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.

Information on the study:

Testimonials on SPG Blocks:

Intractable/ Refractory Headaches and Migraines: SPG Blocks (Sphenopalatine Ganglion Blocks) May be the Fastest Safest Treatment

Intractable Headaches destroy the lives of both patients and families. The medical costs often become prohibitive and relief is often unobtainable.

Beautiful young woman with headache touching her temples, isolated in white


This is just an introductory page to the use of Sphenopalatine Ganglion Blocks for intractable headaches and other conditions.

While there are no universal answers to pain the use of  Self Administered Sphenopalatine Ganglion Blocks can be the answer many patients are seeking.  My previous post on this site  has an extensive review of SPG Blocks and a wide bibliography of scientific literature.

Intractable / Refractory Headaches:  SPG Blocks are used in the ER when other treatments have failed:

Intractable / Refractory Headaches:  Patients can use SPG Blocks without trip to ER.  Quality of life is horrible traveling to and waiting in ER.  Treatment in your own home is more comfortable and is more timely.

Intractable  Refractory Headaches:  Elimination of the majority of  physician visits for headaches  and migraines is obtainable.

Intractable / Refractory headaches:  SPG Blocks can prevent headaches and migraines and be used prophylactically to prevent or eliminate headaches and migraines.

Intractable / Refractory Headache:  Self Administration of SPG Blocks  allows patients to titrate frequency of treatment based on their needs to improve quality of life.

Cancer Pain:  Self Administration or caretaker administration improves quality of life:

Intractable / Refractory Headaches Costs:  After initial visits the cost of  Self Administered Sphenopalatine Ganglion Blocks is under $1.00

Rebound headaches and Migraines:  SPG Bl0cks can treat and prevent rebound headaches and migraines.  Rebound Headache is not an issue with SPG Blocks

SPG Block  Testimonials on Reddit :

Anxiety & Panic Attacks:  SPG Blocks turn off Fight or Flight Sympathetic Reflex (stress) and turn on Feed and Breed Parasympathetic reflex (good feeling of playing with babies, puppies or kittens….Love and affection)

Additional  effects of SPG Blocks:  Feelings of Well Being and safety.

Physiologic Effects SPG Blocks:  Can treat HBP and Essential Hypertension

Insomnia Treatment with SPG Blocks:  No medication side effects or morning hangovers.

Allergic Rhinitis Treatment with SPG Blocks:

Treatment of TMJ Blocks:  Patient testimonials SPG Blocks and Neuromuscular dentistry.  The Myomonitor utilized by Neuromuscular Dentists stimulates the Sphenopalatine Ganglion while addressing trigeminal and facial nerves.  Patient Testimonials on Neuromuscular Dentistry on Reddit.

Te book “Miracles on Park Avenue” describes the amazing practice of Dr Milton Reder who treated a wide variety of chroni health and pain  conditions including intractable headaches using Sphenopalatine Ganglion Blocks (SPG Blocks)