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 …
New Daily Persistent Headache: AKA Chronic Headache with Acute Onset. Are SPG Blocks the Ideal First Line Treatment?
The New Daily Persistent Headache (NDPH) is daily from its onset and usually peaks in about three days. Most patients can pinpoint exactly when it began to a day or an hour. Many patients remember many specifics of the day as well. These NDP Headaches seem to respond exceedingly well to Sphenopalatine Ganglion Blocks. Unlike most headache patients, patients suffering …
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 …
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 …
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 …
Bilateral sphenopalatine ganglion block reduces blood pressure in patients with essential hypertension
I have been utilizing bilateral SPG Blocks to treat TMJ pain, MPD, Anxiety, Chronic Pain, Tension Headaches, Migraine Headaches, Dluster Headaches and Fibromyalgia. SPG Blocks can be used to reverse central sensitization and can serve as a replacement for a host of medications utilized for headaches, anxiety, depression, neuralgias not only saving reources but also reducing harmful side effects. This …
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) …
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