Stellate Ganglion Block, Tampa, Florida


A stellate ganglion block is an injection of local anesthetic (numbing medicine) to block the sympathetic nerves located on either side of the voice box in the neck.
Drooping of the eyelid, bloodshot eye, stuffy nose and a temperature increase in the arm. You may also experience some hoarseness.
Yes

As physicians and medical community continue to try new treatments for long COVID, there has been some hope after use of Stellate Ganglion Blocks to help with symptoms of Long COVID including “lack of smell/taste” “headache”, ‘brain fog”etc. These are the current studies that have shown some promise in managing long COVID symptoms. (Study 1) (Study 2) (Dr. Kalava’s Article)
Current scientific evidence recommends two injections done 2 weeks apart.
0.5% Ropivacaine
A recent study (reference) showed no significant difference when SGB was performed at C6 only Vs at C4 & C6. Also, 80% of the population the, inferior cervical ganglion (located at C6 (NOT C4) is fused with the first thoracic ganglion, forming the cervico-thoracic ganglion AKA Stellate Ganglion. We routinely perform at C6, as anatomically stellate ganglion is located at C6, C7 & T1 and it only involves one injection. If a patient would like to have it done at C4 & C6 we can to do TWO injections.
No
Stellate Ganglion Block for PTSD & Long COVID and some other indications mentioned above are not covered by insurance.

Yes! The injection itself takes 1-2 minutes, followed by a 15-20 minute monitoring session. If you have needle phobia or anxiety in getting this procedure done, we offer “Nitrous Oxide (Laughing Gas)” sedation, making it a virtually painless procedure. Nitrous oxide sedation costs $200.
Unlike other physicians who use fluoroscopic (X-ray) guidance, Dr. Kalava performs Stellate Ganglion Block under direct ultrasound guidance. Ultrasound nerve blocks are much safer than X-ray guided blocks and also have ZERO radiation to the patient. Not only does Dr. Kalava perform these blocks, he also teaches other physicians via his educational company www.UltrasoundExperts.org. Please see some of the videos of stellate ganglion block performed by Dr. Kalava below.
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“The life changing services that Dr. Kalava offers combined with the professionalism and competency of himself and his staff has given me relief for the first time in many years. I have suffered for years from endometriosis and interstitial cystitis and have tried everything, including a laparoscopic procedure, however, was unable to find relief. As well, I have struggled with C-PTSD and have had little success in treating this complicated illness. However the Stellate ganglion block shot has changed my life and my ability to function normally and emotionally regulate. The empathy and understanding that Dr.Kalava displays as well as his staff was paramount in making me feel comfortable, confident, and well informed when getting the shot and has been something that has improved my quality of life. I am very grateful to Dr.Kalava and his staff and highly recommend his method of treatment for anyone who suffers from chronic pelvic pain or PTSD and has struggled to find answers and effective treatment.” – Jacqui
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“I am from Canada. I have been struggling with Chronic PTSD for years. Not responding to medication, suicidal thoughts, depression. I received a Stellate Ganglion Block treatment. In only a few hours my PTSD symptoms were gone. I am so glad I met Dr Kalava and his team.” – Fanie
Check out our library here:
Stellate Ganglion Block
Right Stellate Ganglion Block
Stellate Ganglion Block
Ultrasound Guided Stellate Ganglion Block
Stellate Ganglion Block for PTSD
Stellate Ganglion Block for Long COVID
Left Stellate Ganglion Block
Ultrasound Guided Stellate Ganglion Block for Long COVID
Ultrasound Guided Stellate Ganglion Block