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 Nasal Neurology.

SPG Blocks are extremely effective for treating tension headache, migraines, Cluster headaches and other trigeminal autonomic cephalgias.

Thee blocks are extremely safe and have also been shown effective for treating about 1/3 of essential hypertension, anxiety and many other disorders including vasomotor rhinitis.

A new study has just begun by Adam B Sivitz, MD, at the Newark Beth Israel Medical Center.

The study will have 2 legs and look at:
Migraine in Children
Sphenopalatine Neuralgia
Migraine in Adolescence

This study will use the same 2% lidocaine I have been using since 1986 (4% lidocaine was also used in past).

This treatment is currently available in the Chicago area for treating adult, pediatric and adolescent migraines.

Dr Shapira teaches patients how to Self-Administer Sphenopalatine Ganglion  (SPG) Blocks at his Highland Park, Il Office.

Referral Information:

There is a website dedicated to the topic of Sphenopalatine Ganglion Blocks:

More information is available at:

Dr Shapira has Video Testimonials of patients who have been treated with SPG Blocks:

Sphenopalatine Ganglion Blocks are an ideal altternative too opiod therapy as discussed in a brand new article in Curr Pain Headache Rep. 2019 Jul 8;




Chronic headache is a significant worldwide problem despite advances in treatment options. Chronic headaches can have significant a detrimental impact on the activities of daily living.


Patients who do not obtain relief from chronic head and neck pain from conservative treatments are commonly being managed with interventional treatments. These interventional treatment options include botulinum toxin A, injections, local occipital nerve anesthetic and corticosteroid infiltration, occipital nerve subcutaneous stimulation and occipital nerve pulsed radiofrequency (PRF), sphenopalatine ganglion block, and radiofrequency techniques. Recently, evidence has emerged to support non-opioid-based drug and interventional approaches. Overall, more research is necessary to clarify the safety and efficacy of interventional treatments and to better understand the pathogenesis of chronic headache pain.

Copyright 2014 • Dr. Ira Shapira •

For effective TMJ and Sleep Disorder solutions. 3500 Western Ave Suite 101 | Highland Park, IL 60035 | Phone: (847) 533 8313.

Dr Shapira is a licensed general dentist in Illinois

Serving the communities of Chicago, Deerfield, Evanston, Highland Park, Kenilworth, Lake Bluff, Lake Forest, Libertyville, Lincolnshire, Mettawa, Morthon Grove, Northbrook, Northfield, Skokie, Vernon Hills, Wilmette, Winnetka, Lake County

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