Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects the autonomic nervous system, leading to symptoms such as dizziness, rapid heartbeat, and fatigue. The condition primarily affects young women, although it can occur in individuals of any age or gender.
The autonomic nervous system (ANS) controls involuntary bodily functions, such as heart rate, blood pressure, and digestion. With POTS, the ANS fails to regulate these functions properly.
While there are various treatments available, one promising method is a regenerative medicine treatment known as the Stellate Ganglion Block (SGB). This article explains how Stellate Ganglion Blocks treat POTS symptoms to help you understand the treatment, its effectiveness, and the potential health benefits.
Understanding PoTS and Its Impact
Postural Orthostatic Tachycardia Syndrome (PoTS) is a type of dysautonomia, characterized by an abnormal increase in heart rate when transitioning from lying down to standing up. Patients often experience symptoms such as lightheadedness, palpitations, and even fainting.
These symptoms can severely impact daily activities and overall quality of life.
What Is a Stellate Ganglion Block?
A Stellate Ganglion Block (SGB) is a type of sympathetic block that involves injecting a local anesthetic into the stellate ganglion—a collection of nerves located in the neck.
The stellate ganglion is part of the sympathetic nervous system, which is responsible for the body’s ‘fight or flight’ response. By blocking these nerves, the SGB can modulate the autonomic nervous system, potentially reducing the hyperactivity that contributes to POTS symptoms.
This procedure aims to temporarily disrupt the sympathetic nervous system, which can help alleviate various conditions, including chronic pain and certain autonomic dysfunctions like POTS.
How Stellate Ganglion Block Treats PoTS Symptoms
Sympathetic Block and Autonomic Regulation
The primary mechanism through which the Stellate Ganglion Block treats POTS symptoms is by modulating the sympathetic nervous system. By injecting a local anesthetic into the stellate ganglion, the procedure can dampen the overactive sympathetic responses, thereby stabilizing heart rate and blood pressure.
Reduction in Heart Rate and Improved Blood Flow
Studies have shown that SGB can lead to a significant reduction in heart rate, which is particularly beneficial for POTS patients who experience tachycardia. Additionally, the procedure can improve blood flow, thereby alleviating symptoms like dizziness and fatigue.
Psychological Benefits
While the primary focus of SGB is on physical symptoms, it can also have psychological benefits. Many patients report reduced anxiety and improved mood following the procedure. This is particularly important as emotional stress can exacerbate POTS symptoms.
Clinical Evidence and Effectiveness
Research Studies
Several research studies have investigated the effectiveness of SGB in treating POTS symptoms. For example, a study published in the Journal of Autonomic Nervous System found that patients who underwent SGB experienced a significant reduction in heart rate and an improvement in overall symptoms.
Case Reports
Numerous case reports also support the use of SGB for PoTS. Patients have reported dramatic improvements in symptoms such as dizziness, fatigue, and palpitations. These anecdotal evidences, while not as robust as clinical trials, provide valuable insights into the potential benefits of the procedure.
NW Regen Expertise
Dr. Ryan Wood of NW Regen is an expert in Stellate Ganglion Blocks, having performed more than 2,500 procedures at his Portland-based clinic.
Hear from him first-hand in this recent interview with Dr. Maggie Wu, where they pull back the curtain on this groundbreaking treatment, revealing how stellate ganglion blocks (SGB) are transforming lives.
Dr. Wood shares the powerful potential of SGB for tough-to-treat symptoms
like POTS, dysautonomia, long haul, tinnitus, Meniere’s, PTSD, and more.
How We Perform SGBs Is Decidedly Unique
At NW Regen, our process begins with an in-depth, hour-long consultation to review your health history and discuss your needs. This ensures a full understanding of the procedure, what you can expect afterward, and any other concerns you may have.
During each session, we conduct a thorough “Dual Sympathetic Reset” or “DSR,” targeting both the upper cervical ganglion near C3/C4 and the stellate ganglion near C6/C7 for a more comprehensive treatment than typically offered — while most other clinics focus solely on the C6 level.
Our approach is designed to inform and involve you at every step of the way, ensuring a treatment plan that’s as unique as you are.
Who Is a Candidate for a Stellate Ganglion Block?
Patient Selection Criteria
Not everyone with POTS is a candidate for SGB. Ideal candidates are those who have not responded well to other treatments and have a clear diagnosis of POTS. A thorough evaluation by a healthcare provider is essential to determine suitability for the procedure.
Pre-Procedure Assessments
Before undergoing SGB, patients typically undergo a series of assessments, including blood tests, imaging studies, and autonomic function tests. These evaluations help ensure that the procedure is appropriate and identify any potential risks.
The Procedure: What to Expect
Preparation – Patients are usually advised to fast for several hours before the procedure. Pre-procedure instructions may also include discontinuing certain medications that can interfere with the anesthetic.
The Injection Process – The procedure is typically performed under local anesthesia. The patient lies on their back, and the healthcare provider uses imaging guidance, such as fluoroscopy or ultrasound, to accurately locate the stellate ganglion. A local anesthetic is then injected into the targeted area.
Post-Procedure Care – After the procedure, patients are monitored for a short period to ensure there are no immediate complications. Most patients can go home the same day. Post-procedure instructions may include avoiding strenuous activities for a few days and monitoring for any signs of complications.
Potential Risks and Side Effects
Common Side Effects – Like any medical procedure, SGB comes with potential risks and side effects. Common side effects include temporary soreness at the injection site, hoarseness, and drooping eyelids. These are usually mild and resolve within a few days.
Serious Complications – Although rare, serious complications can occur. These may include infection, bleeding, or nerve damage. It is crucial to consult with a qualified healthcare provider to weigh the risks and benefits before undergoing the procedure.
Long-Term Outcomes and Follow-Up
Monitoring Effectiveness – The effectiveness of SGB can vary from patient to patient. Some may experience immediate relief, while others may require multiple injections for optimal results. Regular follow-up appointments are essential to monitor the long-term effectiveness of the procedure.
Lifestyle Modifications – While SGB can provide significant relief, it is not a cure for PoTS. Patients are often advised to continue with lifestyle modifications, such as increased fluid and salt intake, compression stockings, and regular exercise, to manage their symptoms effectively.
Don’t Let POTS Control Your Life
The Stellate Ganglion Block offers a promising treatment option for individuals suffering from Postural Orthostatic Tachycardia Syndrome (PoTS). Together, we can move toward a future where POTS is not just managed but truly treated. If you or someone you love is living with POTS, there is hope.
Contact NW Regen today to schedule a consultation and take the first step toward healing and renewal.
NW Regen
We offer regenerative and interventional medicine – tailored to empower you with a more vibrant, active lifestyle.
