocks in Combination with Greater and Lesser Occipital Nerve Blocks

A new article on treatment of post dural puncture headaches may also hold key to treatment of headaches with a large upper cervical component.  The article is in Journal of Clinical Anesthiology. J Clin Anesth. 2019 Feb;52:69-70. doi: 10.1016/j.jclinane.2018.09.015. Epub 2018 Sep 12. The Sphenopalatine Ganglion is located in the pterygopalatine fossa along with the maxillary division of the trigeminal nerve and the maxillary …

New Clinical Study on Sphenopalatine Ganglion (SPG) Blocks to Prevent Migraine at UCSF

Sphenopalatine Ganglion Blocks have been utilized for over 100 years to treat a wide variety of chronic pain, headaches, Cluster Headaches, migraines, sinus headaches and many other conditions. A new study is beginning at UCSF to study the effects of various nasal anesthetics for the prevention of migraines.  This is an enormous opportunity for patients in the San Francisco area …

Relief of Pain From Cervical Dystonia after learning to Self-Administer SPG Blocks

This is a case presentation of a patient with cervical dystonia of long duration.  Following a consultation the patient elected to learn to Self-Administer Sphenopalatine Ganglion Blocks to treat her pain. The Sphenopalatine Ganglion (SPG) is the largest Parasympathetic Ganglion of the head and has cell bodies of parasympathetic nerve fibers in thee ganglion.  It also contains nerve fibers from …

Treating the SphenoPalatine Ganglion in Refractory Chronic Cluster Headache. Are Repetitive Self-Administered Blocks Superior to Surgery?

Sphenopalatine Ganglion Blocks have been shown to be a primary treatment of choice for Chronic Cluster Headache (CCH). These blocks can be given by intra-oral or extra-oral injection or by nasal catheter.  The Sphenocath is a commercial device used to deliver the blocks by a  trans-nasal  approach.  The Allevio and the TX360 are similar trans-nasal catheters.  These devices are used …

Persistent Poststroke Headache: Self Administered Sphenopalatine Ganglion (SPG) May Be Treatment of Choice

Neurology Advisor (in “Headache and Migraine Advisor” section) has recently published an update on the topic of persistent poststroke headache.  Overall, there is  an incidence of poststroke headache ranging from 9.3% to 38%.   Headache patterns have revealed  long-term, persistent headache(s)  as a distinct entity that warrants  entry as a new category in the International Classification of Headache Disorders (ICHD)-3. This …

Topical Sphenopalatine Ganglion Block in Headache Management Headache; November 2018 Article

The Spheenopalatine Ganglion (SPG) Block has a 100+ year history of treating many types of headaches and migraines and is considered a treatment of choice for cluster headaches.  It was originally described by Greenfield Schluder who went on to become chair of the Dept of Otolaryngology at Washington University Medical School in St Louis.  Dr Schluder was the author of  …