![]() In 2022, Lipov published a report in the journal Pain Physician. Lipov is now the chief medical officer at the Stella Center, which offers advanced stellate ganglion block therapy, among other options, for patients paying out of pocket. He called the new approach dual sympathetic reset. Lipov said that the two injections ensure a thorough blockade. In 2012, he modified his approach by delivering two ultrasound-guided anesthetic injections to the stellate ganglion region, first at vertebrae C6 and then higher up at C3/C4. He began treating people with PTSD, including military and survivors of abuse, in 2006. He believed that by adjusting the position of the stellate ganglion block he could temporarily block communication to the brain circuits controlling the flight-or-fight response, resetting the system and reducing symptoms of PTSD. ![]() Activation of the sympathetic nervous system also triggers the “flight-or-fight” response, which can be dysregulated in people with PTSD.Įugene Lipov, M.D., a trained anesthesiologist and pain physician, was introduced to stellate ganglion block therapy in the 1980s when treating patients with neuropathic pain (such as burn pain or shingles). These nerves are a key conduit of the sympathetic nervous system, which regulates blood pressure, sweating, and pain perception. ![]() ![]() A stellate ganglion block involves an injection of anesthetic (typically Ropivacaine or Bupivacaine) next to a bundle of nerves near the base of the neck known as the stellate ganglion. ![]()
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