Chicago Pediatric Migraine: Sphenopalatine Ganglion Blocks

Safe and Effective Alternative Treatment for Pediatric Migraine under study but available currently to Chicago areas patients. The use of Sphenopalatine Ganglion Blocks has a 100 year history and was first used by Greenfield Sluder in 1908. It is a remarkable procedure that was featured in the popular book “MIRACLES ON PARK AVENUE”.  Dr Sluder later wrote a textbook on …

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Neuromuscular dentistry and the role of the autonomic nervous system: Sphenopalatine ganglion blocks and neuromodulation. An International College of Cranio Mandibular Orthopedics (ICCMO) position paper

Originally published at CRANIO® The Journal of Craniomandibular & Sleep Practice ISSN: 0886-9634 (Print) 2151-0903 (Online) Journal homepage: https://www.tandfonline.com/loi/ycra20 2019, VOL. 37, NO. 3, 201–206 https://doi.org/10.1080/08869634.2019.1592807 POSITION PAPER Neuromuscular dentistry and the role of the autonomic nervous system: Sphenopalatine ganglion blocks and neuromodulation. An International College of Cranio Mandibular Orthopedics (ICCMO) position paper Ira L. Shapira DDS, D, ABDSM, D, AAPM, …

Management of Cluster Headaches with Sphenopalatine Ganglion Blocks. What is the Best Mode of Administration of SPG Blocks for Cluster Headaches.

What is the best method of delivering a SPG Block?  There are many alternatives for delivering SPG Blocks, I personally feel that self-administration is the best approach for the majority of patients.  I utilize a wide variety of methods in some circumstances.  Is Lidocaine the drug of choice for Cluster Headaches?  The answer is yes for many if not most patients …

How Long Does A Sphenopalatine Ganglion (SPG) Block Last? What is the Best Method to Extend Headache and Migraine Relief?

The duration of action will vary with both the method of delivery, the anesthetic utilized and characteristics of the individual patients. The new tran-snasal catheter delivery devices all deposit anesthetic over the mucosa covering the pterygopalatine fossa. The three devices are the Sphenocath, the Allevio and the TX360 used in the MiRx protocol. All three of these devices are basically …

Cluster Headache Management with Sphenopalatine Ganglion Stimulation. The Sphenopalatine Ganglion Phenomena

Cluster Headache is considered one of the worst pains known to man. SPG Blocks are extremely effective at turning off the pain of cluster headaches and other autonomic cephalgia. It has also been extremely effective in treatment chronic migraine, chronic daily headache and new persistent headaches. This new paper (abstract below) is looking at the use of implanted neuromdulation device …

Intranasal SPG Blocks are Extremely Effective, New study measures the depth of the tissue from the nasal mucosa to the Ganglion.

This is an interesting study (abstract below) where they actually measured the distance from the nasal mucosa to the Sphenopalatine Ganglion.  They found that the average distance was 6.77 mm. In dentistry it is common for infiltration to go thru far more than 6. 7 mm of bone and tissue.  The authors of this study concluded that it challenges the assumption …

Sphenopalatine Ganglion: Block, Radiofrequency Ablation and Neurostimulation – a Systematic Review of Sphenopalatine Ganglion Block Indications

Sphenopalatine Ganglion Blocks have been called “The MIRACLE BLOCK” and were the topic of the book “Miracles on Park Avenue” detailing how Dr Milton Reder, A NEW YORK CITY ENT used them to change peoples lives. This is an excellent review article published December 2017 discussing  Treatments to the Sphenopalatine Ganglion (also known as the Ptergopalatine Ganglion, the SPG, the …

Essential Hypertension Breakthrough: Bilateral Sphenopalatine Ganglion Blocks Reduce Blood Pressure, 2018 update.

Sphenopalatine Ganglion Blocks (SPG Blocks, Pterygopalatine Ganglion Blocks) can give dramatic relief to headache, migraine, orofacial pain, TMJ disorders. cluster headache and anxiety patients.  A new article in Jan 2018 International Journal of Cardiology (abstract below) shows success with SPG Blocks in treating essential Hypertension. The minimally invasive block was effective utilized 2% lidocaine and was administered just once.  This …

Atypical Odontalgia: A Troublesome Problem Might Have A Simple Solution.

Atypical Odontalgia, often called atypical facial pain, phantom tooth pain or neuropathic tooth pain can be a nightmare for both patients and dentists. It is often considered to be a psychiatric problem due to somatization disorder or an idiopathic disorder but neither of these constitute an actual diagnosis. Atypical Trigeminal Neuralgia is the diagnosis sometimes given but that is also a …

Sinus Arrest Treated by Sphenopalatine Ganglion Block.

A article from Headache (abstract below) details how a Sphenopalatine Ganglion Block used to treat pain of postherpetic neuralgia and coincidentally stopped bradycardia associated with sinus arrest. It was assumed that treating the pain was the reason the sinus arrest was corrected but it is possible it was a direct effect on the autonomic nervous system. While generally SPG Blocks …