Bellevue, WA Stellate Ganglion Block: Long Covid & Brain Fog Therapy Updated

Following the recent update, Interventional Orthopedics of Washington offers long Covid patients a minimally invasive procedure known as Stellate Ganglion Block (SGB) to treat their symptoms, including fatigue, brain fog, insomnia, and loss of taste and smell, among others. It may also be effective for other conditions like dysautonomia, POTS, migraines, PTSD, and anxiety disorders.

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The announcement coincides with clinical trials published by the US National Library of Medicine that show positive case studies and clinical results for patients who undergo SGB for various medical conditions. By offering this treatment to their patients, Interventional Orthopedics of Washington helps them reduce or eliminate their symptoms without taking more medication.

Dr. Otono Silva, the lead doctor for SGB procedures at the treatment center, uses ultrasound technology to visualize the nerve system and deliver a local anesthetic to the targeted nerve. This action disrupts cervical sympathetic chain activity, effectively rebooting the autonomic nervous system. Precision in guiding the needle is ensured by the ultrasound, which allows for accurate treatment of the stellate ganglion, a nerve group in the neck.

SGB treatment is an outpatient procedure that takes less than 10 minutes to complete, followed by a short recovery period in the clinic. Patients can return home the same day, though they are required to have someone drive them home as the procedure may cause some temporary side effects like drowsiness or Horner’s Syndrome.

“The SGB is used to temporarily turn off the fight or flight sympathetic system using an anesthetic. As the numbing medicine wears off over the course of a few hours, the sympathetic system is then able to turn back on, which can result in a new state that is more in harmony with the greater autonomic system. You can think of this as turning off your computer and restarting it if a program is glitchy. By temporarily numbing or ‘blocking’ the traffic in the cervical sympathetic chain, it is believed that the parts of the brain that control the fight or flight response are allowed to reset, resulting in relief of symptoms,” a representative said.

For more information about the SGB treatments for long Covid symptoms, visit

Interventional Orthopedics of Washington
1515 116th Ave NE
Suite 202
United States

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