SGB injection for PTSD patient

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Presenting Complaint

A 38-year-old woman, with a complex history of multiple psychological traumas including childhood sexual abuse, domestic violence, and a marriage breakdown, presented with a constellation of distressing symptoms. These symptoms included recurrent disturbing memories of past traumatic experiences, distressing nightmares, sudden re-experiencing of past traumas, intense emotional distress when reminded of these experiences, avoidance of thoughts and discussions related to her traumatic past, avoidance of situations associated with trauma triggers, emotional detachment from others, diminished interest in previously enjoyed activities, emotional numbing, severe sleep disturbances, mood fluctuations, and difficulties with concentration. She described a perpetual state of hyperarousal, as if she were constantly on alert, trapped in a ‘fight or flight’ mode.


The patient was diagnosed with Post-Traumatic Stress Disorder (PTSD).

Previous Treatments and Interventions

Before seeking treatment with Dr Krishna at Pain Spa, the patient had sought help from various specialists, including psychiatrists, psychologists, and counselors. She underwent multiple sessions of Cognitive-Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), both of which yielded limited or no sustained benefits. Additionally, she tried various antidepressant medications, none of which provided significant relief.

Treatment at Pain Spa with Dr Krishna

The patient had an initial consultation with Dr. Krishna to explore the option of Stellate Ganglion Block (SGB) for managing her PTSD symptoms. Dr. Krishna conducted a comprehensive consultation, offering a thorough explanation of SGB, its potential benefits, and associated side effects. Subsequently, the patient underwent SGB injections under real-time ultrasound guidance. The procedure was performed initially on the right side, followed by a left-sided injection 24 hours later. While no immediate response was noted, within a span of two weeks, the patient reported substantial improvement in her PTSD symptoms, including reductions in anxiety, hypervigilance, mood disturbances, and sleep problems.


The patient’s progress was monitored through the use of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) scores, administered at 1 week and 6 months post-procedure. These scores consistently indicated significant improvement in her PTSD symptoms. The patient described the treatment as life-changing, highlighting its transformative impact on her overall well-being.

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Disclaimer: This case report represents a specific patient’s experience and should not be generalized to all individuals with PTSD. Treatment outcomes may vary among patients.