Reviews

Patients Say

Positives

  • Some patients describe a rapid drop in fight-or-flight symptoms, clearer thinking, and a surprisingly sharp shift in baseline after SGB. Reddit.

Negatives

  • Some patients say the benefit lasts only days or weeks, or never becomes broad enough to justify another invasive procedure. Reddit.

Hurdles & Side Effects

  • Stella Mental Health (a major SGB chain) lists $1,450 for a single block plus follow-up and $3,050 for the bilateral DSR protocol; insurance generally does not cover SGB for Long COVID, so most patients use HSA/FSA or CareCredit financing.
  • A Mayo Clinic Connect patient who had three to four SGB injections starting in late 2022 for lost taste and smell reported only minimal improvement by April 2024, and noted the procedures required repeated travel to the clinic and ongoing out-of-pocket cost Mayo Clinic Connect.

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Kristien

Kristien

@guest

Stellate ganglion block

Chronic Illnesses: Long COVID Dysautonomia
Symptoms Treated: Nothing - No change - 1-4 weeks
Side Effects Experienced: Heart Palpitations - 1-4 weeks Anxiety - 1-4 weeks

So today exactly a month ago i received my right sided sgb. I was extremely nervous on beforehand. Not for the treatment itself (honestly, easy peasy, i would rather have 1000 sgb’s at the same time then 1 more labour) but for the outcome and how i would feel after it. My main problem on beforehand was, I just cant describe it otherwise, a fucked nervous system. Whether it was due to myself, stress, covid etc etc, I truly believe that that is the root core. Your nervous system not being able to chill anymore die to whatever reason. I know I Will make enemies by saying this (but i am an MD myself so i kinda also see it from both sides) but also things as mcas, pots, dysautonomia? Wracked/deep fried nervous system. In my opinion at least. That being sad, my complaints on beforehand were hyperaurasal (higher resting heart rate), fatique after doing nothing, brain fog, anxiety. The usual. I also experience palpitaitons after eating. It all started after I got COVID in the first wave (easy when you’re in the front line) and exacerbated after I gave labour to our daughter. Back then I thought it was post partum anxiety and received high dose Zoloft, which actually worked after five weeks. The next five years i would fluctuate betwreen Allright and good. But I quit my job as an md and never fully recovered. Because I had a flare last year and did not recover fully yet I decided to try the sgb. My doc had super good results en believed this could help me. Unfortunately, the sgb did not have the outcome i hoped. I became super anxious, my heart rate went up after wards and i was so stressed that I was nausious all the time (also diarrhea). That lasted maybe for about three weeks and i would describe it as hell. I was bedbound, and could not take care of our daughter. I slept very poorly and woke up 3 times a night with palpitations. My conclusion (again, don’t get mad): the sgb was just too much for my nervous system or I was so anxious on beforehand I triggered myself into a flare. Eitherway, it sucked. This last saturday however I started to feel some very light changes. My heart rate went a little down (less high in mornings after waking up and I started to eat a little bit), i could go downstairs for a while and actually play (whilst laying on the couch) with my girl and started Walking outside. The past few days I slowly slowly became better and better. I am totally not there yet. Definately not. But I am out of that never ending loop of constant stress and anxiety. It comes Rather in waves now. My doc wanted to do a left sided block after 4 days (and now he still offers me to do it) but i will not do one again, i guess its just not my treatment?

Details

  • Dosage 1 shot
  • Source Anestesiologist, at Amsterdam UMC
  • Last used <6mo ago
  • Times used 1 time
  • Insurance covered Yes
  • Cost per month Free

Salvatore Mattera

Salvatore Mattera

@Salvatore Mattera

Helped my sense of taste a little, but didn't do anything else

Chronic Illnesses: Long COVID
Symptoms Treated: Dysautonomia - Moderate improvement Chronic Fatigue - Moderate improvement Sense Of Taste - Better long time Heat Intolerance - Moderate improvement Nausea - Moderate improvement
Side Effects Experienced: Chest Pain Heart Palpitations

I had the stellate ganglion block performed at the Stanford Pain Management Clinic. It led to a slight improvement in my sense of taste, but other than that, it didn't do anything. I only had one side blocked, but I know the block was performed properly because I experienced Horner's Syndrome. In the days that followed, my Long COVID heart symptoms (chest pain, palpitations), which had mostly gone away, returned with a vengeance. Thankfully, they were short-lived and went away again after a few days. Initially, I had planned to try a second block, but after that experience, I didn't bother.

Details

  • Source Stanford Pain Management Clinic
  • Last used 6-12 mo ago
  • Times used 1 time
  • Insurance covered Yes