Stellate Ganglion Block

FAQ’s on Stellgate Ganglion Block

What is a stellate ganglion block?

A stellate ganglion block is an injection of local anesthetic performed to relieve pain by blocking the stellate ganglion, a sympathetic nerve tissue formed by the first thoracic ganglion and inferior cervical ganglion. The nerve tissue is found at the level of the 6th and 7th cervical vertebrae, anterior to the first rib and near the subclavian artery. The stellate ganglion can be injured or inflamed, causing pain in the neck, head, arm or chest, hence the need for the injection. The injection reduces symptoms such as swelling, pain, color and extreme sweating in the head, face, hands and arms and can also improves mobility.

What is the goal of stellate ganglion block?

The stellate ganglion block is aimed at helping a patient to relieve pain located in the neck, head, arm or chest caused by sympathetically mediated pain, nerve injury, shingles or decreased flow of blood to the heart. It’s also done to improve blood flow in patients with blood circulation problems due to vascular diseases.

How is the stellate ganglion block procedure performed?

The stellate ganglion block procedure is performed while a patient lying on his or her back. The patient is sedated and monitored with devices such as thermometers, oxygen-monitoring devices and blood pressure cuffs. The anesthetic medication is then injected in the stellate ganglion with help of a fine needle using fluoroscopy. The medicine reduces the pain by block the sensitive nerves ability to transmit pain signals to the brain.

How long does the procedure take to perform? 

The stellate ganglion block takes about 8-10 minutes. Patients with pain in their heads remain lying on their backs, while patients with pain in their arms sit up for the medicine to spread downwards. The medicine takes about 15-20 minutes to show full effect. Patients normally stay in the recovery room for 30 -60 minutes for the doctor to monitor their pulse, temperature and blood pressure.

 How long do the effects from the stellate ganglion block last? 

The effects of the stellate ganglion block may last for several hours up to several weeks or longer. Patients may feel tenderness in the neck and have droopy eyes immediately after the injection is administered. They may also develop hoarse voice and have difficulties in swallowing. The effects are temporary and disappear after the anesthetic dissipates. The relief effect of chronic symptoms can take longer and may be a few days after the injection.

What are the side effects of the stellate ganglion block? 

The risks of the stellate ganglion block can include seizure, collapsed lung, and numb arm, temporary weakness around the neck, nerve damage, allergic reaction and needle bruising. Some other temporary effects are bloodshot eye, temperature increase especially in the arm and stuffy nose. The injection may worsen medical conditions such as diabetes or heart diseases.

What conditions are treatable with the stellate ganglion block? 

The stellate ganglion block is used to treat Reflex Sympathetic Dystrophy (RSD), Complex Regional Pain Syndrome, Herpes Zoster (shingles) Sympathetic Maintained Pain involving head and face or arm. The injection may reduce pain, color, swelling and extreme sweating and improve mobility. A series of the blocks may be recommended to give a patient long term relief.

How effective is the stellate ganglion block for the relief of pain? 

The stellate ganglion block is mainly effective on patients who present themselves during the early stages of their illnesses. Patients with advanced symptoms may not respond well to the injection. The injection is effective in reducing pain in the upper body and also in the treatment of complex regional pain and sympathetic maintained pain.

Ganglion Impar Nerve Block

FAQ’s on Ganglion Impar or Sacroccygeal Ganglion Nerve Block?

What is a Ganglion Impar Nerve Block?

The ganglion impar or Sacroccygeal ganglion is a bundle of nerves located within the coccyx (tail bone) that provides sensation to the nearby tissues. A complication in the pelvic or rectal regions can be treated with a ganglion impar nerve block toprovide relief.

A small amount of anesthetic into a nerve bundle to numb it, blocking the transmission of painsignals to the brain providing relief.

How does a Ganglion Impar Block work?

The ganglion impar provides sensation to the vulva, vagina, perineum, urethra, and anus. Any pain inthese areas can be treated with a Ganglion Impar Block. Apart from pain, patients may even experience bladder urgency, abdominal pain or burning sensation in the bladder due to Ganglion Impar.

How is the procedure done?

For the procedure, patients aremade to lie face down so that the ganglion becomes accessiblefrom the back. The area to be injected is sterilized and numbed with local anesthetic. The needle is carefully inserted once the skin is numb. The needle is guided into the ganglion using fluoroscopic imaging.Then the pain doctor injects a dye into the ganglion. This dye makes the nerves seen on X-ray, confirming its accurate position. Then an anesthetic is injected at the site..

For a diagnostic nerve block, a small amount of anesthetic is given. This allows the pain doctor to check the nerves’ reaction to the dosage. If sufficient relief is evident, a full dose of anesthetic is administered. This is known as a therapeutic block.

How successful is a Ganglion Impar Nerve Block?

There are 3 possible outcomes:

  • One outcome may be that there is no change in the symptoms. This is not a failure; rather it tells the doctor that tha ganglion impar is not the root cause of pain in the patient. This makes ganglionimpar block an effective diagnostic tool.
  •  The symptoms may return in some cases. This is another useful diagnostic tool since it means that ganglion impar is the source of pain. The recurrence of symptoms only means that the medication failed to provide sufficient relief.
  • The best outcome is that the symptoms go away. This shows that the anesthetic and the steroid proved effective and the therapeutic block issue successful.

What are the risks of a Ganglion Impar Nerve Block?

There is only a small risk of infection, bleeding, or swelling at the injection site. There may be an allergic reaction to the agents used in a rare case. Patients are monitored after the injection to ensure that this does not occur. The largest risk with this procedure is that it simply will not work.




Spinal Stenosis: Causes, Symptoms and Treatment

 FAQ’s on Spinal Stenosis

Spinal Stenosis San DiegoSpinal stenosis refers to a condition that involves the narrowing of a particular area of the spine, be it the central canal through which the spine and nerves run, openings between the spinal cords from where the nerves are attached to other parts of the body or canals holding the base of nerve roots. This narrowing of the spine results in compression on the spinal cord and nerves, resulting in obstruction of signals from the brain to the body and vice-versa.

 What are the Causes of Spinal Stenosis? 

This condition may be inherited or acquired. In case of inherited spinal stenosis, the spine and nerve roots may be compressed due to an inherently small canal or a curve in the spine (a condition that is known as scoliosis). Achondroplasia, another inherited condition which relates to the defective formation of bones in the body, may also trigger spinal stenosis.

Acquired spinal stenosis, can be triggered by a variety of factors. Degenerative conditions, usually associated with progressing age, where the bones and ligaments begin to change their structure and are inflamed can lead to spinal stenosis. Spondylolisthesis, a condition where spinal vertebra move from their original position to overlap one another, herniated disks, Pagets disease, that results in abnormal enlargement of bones, trauma caused by accidents or injuries, presence of tumor on the spine and calcification of ligaments in and around the spine are some of the major known causes of acquired spinal stenosis.

What are the symptoms? 

Spinal Stenosis San Diego

Patients suffering from spinal stenosis may complain of weakness, pain and numbness in the affected area. In case of cervical (around the neck) stenosis, these symptoms are experienced in the arms. In lumbar (lower back region) stenosis, a patient presents these symptoms in the legs. One of the serious fall-outs of lumbar stenosis is dysfunction of bowel and bladder movements. These symptoms are indicative of immediate surgical intervention to relieve pressure on the spine.

 How is spinal stenosis diagnosed?

Spinal Stenosis San DiegoDiagnosis begins with a detailed evaluation of patient’s medical history. A patient should be forthcoming in sharing every possible detail of any previous medical condition and current symptoms. This is usually followed up with a physical and neurological examination. Tests such as MRI, CT scan, X-ray and bone scan may be ordered to validate the diagnosis.

 What are the treatment options? 

Your doctor may initiate you on physical therapy, anti-inflammatory medicines, oral and epidural steroids. Some doctors strongly recommend weight loss initiatives to relieve symptoms of pain and numbness. Alternative therapies such as magnet therapy and acupuncture can also prove beneficial. A spinal surgery is often the last resort in case of spinal stenosis. The surgery involves removing of excess soft tissue, bones, and ligament to decompress the nerves.




Sphenopalatine Ganglion (SPG) Block

 FAQ’s on Sphenopalatine Ganglion Block 

What is a Sphenopalatine Ganglion Block?

Located behind the nasal cavity is a cluster of nerves, known as a ganglion, which provides sensation to the surrounding areas of the face. This is the sphenopalatine ganglion (SPG) and is composed of three separate nerve types: Sympathetic, Parasympathetic, and Sensory. Each of these nerves provides a different service to the face and the head, but none of the three are involved in movement.

Complications with this ganglion can potentially result in a large amount of pain felt in the face or head, and may create headaches for the patient. A Sphenopalatine ganglion block works by numbing the nerve cluster to provide relief for the patient.

 What will a Sphenopalatine Ganglion Block treat?

Nearly every painful condition of the head and face can have some degree of relief obtained through the use of a sphenopalatine ganglion block. Conditions directly affected by this block include the symptoms of TMJ, cluster and acute headaches, shingles, RSD, and pain in the head or neck resulting from cancer. Atypical facial pain without a known cause may also potentially be treatable through the use of this block.

 How is a Sphenopalatine Ganglion Block performed?

Three of the most used methods for administering a sphenopalatine ganglion block include the lateral approach (injection through the cheek), the transnasal, and the transoral approaches. Of these, the transnasal is used most due to both the simplicity of the approach and the ease of reception by patients.

For the transnasal approach, patients will be asked to lie on their back with their head extended, typically into a cushioned addition to the table. An anesthetic gel will be administered to the nostril in preparation for the injection. Once numbed, an applicator device will be inserted into the nostril and placed to the nasopharnyx to numb it. The entire procedure should take no more than half an hour for the patient, and is largely painless.

 The Lateral Approach

For patients who opt to receive a sphenopalatine ganglion block via lateral injection, the procedure is altered significantly. First, the entirety of the cheek will receive a numbing anesthetic in preparation for the injection needle. Following this, fluoroscopic imaging (a technique using rapid X-rays to create a current picture of where the needle is) will be sued to guide the needle into the correct area of the face and to insure that the needle resides in the sphenopalatine ganglion prior to injection. Once properly inserted into the SPG, a numbing agent will be injected.

The purpose behind each approach is the same: to numb the ganglion and provide pain relief to the patient. Numbing the ganglion in this manner will cease the nervous activity in it, stopping the transmission of pain signals to the brain from the nerve bundle.

 How well does a Sphenopalatine Ganglion Block work?

Extensive testing has been made into the effectiveness of a sphenopalatine ganglion block; with consensus made that as a whole they are effective in the treatment of facial conditions. For many patients, the block will provide relief for pain felt in the face and may also reduce both the frequency and the duration of headaches. Patients who obtain relief through this block may be able to repeat the procedure as often as needed to maintain their relief.

 What are the risks of a Sphenopalatine Ganglion Block?

The risks of this block vary slightly based on the application method used. The only real risk present during a transnasal approach is that the numbing agent may drip into the mouth or throat. Patients who are receiving injection through the cheek may experience bleeding, pain, or swelling at the injection site.


Workers Compensation

Workers Compensation Treatment San Diego CA

Work Comp San Diego CAWork Comp Doctor in San Diego CA

Getting injured at work can make life difficult for you. If the injury is severe enough, it may prevent you from being able to work at all. It may interfere with your personal and professional life.

To be able to support your family and get back to a normal life need first rate San Diego Worker’s Compensation treatment. The Workers Compensation Doctors in the California Pain Network are on a large amount of Medical Provider Networks (MPN\’s).

These highly skilled, certified pain specialists treat patients from San Diego area with Workmans Compensation care such that your pain Workman Compensation San Bernardinois relieved and you can go back to a normal life.

Along with the highly effective Worker’s Compensation pain management treatment, these providers and clinics are efficient at maintaining correct documentation so that your claim is successfully processed.

Whether or not you are a Federal Employee or in a California Workmen’s Compensation claim, the clinics can help you successfully navigate the administrative side along with the medical treatment aspect.

The California Pain Network makes your Workers Compensation Claim hassle-free. If you’re suffering from a work injury and need a California state or Federal Workmans compensation claim handled, call immediately and relax.

The California Pain Network\’s SD doctors offer first-rate Work Comp treatment. Workers Compensation Doctor San DiegoThey participate with a large amount of Medical Provider Networks (MPN\’s) and include:

  • San Diego Pain Management Doctors – provide medication for pain treatment and interventions.
  • Chiropractic – adjustments and spinal decompression therapy.
  • Physical Therapy – exercises, electrical stimulation and ultrasound to treat pain.
  • Orthopedic surgeons – hand surgeons, sports medicine, spine surgeons, joint replacement, extremity surgeons, Qualified Medical Examiners.
  • Internal Medicine professionals

The medical providers can help diminish your pain and get you back to work. Also, these medical clinics are experts at the administrative paperwork to successfully process your claim. This includes whether the claim involves Federal or CA Workmans Compensation.

San Diego Workers Compensation

So if you are suffering from an injury at work and need a California State or Federal Workmans compensation claim handled in the San Diego area, let the California Pain Network be your comprehensive provider.

Call today (619) 500-1573 for more information and scheduling!


Auto Accident Treatment

Are you experiencing pain from an auto accident in the San Diego area?

Whiplash San Diego CAAuto Accident Doctor San Diego CA

Let the California Pain Network help when you are involved in a motorcycle or auto accident. The aftermath may be difficult to handle. Especially if you were the victim and are dealing with significant physical and emotional injuries.Personal Injury Doctor San Diego

Along with necessary medical care, you may need to consult with mechanics for your vehicle, a personal-injury attorney, insurance companies. All of this while continuing to deal with your medical care as well.

The California Pain Network has multiple doctors that specialize in auto accident injury treatment in the greater San Diego area. This includes San Diego pain management doctors, orthopedic surgeons, spine surgeons along with chiropractic doctors.

It is well-known that after being involved in a motorcycle or auto accident, receiving treatment as soon as possible can prevent your pain from becoming chronic. For instance, 15% of whiplash injuries turn into chronic neck pain. However, receiving treatment ASAP after your accident can prevent this from happening.

Typical pain resulting from an auto accident may include neck pain from whiplash, Whiplash Treatment San Diegoexacerbation of low back pain, sciatica or radiculopathy, headaches, and potentially bone bruising or fractures.

The California Pain Network has assembled an experienced, Board Certified, Award-Winning team of providers at multiple locations to make your treatment convenient and effective.

These medical specialists offer multiple nonsurgical and surgical treatments including

When it comes to personal injury pain management treatment, it is very important to seek care with providers who are not only experienced in getting you the best outcome, but also having experience in proper record keeping to properly document your case. In order to maximize your eventual settlement at the end of the case, you will need to have extensive documentation from your providers.

The doctors in the California Pain Network not only highly experienced in successful outcomes for personal-injury treatment, they are experts at documenting the cases.
Treatment options with the San Diego California Pain Network providers may include a combination of pain management treatment, chiropractic care, physical therapy, and as a last resort, an orthopedic surgery evaluation.

For your pain management needs San Diego medical specialists offer serveral nonsurgical and surgical options including:Personal Injury Doctors San Diego

  • Chiropractic
  • Interventional Pain Management with the Best San Diego Pain Doctors
  • Medication Management
  • Spine Surgery
  • Orthopedic Surgery – Spine, Hand, Sports, General

Experts in Auto Accident Personal Injury Treatment at multiple San Diego pain centers

Call (619) 500-1573 to Get Started Today

The following California cities are serviced by the award winning providers California Pain Network: San Diego, Chula Vista, National City, Encenitas, Oceanside, Vista, Carlsbad, Temecula, La Mesa, La Jolla and surrounding areas.

Orthopedic Surgery

Orthopedic Surgery San Diego

Orthopedic Surgeons San Diego CAOrthopedic Surgeons San Diego, La Jolla, Chula Vista, Oceanside, Carlsbad

The California Pain Network offers several Board Certified and Fellowship trained orthopedic doctors in San Diego and the surrounding areas. These orthopedic surgeons offer treatment for general conditions such as arthritis and joint problems, as well as Orthopedic Surgeon San Diegospecialty conditions including spine problems, sports injuries, hand surgery needs and all types of fracture care.

The orthopedic surgeons treating spinal conditions concentrate on both neck and low back conditions such as sciatica, scoliosis, spinal stenosis, degenerative disc disease, spinal arthritis, vertebral compression fractures and all types of Personal Injury and Worker\’s Compensation needs for the neck and back.

Sports Doctor San DiegoWhen sports medicine orthopedic care is necessary, the orthopedic surgeons in San Diego offer minimally invasive treatments for ACL tears, rotator cuff injury, knee pain, and tendinitis along with foot and ankle disorders.

Joint replacement surgeons in San Diego treat arthritic conditions of the knee, hip, shoulder with the latest in total joint replacement.

The San Diego orthopedic surgeons in the California Pain Network accept most PPO insurances, Medicare, Workers Compensation claims, Personal Injury Liens and Longshoreman cases as well.

Patients are seen at multiple locations throughout the greater San Diego area.
If you are experiencing pain in either the back, neck or extremities such as the shoulder, hip, knee, hand or foot and ankle, left the California Pain Network help you.

We have orthopedic surgeons San Diego trusts and respects. Call 619 500-1573 for more information and scheduling.

Spine Surgeon San Diego


Insurances Accepted for Pain Management, Chiropractic, & Physical Therapy Treatment


  • All PPO Insurances (e.g. Aetna, BCBS, United, Humana, Cigna, etc.)Pain Management Santa Ana CA
  • Tricare
  • Personal Injury Liens
  • Medicare plans
  • Workers Compensation
  • Self Pay

These providers are constantly adding more insurances to the list and the Medical Provider Network is extensive. Please call and we can verify coverage.

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**Currently the providers are not accepting Medi-Cal. This may change in the future.

Chiropractor in San Diego CA


Pain Management Doctors in San Diego

Featured Oceanside, Vista & San Diego Pain Management Doctors in the CA Pain Network

All of the doctors in the California Pain Network are Board Certified and experts in their field. San Diego pain doctorsThe physicians offer medication as well as interventions as pain management options.

Over 25 treatment options are provided which include the latest, cutting edge options like spinal cord implants and radiofrequency lessoning and multiple types of epidural injections.

The physicians offer treatment that is compassionate, highly skilled and typically effective. The providers offer you the time necessary to perform a full history and physical examination while answering your questions completely.

Brenton Wynn, MD – San Diego

Dr. Wynn is a Board Certified pain management doctor offering both medical and interventional treatments.


Brenton Wynn, MD

Brenton Wynn, MD

  • Medical School – Howard University
  • Residency – Stanford University
  • Fellowship – LSU Health Sciences Center – Interventional Spine


  • Physical Medicine & Rehabilitation

Board Certifications

  • Physical Medicine & Rehabilitation
  • American Board of Pain Medicine

Anuj Gupta, MD – Vista and Oceanside

Dr. Gupta is a bilingual Board Certified pain management doctor in Vista and Oceanside. He offers both medical and interventional treatments that are cutting

Pain Management Oceanside CA

Dr. Anuj Gupta, MD

edge and customized to individual patient needs.


MD – Albany Medical College 2002

Residency – University of Southern California – Anesthesiology

Pain Fellowship – Louisiana State Health Sciences Center 2009


  • Anesthesiology

Board Certifications

  • Diplomate American Board of Anesthesiology
  • Sub-Specialty Certification in Pain Medicine

Pain Management Vista CA


Pain doctors in San Diego


Contact the Preferred pain centers in greater San Diego…

Pain Clinic San Diego

One Number San Diego Scheduling

(619) 500-1573

Fax: (888) 892-1831

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Click on map for directions. These locations have Award Winning,

Board Certified San Diego pain doctors, physical therapists & chiropractors.

San Diego Office:

1501 5th Avenue
San Diego, CA 92101
Direct Phone: (619) 500-1573

California Pain Network serves the following areas with pain management, physical therapy and chiropractic treatment:
San Diego, Chula Vista, National City, La Jolla, La Mesa, Temecula, Oceanside, Encenitas, Vista, Escondido, Carlsbad.

One Number San Diego Scheduling
(619) 500-1573