Stellate Ganglion Blocks: Resetting Pain Signals in Your Arm and Hand

    October 7, 2026

    Stellate Ganglion Blocks: Resetting Pain Signals in Your Arm and Hand

    Severe, burning pain in the arm, hand, neck, or chest caused by Complex Regional Pain Syndrome (CRPS), persistent shingles, or nerve trauma can resist standard treatment options. This pain is often maintained by an overactive sympathetic nervous system—the network regulating fight-or-flight blood vessel responses.

    A Stellate Ganglion Block is a targeted interventional procedure designed to temporarily disrupt sympathetic nerve signaling to the upper extremity, effectively “resetting” hyperactive pain pathways.

    What Is the Stellate Ganglion?

    The stellate ganglion is an oval-shaped collection of sympathetic nerve cell bodies located in the front of the lower neck, resting near the base of the cervical spine.

    This nerve cluster acts as the main relay station controlling sympathetic nerve signals—including blood vessel constriction, sweating, and temperature regulation—to the head, neck, arms, and upper chest. When an injury triggers sympathetic hyperactivity, the stellate ganglion sends continuous, magnified pain signals to consciousness.

    How the Procedure Is Performed

    A stellate ganglion block is a quick, outpatient procedure performed under image guidance to ensure maximum safety and precision:

    1. Ultrasound or Fluoroscopic Guidance: An interventional specialist uses real-time imaging to visualize the soft tissues, blood vessels, and nerve boundaries in the neck.
    2. Targeted Delivery: A micro-needle is placed next to the stellate ganglion, and a long-acting local anesthetic is injected around the nerve cluster.
    3. Sympathetic Reset: The anesthetic temporarily blocks sympathetic signal transmission, causing blood vessels in the arm to dilate, improving circulation, and calming hyperactive pain fibers.

    Clinical Indications and Symptoms of Success

    Stellate ganglion blocks are used for several distinct conditions:

    • Complex Regional Pain Syndrome (CRPS Type I & II): Upper extremity burning pain, skin color changes, and severe touch sensitivity.
    • Refractory Post-Herpetic Neuralgia: Lingering shingles pain across the upper chest, neck, or arm.
    • Vascular Insufficiency: Severe Raynaud’s phenomenon or impaired peripheral blood flow in the hand.

    Following a successful block, patients often experience an immediate warm sensation in the arm and hand, accompanied by significant pain reduction and temporary drooping of the eyelid on the treated side (Horner’s sign)—confirming that the sympathetic block is actively working.

    • Book Online: Visit igeaneuro.com to request a comprehensive diagnostic consultation with our pain management team.
    • Call Our Team Today: Speak directly with our dedicated patient care coordinators at (866) 467-1770.