Intranasal SPG Blocks are Extremely Effective, New study measures the depth of the tissue from the nasal mucosa to the Ganglion.

This is an interesting study (abstract below) where they actually measured the distance from the nasal mucosa to the Sphenopalatine Ganglion.  They found that the average distance was 6.77 mm. In dentistry it is common for infiltration to go thru far more than 6. 7 mm of bone and tissue.  The authors of this study concluded that it challenges the assumption …

Sphenopalatine Ganglion: Block, Radiofrequency Ablation and Neurostimulation – a Systematic Review of Sphenopalatine Ganglion Block Indications

Sphenopalatine Ganglion Blocks have been called “The MIRACLE BLOCK” and were the topic of the book “Miracles on Park Avenue” detailing how Dr Milton Reder, A NEW YORK CITY ENT used them to change peoples lives. This is an excellent review article published December 2017 discussing  Treatments to the Sphenopalatine Ganglion (also known as the Ptergopalatine Ganglion, the SPG, the …

Transformed Migraine or Chronic Migraine: Study SPG Blocks vs Elavil (amitriptyline)

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. …

NEW STUDY: The Sphenopalatine Ganglion Block for Post-dural Puncture Headache

There is a brand new study on treatment of Post-Dural Puncture Headaches utilizing Sphenopalatine Ganglion Blocks being sponsored by Brigham and Women’s Hospital. Previous studies have shown success with SPG Blocks on Post-Dural Puncture Headaches. The study is utilizing cotton tipped nasal applicators similar to what I use for teaching patients to self-administer SPG Blocks.  I prefer the nasal catheters …

New Studies Point To Common Etiologic Cause of Migraines and Essential Hypertension? Sphenopalatine Ganglion (SPG) has a Central Role.

Two new  studies  published Jan 1, 2018  in the International Journal of Cardiology and Cephalgia point the way for a new understanding in the cause of Migraines and Hypertension being closely linked.  This may open the doors to new ways to examine the underlying causes of two common disorders. The PUBMED abstracts of all studies cited are available  at the …

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

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

Sphenopalatine Ganglion Block for Head and Neck Cancer Pain: Self Administered Blocks Are Key to Improving the Quality of Life

I was very pleased to see this new article about the use of Self Administered SPG Blocks for the treatment of Head and Neck Cancer.  Self-administration or administration of SphenoPalatine Ganglion Blocks at home is improving the quality of life by alleviating cancer pain at home not just in medical settings. Before examining the actual paper I would like to …

Sphenopalatine Ganglion Block: An Underutilized Tool in Pain Management. Sphenopalatine Ganglion Block Indications

Excellent Editorial published on the use of SPG Blocks for pain management. It has an excellent bibliography. It was written by Barry J. Kraynack, MD, President of White Bear Associates, LLC. USA,   White Bear has TX360 devices for sale on it’s website.   THE TX360 IS the device utilized for MiRx Protocol   https://whitebearmedassociates.com/product/tx360-nasal-applicator/ AFTER READING HIS EDITORIAL I CALLED DR. BARRY KRAYNACK AND …

CRPS & SPG Block: Lower Limb CRPS Responds to Sphenopalatine Ganglion Block, Two Case Reports

This interesting article (abstract below) details a report of Sphenopalatine Ganglion Block being utilized for lower limb Chronic Regional Pain Syndrome.  The first case was not controlled with oral medication and a sympathetic block did not provide significant relief. A Sphenopalatine Ganglion Block provided a 50% reduction in pain. The second case also provided a 50% reduction in pain in …

MRI Studies Can Locate PterygoPalatine (SphenoPalatine, SPG) Ganglion for Image Guided Interventions

Sphenopalatine Ganglion Blocks and implanted stimulators, either laser or electric) require exact placement. This new study shows that 3T MR Images can identify the ganglion which can lead to more accurate invasive treatments of the Sphenopalatine Ganglion. Invasive treatments should only be considered a last resort due to the ease of repetitive Sphenopalatine Ganglion Blocks (SPG Blocks and the extremely …