Catheter Types for Delivery of Nasal Sphenopalatine Ganglion Blocks: What is the Best Delivery System?

Sphenopalatine Ganglion Blocks are indicated for a wide of conditions including chronic daily headaches, chronic migraines, cluster headaches, Tension-Type Headache,  TMJ disorders, Trigeminal Neuralgia, Myofascial Pain, Trigeminal Neuralgia, chronic rhinitis and many other conditions. There are many ways to deliver Sphenopalatine Ganglion (SPG) blocks by injection and transnasal approaches. The original description of Sphenopalatine (pterygopalatine) ganglion blocks by Sluder in …

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 …

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 …

Sphenopalatine Ganglion Stimulation Alters Blood Flow in the Brain

Sphenopalatine Ganglion Blocks and stimulation are utilized to treat and prevent headaches, migraines, cluster headaches, other trigeminal autonomic cephalgias and a wide variety of other symptoms. This old experimental study (1990 abstract below) evaluated where changes in blood flow occurred in the brain.  Unilateral stimulation increased blood flow on the same side of the brain 45% to the Cerebral Cortex …

Sphenopalatine Ganglion Stimulation: 50 Years of Safety and Efficacy

The concept of doing Sphenopalatine Ganglion Blocks is over 100 years old and was first described by Sluder in 1908 for Sluder’s Neuralgia.  Current thinking is what Sluder described was Cluster Headache, Autonomic Cephalgias or Temporomandibular disorders including trigeminal neuralgia. There is a long history of safety with these blocks and many means of delivering them. Dentists and ENT’s are …

Sphenopalatine Ganglion Blocks: Are these Autonomic Blocks the Answer to Reduced Sexual Desire. Self-Administration of SPG Blocks is Key!

I routinely utilize Sphenopalatine Ganglion Blocks or SPG Blocks to treat patients with chronic pain issues. These include TMJ disorders, headaches, migraines, myofascial pain and dysfunction, anxiety, panic attacks and other problems associated with Autonomic Sympathetic Overload.  While there are numerous methods of delivering SPG Blocks my preferred method is a cotton-tipped continual feed nasal catheter.  The results are similar …

Trigeminal Neuralgia: First Line Approach with SPG Blocks Can Be Safe and Effective

Trigeminal Neuralgia (TN) has been called the Suicide Disease. The medical community typically considers  carbamazepine and oxcarbazepine as First Line Treatment.   I suggest that for many patients Sphenopalatine Ganglion Blocks are a far safer and offer a far more effective first line approach to addressing Trigeminal Neuralgia (TN) without a multitude of medication side effects.  Side effects of Carbamazepine (Tegretol) and oxcarbazepine (Trileptal) …

Doctors Discuss SPG Blocks: Their First Personal Experience with Sphenopalatine Ganglion Blocks.

I recently taught a course in Sphenopalatine Ganglion Blocks in Seattle Washington to Neuromuscular Dentists. After the 90 minute lecture close to 100 doctors and their teams lined up to have SPG Blocks. This first Video is a dentist who has been in pain most of her life. She does not remember even a single day where she was out …

Sphenopalatine Ganglion Block: a Safe and Easy Method for the Management of Orofacial pain. Lidocaine SPG Blocks

I have been teaching self administration of SPG Blocks for over 30 years as an effective, patient friendly method of controlling orofacial pain, migraines, cluster headaches, tension headaches, sinus headaches, anxiety and many other common problems. I just came across this article from over 20 years ago endorsing this great technique. The Sphenopalatine Ganglion is also known as the Nasal …