Stellate Ganglion Block

What is a Stellate Ganglion Block?

The Stellate Ganglion is a collection of nerves in the neck, at the sides of the voice box. These nerves are responsible for delivering pain signals and movement to the brain. When injured or damaged, the stellate ganglion block will help with pain management, swelling, sweating, bad circulation, and low mobility in your upper extremities.

What does the procedure look like?

This procedure is done in the clinic at Portland Pain and Spine. You will lie on the exam table, face-up, with a pillow under your neck. Once you are relaxed and comfortable your doctor will clean the area to receive the block, and then they will administer a local anesthetic.

Your doctor will press into your neck to establish the injection site, and it is important to stay completely still at this point. Any type of movement (talking, coughing, or swallowing) during the injection can cause the needle to be improperly placed.

While most blocks use an x-ray for guidance, a stellate ganglion block can be completed without the guidance. However, as an added precaution, your doctor might choose to use it. The medication will be injected once the needle has been set in place. The medication can contain an anesthetic, a steroid, or both.

Recovery will be anywhere from 30 – 60 minutes, with your pain and vital signs being closely monitored.

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We want to assure our patients that Portland Pain and Spine remains open and actively managing your pain. Medication management is given the highest priority. Our relocation across the hall in the Washington building is complete but requires office renovation before we can accommodate patient visits. Staffing shortages affected our ability to communicate last month, however, this was temporary. Dr. Balog has reached out to all patients but asks that if anyone has additional questions or concerns to contact him at
We have updated our phone messaging system to assist with calls. There are now options to speak with a live receptionist, leave messages or speak with our new billing company. Medical record requests can be processed on our website at and are handled by Morgan Records Management. Thank you for your patience during this transition. We look forward to providing you high-quality care as we enter into 2024! 

Wishing you all a joyful holiday season.