Stellate Ganglion Blocks for PTSD

Stellate Ganglion block injections are a minimally invasive therapy for PTSD, anxiety, and chronic pain. It involves the injection of a local anesthetic into the stellate ganglion nerve bundle located in the neck.

Stellate Ganglion Block Treatment Maryland

We now offer stellate ganglion blocks (SGB) as a new intervention for treating trauma-related disorders. The stellate ganglion block is an injection therapy that is shown to help reduce the debilitating symptoms of post-traumatic stress disorder, along with anxiety and depression that may occur at the same time.

Those who struggle with PTSD, anxiety, and/or depression symptoms can speak with our clinical professionals to discuss SGB as a possible treatment option. We do not believe in a one-size-fits-all for mental health services and offer a tailored treatment strategy for each individual. 

SGB Treatment Overview

A stellate ganglion block is an injection of local anesthesia that is administered to the surrounding area of the stellate ganglion. The stellate ganglion is a concentration of nerves that are located in the neck and branch through the face and arms. 

These nerves are part of the sympathetic nervous system, which makes up the larger autonomic nervous system. The sympathetic nervous system directly controls the body’s rapid involuntary response to stressful events as a way to protect itself.  

The local anesthetic that is injected works by numbing the stellate ganglion to effectively “block,” the signals that are continuously being transported from the nerves to the brain. This numbing effect helps to stop the body’s fight or flight response, which reduces negative PTSD symptoms that stem from this response.

More Resources

Frequently Asked Questions

Stellate Ganglion Blocks for PTSD FAQ's

What are the potential benefits of a stellate ganglion block?

The potential benefits of a stellate ganglion block include decreased symptoms of PTSD, such as anxiety, hyperarousal, and intrusive thoughts. It can also lead to an improvement in mood, sleep, and overall quality of life.

Who can benefit from a stellate ganglion block?

Stellate ganglion blocks are typically recommended for individuals with PTSD who have not responded to other treatments or therapies, such as medication or psychotherapy.

How is the procedure performed?

The procedure is typically performed by a pain management specialist, under local anesthesia. A needle is inserted into the neck and guided to the stellate ganglion using ultrasound or X-ray imaging. Once the needle is in place, a local anesthetic is injected into the ganglion.

How long does the procedure take?

The procedure typically takes less than 30 minutes to complete, including preparation and recovery time.

How soon can patients expect to see results?

Patients may experience relief of PTSD symptoms immediately after the injection, although it may take several days for the full effects to be felt. The duration of the relief varies depending on the individual.

What is an Integrative Medicine Approach?

Integrative medicine combines conventional medicine and alternative therapies to enhance a patient’s vitality, focusing on whole body wellness. An Integrative Medicine physician will address the root cause of your illness and not just treat the symptoms. By determining what the root is, you and your practitioner can devise a health plan to successfully treat the disease. At Shakthi, we take into account other factors in your life that may be preventing the root cause of your illness or disease from fully healing. We work closely with our patients to address their immediate health needs while developing a personalized wellness plan that encourages whole body wellness. You can learn more here.

What are the benefits of integrative medicine?

Integrative medicine’s biggest benefit is the fact it looks at the patient as a whole individual and addresses the root causes of illnesses by doing so. I went along with this though integrative medicine promotes a symbiotic and collaborative relationship between the doctor and the patient. This means that there is better communication. Another great benefit is that it utilizes every therapy possible to ensure that the patient gets the treatment that is perfect for them.


Where are you located?

We have two locations in Mount Airy and Elkridge Maryland.

Why is integrative medicine not covered by insurance?

Over the past decade or so, integrative medicine has been becoming more and more popular. Because of this popularity, there has been an increase in doctors that practice it. But even with all this popularity unfortunately insurance does not cover integrative health care. The lack of coverage from insurance companies is solely because integrative medicine often encompasses treatments that these health insurance companies degenerative treatments. Because these treatments like acupuncture, massage therapy, infrared sauna, and many others are all deemed alternative they are not covered.

What costs are involved? 

We offer two options:
• Yearly Membership
• A La Carte

How do I make an appointment?

You can expect your first visit with Dr. Rao and our team to be more comprehensive than anything you have ever experienced. Our practice is not a revolving door, we won't just visit with you for 5 minutes, hand you a prescription and send you on your way. You can expect the initial visit to last approximately 60 minutes. In that time, Dr. Rao will spend time with you, listen to your history, ask questions, hear your concerns. We put great emphasis on the listening and hearing part of the consult. It is vital in developing a strong doctor, patient relationship and is the only way we can help you get on the right path to healing. After your consult, we will order your testing. Depending on your specific needs a number of tests will be administered. Testing is tailored to each individual. Schedule Appointment Here.

What are five alternative medicines?

There are many different types of alternative medicines but many of them can fall under one of the five main alternative categories. These categories are homeopathy, eastern medicine, naturopathy, and Ayurveda. Within these five types so there are many variations and so choosing one that works for you all relies on what exactly you're looking to gain from choosing alternative medicines.

What does Shakthi Mean?

Shakthi (Shuk-thee) means Strength, Empowerment, and Agent of Change.

Shakthi Digital Guide

At Shakthi Health and Wellness we offer a la carte and yearly plans that are more comprehensive and often cheaper than traditional insurance plans.

What To Expect

SGB Specialists

Meet Our Doctors 

Our team is composed of board certified medical doctors who are highly knowledgeable in the practice of holistic integrative therapies. Our Specialized Health Care model provides patients with in depth consults with each appointment without the restrictions of time limits and jumping through insurance hoops. 

Jyothi Rao


Dr. Jyothi Rao has been practicing medicine for over 20 years. She received her Doctorate of Medicine (MD) from the University of Medicine and Dentistry of New Jersey and completed her internship and residency at the prestigious New England Medical Center (Tufts) in Boston. Before opening Shakthi Health & Wellness Center, Dr. Rao practiced medicine in New York and Maryland.

Sudhir Rao


Dr. Sudhir Rao obtained his Medical Doctorate from St. George's University School of Medicine, and is the founder of Pain and Spine Specialists. Despite Dr. Rao's years of training focusing on traditional medicine, he developed a strong interest in Functional and Integrative Medicine to treat chronic illness with alternative methods after a personal experience with limitations in traditional medicine.

PTSD: What Is It? What Are the Symptoms?

PTSD or post-traumatic stress disorder is a psychiatric illness that is caused by those that have either experienced or seen a traumatic event. these traumatic events can be either emotional or physical but are often life-threatening and have an impactful effect on the mental, social, physical, and spiritual well-being of the individual. This can include things like natural disasters, war, or physical/ sexual assault.

People that suffer from this have intrusive thoughts and feelings that can be triggered by any number of things that causes them to relive the feelings of that traumatic event. That means that these individuals tend to try to avoid situations and people that can trigger those events but it can be the smallest thing That sets off their post-traumatic stress and so it makes it very difficult to navigate through life.

No person’s post-traumatic stress disease shows itself in the same way. There are categories that each of these symptoms falls into of course. And so to understand post-traumatic stress disorder a little more understanding the symptoms could be vitally important. Here are the four main categories that the symptoms of post-traumatic stress disorder fall under:

Intrusive Thoughts

This symptom can show itself by the individual experiencing distressing dreams or involuntary really remembering the traumatic event. In other words, it is what everyone calls flashbacks that have the individual seeing or experiencing everything they did at that moment.


The individual may find themselves becoming more introverted and isolated from people. This is because they are trying to avoid being triggered by anything that they feel could potentially trigger them. This means they may not want to talk about the event and that could be a potential problem.

Changes in Thoughts and Feelings

Their thoughts and feelings about people and themselves can be altered. They may blame themselves for the events that caused the trauma. They may the Ice Age was a very special time to begin to have certain feelings about others distorting their thoughts about them as well. They may begin to detach themselves and isolate themselves from those people and be unable to really experience the happier side of life.

Arousal/Reactive Symptoms

They may experience the western United States wild mood swings. They may have sudden outbursts and be consistently irritable. Also, they can find themselves acting very reckless and self-destructive often leading to addiction and other issues in life. More technologically advanced this category of symptoms can also include things like being on edge at all times and having with sleep and concentration.

How Does PTSD Affect Your Life?

Post-traumatic stress disorder has a wide-reaching effect on not only the individual’s personal health but also their psychological and has something to do with their social lives. There are many ways that this illness affects their everyday life. Because of the symptoms, they may find themselves unable to function because their intrusive thoughts and flashbacks happen at a moment's notice without warning. This could make it hard to hold down a job or maintain their relationships.

Those that may once have been very social may find their circle of friends and activities shrinking. The uncomfortableness of not being able to know what is going to trigger you or how to interact with people because you've had alterations of your thoughts and feelings towards yourself and others could potentially make going out and enjoying your life very difficult. This may mean that you begin to cut yourself off from family and friends and things that once made you happy.

Not understanding the triggers and what the trauma has caused can create a situation where the individual begins to feel alone and misunderstood. This in turn will cause antisocial behavior and potentially could create other mental health issues like stress and anxiety as well as depression. All of this can lead to physical ramifications as well which combined together could impact one's life immensely.

Stellate Ganglion Block Procedure

During this procedure, the healthcare professional will use fluoroscopy to help guide them while they locate the exact spot for administering the injection. Fluoroscopy is an imaging technique that involves a continuous x-ray image to create a real-time video of movements in the body.

Once the spot is located, the area will be cleaned with alcohol or another disinfectant solution to help prevent an infection from occurring and the patient may be given medication to help them relax if they need it. 

Then the injection is given by inserting a thin needle into the neck, near the voice box, and the patient is monitored for a short period afterward to watch for signs of a reaction. The whole procedure should only take about fifteen minutes.  

Many patients will already start to feel relief within thirty minutes after the injection and may continue seeing results for months or even years.  

After The Procedure 

Stellate ganglion blocks are given as an outpatient treatment, meaning the patient may go home the same day as the procedure. So, after the patient has shown no signs of an immediate negative reaction they will be cleared to go home. 

However, patients may not drive for the first 24 hours after the procedure. Patients who receive SGB treatment will need to have someone present with them to drive them home. 

Patients are instructed not to eat or drink anything for around the first four hours after the procedure. They may start to drink water again when their voice returns to normal and eat when they can swallow safely again.  

Patients will also need to take it easy for the rest of the day and relax so as not to overextend themselves. They should not engage in aerobic activities, such as exercise, or heavy lifting. The patient should be able to return to work and regular activities the next day.

Mental Health Benefits

Stellate ganglion blocks are effective as a mental health treatment because they stop the body’s fight or flight response, which reduces negative symptoms stemming from this response. The local anesthetic that is injected works by numbing the stellate ganglion to effectively “block,” the signals that are continuously being transported from the nerves to the brain.  

PTSD Benefits 

Post-traumatic stress disorder (PTSD) is a condition that develops when a person has experienced an incredibly scary and dangerous event or series of events, where lasting trauma is inflicted. People who experience PTSD are known to have intense emotional and physical reactions, such as flashbacks, anxiety, depression, and heightened reactions to things. Being in certain situations can trigger memories and lead to PTSD episodes.

Stellate ganglion blocks can help prevent distressing signals from being sent through the nerves and flooding the brain, while also turning off the fight or flight response. SGB therapy essentially resets the brain to bring it back to the pre-trauma levels of cognitive functioning. So patients can return to their regular lives with significant relief from episodes of PTSD. 

Anxiety Benefits 

Anxiety and anxiety symptoms may overlap with PTSD and SGB therapy has been shown by multiple peer-reviewed studies to significantly improve chronic anxiety symptoms stemming from PTSD. Anxiety is the body’s response to elevated stress levels and the cortisol-stress hormone coursing through the body.

The stellate ganglion nerves are known to be connected to the amygdala in the brain, which handles the way people experience emotions and is known as the core fear system in the body. SGB therapy numbs the nerves to prevent the anxiety response in the overactive amygdala, as the brain is no longer being told to stress out and fear. Anxiety attacks can be seriously reduced as a result and patients can feel much calmer on a normal basis.

Depression Benefits 

Major Depressive Disorder can be comorbid in PTSD patients in about half of cases and leads to bouts of extreme sadness. Depression can occur in response to stress and trauma. When the stellate ganglion is numbed by SGB therapy less of the chemical norepinephrine is produced to contribute to stress.

Norepinephrine is a stress hormone and a neurotransmitter, which influences mood. Once that balance has been restored then depression symptoms ease.

Risks and Potential Side Effects

As with all medical treatments, there are some risks and potential side effects associated with stellate ganglion blocks. The chances of a complication occurring are relatively low but possible. Complications can range from a mild infection or bleeding/bruising at the site of injection to nerve damage.

Some side effects will most likely manifest directly after the injection and should go away after a few hours. These side effects could be: 

  • Drooping eyelids (a very common side effect) 
  • Nasal stuffiness  
  • Hoarseness of the voice 
  • Red or bloodshot eyes 
  • Impairment in swallowing 
  • Sense of balance is thrown off 
  • Feeling warmth in the face or tingling in the arm/hand

Get Started 

If you are interested in learning more about our SGB treatments maryland and packages, or would like to schedule an appointment with our office, CALL Shakthi Health and Wellness Center today! Speak with our dedicated staff to schedule your consultation with Dr. Jyothi Rao and begin optimizing your body’s vitality. Call (301) 703-5067 and speak to our integrative speciality care staff today! 

About Us

We believe in practicing medicine that focuses on whole-body health. As integrative medicine doctors, we focus on the root cause of your condition with comprehensive treatments that actually heal the body rather than just masking the symptoms of your illness.

Helpful Resources

February 25

Stellate Ganglion Blocks

Stellate Ganglion Blocks

Digital Guide

A comprehensive guide to our services, providers, and locations.

Patient Testimonials

Patient Testimonials

previous arrow
Susan Doyle

I started by seeing Dr. Sudhir Rao for my Reflex Sympathetic Dystrophy (RSD) Syndrome. I had an accident in July 2010 that caused nerve damage in my ankle. After treatments and surgery, it spread up the entire left side of my body. The only way to describe how you feel is by saying you’re a human pinball machine ? you just never know where the pain is going to be that minute. I had asked about acupuncture because someone had told me that it worked for them. I was at the point of trying anything to lessen the pain because it was getting worse every day.

Anonymous Patient

I am actually a relatively healthy 50-year-old woman. I try to eat well and exercise, but I (like many) felt the creep of age in the form a subtle pounds and decreasing energy. Dr. Rao helped point me in the direction of the correct detox program for me (Core Restore!) as well as the supplements I needed to boost my metabolism and increase my energy! I still need to eat what works for me and avoid the things that don't, and I still have to exercise every day, but my clothes fit better and I have more energy!!

- Shakthi Patients

Anna Smoot

I came to see Dr. Rao with symptoms of chronic fatigue, abdominal pains, depression, and weight gain. I had seen a couple other doctors and they had found that I had very high inflammation levels and over 15 food allergies/sensitivities. They wanted me to just take prescription drugs, but I wanted more than a quick fix. I wanted my health and my life back! When I scheduled the appointment, I was surprised how by helpful Kelly was on the phone. I didn’t know the details of my insurance coverage and Kelly offered to call my insurance for me. I’ve never had anyone at a doctor’s office do that before.

Debbie Helman

After visiting the Shakthi website and reading other patient testimonials, I was curious about the wide variety of treatments that were available. I have a very slow metabolism, was fatigued, had insomnia, back pain, and just didn’t feel as well as I wanted to in general. I had more allergic reactions and respiratory issues in the preceding months before coming to see Dr. Jyothi Rao. I had completed three courses of prednisone while under the treatment of my traditional doctor and was fed up with that cycle and was looking for another path.

- Debbie Helman

Linda J.

I was given the gift of Dr. Rao's integrative specialty care for Christmas in 2016. I didn?t take advantage of it until March of 2017. My mindset at the time was negative. I had heard about changing eating habits and I felt that I liked the foods I was eating and I was nearly 70, so why change now? After meeting with Dr. Rao and hearing her suggestions, I said I would take it one small step at a time and see what happens.

I was in the worst shape of my life

I was in the worst shape of my life with depression and anxiety. I had given up. Shakthi provided me with a manageable plan that included supplements, diet, and an exercise program that has transformed my body and given me a new outlook on life. Perhaps the most surprising outcome was learning how to be healthy and have a good relationship with my body. I am now more productive, energetic, and focused. The fog that had been clouding my thoughts has lifted.

- Shakthi Patient

next arrow

What To Expect

How Treatment Works

Our doctors and staff take time to get invested in your health and well-being. We've taken a step back from mainstream medicine and are challenging the norm. Everyone's healthcare needs are different. You are different. We believe patients shouldn't settle. Our practice is not a revolving door. We listen, and most importantly, we hear you.


Appointments are conducted on an as-needed basis. Patients can expect appointments to be more thorough and focused on their needs. As Integrative speciality care doctors, we see a limited number of patients which means each of our patients receives dedicated care without the concern of being “rushed” our of an appointment.

Diagnostic Testing

We offer patients scientifically backed health assessments to better understand the root causes of their health conditions. We evaluate any disruptions to your health and body to develop effective wellness plans to optimize your vitality. To learn more about the specific tests we offer visit this page here

Costs Involved

Patients receive personalized and tailored care in exchange for a flat fee. Overall cost will be discussed during your initial consultation. Each subsequent appointment will not need to be individually paid for. All patients receive unlimited access to their physicians which leads to better overall health and wellness.

Choose A Plan

Are you ready to make long wait times a thing of the past? View our plan options below:

Contact Us

Our Locations

Our patient care coordinators are available to answer questions Monday - Friday from 8:30 am - 5:00pm.

Mt Airy

2702 Back Acre Circle

Mt. Airy, MD 21771


6816 Deerpath Rd Elkridge, MD 21075

Get In Touch!

Main Phone

(301) 703-5067

Main Phone

(301) 703-5067



Fax #

(301) 703-8880

Fax #

(301) 703-8880

Skip to content