Nick had on onset of severe chronic headache and sinus pain. He has been on a journey looking for an answer to his chronic daily facial pain, sinus pain and headache. Approximately 1 hour before this video he came into my Highland Park office looking for an answer to three years of living with orofacial pain and chronic sinus headache. …
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 …
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 …
Glossodynia Relief or Burning Mouth (Tongue) Syndrome : SphenoPalatine Ganglion (SPG) Block Gives Relief.
Burning mouth , tongue and associated conditions can push your misery index to high levels very quickly. SPG Blocks can be a game changer by drastically improving quality of life. and eliminating or alleviating the pain. Glossodynia is commonly known as “Burning Mouth Syndrome” (BMS) has a primary characteristic of a burning or stinging sensation in the mouth. This condition …
Relief of Wide Variety of Eye Pains with SPG Blocks: Self-Administered SPG Blocks May Be a Treatment of Eye Pain.
A paper “Sphenopalatine Phenomen” by Hiram Byrd stated “That the pain of all eye lesions may be stopped by cocaine to the nasal ganglion….is a fact that has been repeatedly observed.” There is a great deal of current research into Sphenopalatine Ganglion Blocks to treat a wide variety of symptoms including chronic daily headache, migraine and trigeminal neuralgia. This old …
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 …
Transformed Migraine or Chronic Migraine: Study SPG Blocks vs Elavil (amitriptyline)
There is currently as study underway at Rutgers looking at utilizing Elavil (amitriptyline) and SPG blocks for treating Transformed Migraine also called Chronic Migraine. This is an ongoing study until May 2018. The study uses 5% Lidocaine Gel. I regularly teach patients to self-administer SPG Blocks (SPGB) using 2% Lidocaine in a cotton-tipped nasal catheter that utilizes continual capillary feed. …
NEW STUDY: The Sphenopalatine Ganglion Block for Post-dural Puncture Headache
There is a brand new study on treatment of Post-Dural Puncture Headaches utilizing Sphenopalatine Ganglion Blocks being sponsored by Brigham and Women’s Hospital. Previous studies have shown success with SPG Blocks on Post-Dural Puncture Headaches. The study is utilizing cotton tipped nasal applicators similar to what I use for teaching patients to self-administer SPG Blocks. I prefer the nasal catheters …