PTSD is the acronym for Post Traumatic Stress Disorder, a chronic psychiatric disorder that may occur in people who have experienced or witnessed a traumatic event such as rape, molestation, physical attack, combat, shock, threat with weapon, accident, natural disaster, neglect, physical abuse or any trauma.

Complex post-traumatic stress disorder (CPTSD) is a complex psychological and psychosocial disorder caused by prolonged exposure to trauma instead of just one incidence.

At PTSD and SGB Doctors we are very different from other treatment centers.
1. We don’t take the “one size fits all approach” taken by other centers. The bulk of our work has been treating combat veterans and patients in drug detox experiencing withdrawal. With these extreme situations, we learned that treatment success is best achieved by an individualized approach.
2. We make treatment affordable. We provide a 3 tier system with different prices allowing you to afford the level of treatment you desire.
3. We use ultrasound guidance to improve the success rate over x-ray methods. Our ultrasound technique is unique when compared to the standard ultrasound guided SGB methods. Often, we are injecting directly on the stellate ganglion or within millimeters of it. This is a new technique developed by Dr. Jason Bruce CRNA. It gives us the highest rate of success of achieving a stellate ganglion block.
4. Our treatment is not stagnant. Our methods are always improving. As the science of SGB for PTSD advances, so do our techniques. We design our treatments specifically for your unique situation. Our ultimate goal is to achieve as close to 100% treatment success as possible.

Tier 1: One Stellate Ganglion Block for those who want to learn if the SGB will work for them without making a large financial commitment. We use many additive to our solution that is based on your evaluation. Expect a 70% rate of success in resolving your PTSD symptoms with just one injection.

Tier 2: Two Stellate Ganglion Blocks for those who want to optimize their first treatment closer to an 80% success rate. Some individuals receive relief with a left SGB instead of a block performed on the right. In addition to the SGB, you receive an infusion of medicine to further optimize your results. We find that a second injection provides longer relief than the first injection.

Tier 3: This is the ultimate treatment regimen that includes multiple Stellate Ganglion Blocks, adjuvants and ketamine infusions based on a thorough initial evaluation. This is typically a 2 day process accomplished over a 2 day weekend. A total of 4 Stellate Ganglion are done in this Tier.

Common symptoms are trouble sleeping, flashbacks, avoidance, irritability, trouble concentrating, uncontrollable anxiety, nightmares, and crippling fear that is triggered by memories of the traumatic event.

In addition to the symptoms seen in PTSD, there are additional symptoms seen with complex PTSD (CPTSD). These symptoms include changes in consciousness, difficulty with relationships, negative self-perception, inability to control feelings, and distorted perception of the abuser.

The Stellate Ganglion Block (SGB), used to treat chronic pain since 1925, has potent effects that can bring significant relief to those suffering from Post Traumatic Stress Disorder, Anxiety, Hot Flashes, Migraines and withdrawals during drug detox. The SGB has been known to affect mental health since 1946. Over the past 20 years, the SGB has become a new treatment for PTSD. The procedure involves injecting local anesthetic drugs, similar to novocaine used by dentists to numb the teeth, along a chain of nerves called the Cervical Sympathetic Trunk. After the block, people often report an immediate relaxation or a warmth throughout their body beginning the healing process.

Typically, psychiatric drugs change the way that brain chemicals (called neurotransmitters) send messages between brain cells. The side effects of these drugs can be severe, ranging from sleeplessness to suicidal thoughts. In contrast, the SGB targets the body’s fight or flight system called the sympathetic system. This in turn leads to a calming effect allowing you to take control of your thoughts and emotions. SGB works in about 70-80% of those treated.

Ketamine, used as a general anesthetic, has potent anti-inflammatory effects that can bring significant relief to those suffering from arthritis, fibromyalgia, & autoimmune disorders. It also has significant antidepressant and anti anxiety properties. Ketamine infusion therapy works differently from the pharmaceuticals typically used to treat PTSD symptoms, in that it lays the groundwork for new neural pathways to form. Once they do, you’ll have the breathing room you need to take the next step in addressing your PTSD triggers, whether through cognitive therapy, exposure therapy, or EDMR. For the right patient, a combination therapy of SGB and ketamine can make the ultimate difference. A thorough assessment is needed to determine if this combination is best for you.