Stellate Ganglion Block

A neck injection that calms overactive fight-or-flight nerves to ease certain pain, circulation, and autonomic conditions.
Stellate Ganglion Block Overview
The stellate ganglion is a small cluster of sympathetic nerves at the base of the neck that helps regulate the body’s fight-or-flight response to the head, neck, and arm. A stellate ganglion block places local anesthetic around this nerve cluster to temporarily quiet that signaling. It is an established treatment for certain pain and circulation conditions, and is also being studied for its potential role in easing symptoms linked to a dysregulated autonomic nervous system, such as those seen in long COVID or dysautonomia, though this evidence is still developing.
If you are considering a stellate ganglion block, our team in Bryan, TX will review your history and imaging to confirm whether a stellate ganglion block is the right fit. Most patients receive a stellate ganglion block as part of a broader, personalized care plan.
Learn more about dysautonomia from MedlinePlus, the health information service of the U.S. National Library of Medicine.
How It Works:
The block is performed at the C6-C7 level of the neck using ultrasound guidance, sometimes combined with fluoroscopy, to safely navigate around nearby arteries, the thyroid, and the airway. A small volume of local anesthetic is injected around the ganglion, and the appointment typically takes about 30 minutes. A successful block often produces temporary, expected signs such as a slightly drooping eyelid or a warm hand on the treated side, confirming the nerves were reached.
Conditions It Treats:
What to Expect:
Effects from the anesthetic wear off within hours, and any temporary side effects (eyelid drooping, warm hand, mild hoarseness) resolve as it does. Depending on the condition being treated, benefit may last from hours to several weeks after a single block; because relief can be short-lived, a short series of blocks is sometimes recommended, and response is reassessed before repeating.


