30 year old presented with a long history of severe PTSD. Symptoms included hypervigilance, always being on the edge, repeated disturbing memories, repeated disturbing dreams, feeling very upset when reminded of a stressful experience from the past, avoiding thinking about stressful experiences from the past, loss of interest in things he used to enjoy, feeling cut off from other people, sleep problems, irritability, angry outbursts, difficulty with concentration and physical symptoms like palpitations and sweating. In addition, patient was not able to concentrate at work, enjoy simple things in life or have a conversation with friends or colleagues.
Previous Investigations/ Treatments
This patient had seen a variety of specialists in the past including psychiatrists, psychologists, and trauma counsellors. He was given a formal diagnosis of post-traumatic stress disorder (PTSD). He tried various treatments including anti-depressants, CBT, psychotherapy and EMDR. He also tried several sessions of TMS and also ketamine infusions. Unfortunately, none of these treatments helped him to any great extent.
Treatment from Dr Krishna at Pain Spa
The patient saw Dr Krishna at his private clinic at the Willow Surgery in Bristol, having researched extensively about the role of SGB in the management of PTSD symptoms. Dr Krishna discussed the treatment in detail and explained all the possible benefits and associated side effects. The SGB was performed under real-time ultrasound guidance at the C6 level with a long-acting local anaesthetic. The injection was also performed at the C3 level to target the superior cervical ganglion, in addition to the SGB. The patient did not feel any immediate benefit and seemed slightly disappointed at the time. However, things started improving after 48-72 hours with improvement in his mood, concentration sleep and various other symptoms.
Patient’s perception of SGB Treatment (in his own words)
It is still early days and we hope that the improvement in this patient’s symptoms will persist over a length of time. However, this is impossible to predict and it is important to note that SGB is not a ‘magic bullet’ and may not be beneficial in some patients. It is important to continue to engage with the mental health team and follow their advice. We will continue to monitor the progress of this patient with PCL-5 scores at 1 week and 3- months post-procedure.
For further information please contact us at firstname.lastname@example.org. Please click the link below for further details: