64505 Injection, anesthetic agent; sphenopalatine ganglion

Name of the Procedure:

Injection, anesthetic agent; sphenopalatine ganglion
Common name(s): Sphenopalatine Ganglion Block, SPG Block

Summary

A sphenopalatine ganglion block is a medical procedure where an anesthetic agent is injected into a cluster of nerves located at the back of the nose. This helps relieve certain types of facial pain and headaches by blocking nerve signals.

Purpose

The procedure is primarily used to treat chronic headaches, migraines, and facial pain. The goal is to provide pain relief by interrupting the nerve signals responsible for these conditions.

Indications

• Chronic cluster headaches
• Migraines
• Trigeminal neuralgia (severe facial pain)
• Other types of chronic facial pain
  Patients experiencing chronic, debilitating headaches that do not respond well to medication may be candidates for this procedure.

Preparation

• Fasting is usually not required.
• Patients might need to adjust certain medications under their doctor's guidance.
• Pre-procedure assessments, such as a medical history review and physical examination, are typically done.

Procedure Description

1. The patient is positioned comfortably, often in a reclining chair.
2. Local anesthetic is applied to the inside of the nose to numb the area.
3. A small, flexible catheter or special applicator is gently inserted into the nasal passage.
4. The anesthetic agent is delivered precisely to the sphenopalatine ganglion.
5. The catheter or applicator is then removed.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

The SPG block is usually performed in an outpatient clinic or an office setting.

Personnel

• Pain management specialist or anesthesiologist
• Nurses or medical assistants for support

Risks and Complications

• Common risks: temporary numbness, nasal irritation, minor bleeding
• Rare risks: infection, allergic reaction to the anesthetic, excessive bleeding
  Complications, if they occur, are generally manageable with prompt medical attention.

Benefits

• Significant pain relief from chronic headaches or facial pain
• Improvement in quality of life Benefits are often realized within minutes to hours after the procedure.

Recovery

• Patients can usually return home immediately after the procedure.
• Mild nasal congestion or irritation may occur but typically resolves quickly.
• Follow-up appointments may be scheduled to assess the effectiveness and need for additional treatments.

Alternatives

• Oral or injectable pain medications
• Nerve blocks at other locations
• Non-invasive treatments like physical therapy or acupuncture
  Each alternative has its own pros and cons; the choice depends on the specific condition and patient preference.

Patient Experience

During the procedure, the patient may feel pressure or minor discomfort in the nasal area. Post-procedure, temporary relief of pain and minor nasal symptoms are common. Pain management strategies can include over-the-counter pain relievers and rest.