Stellate Ganglion Block is coming to Seattle, Bellevue & Tacoma

A quick, ultrasound-guided injection that helps calm a nervous system stuck in overdrive. When fight-or-flight will not switch off after trauma or chronic stress, SGB can give the whole body a chance to reset.

Person standing with arms raised while overlooking the water

What is SGB?

A stellate ganglion block is a small injection of local anesthetic near a bundle of nerves in the side of the neck called the stellate ganglion. That bundle helps run your fight-or-flight system. When it stays stuck in overdrive after trauma or chronic stress, calming it can settle the whole body.

PTSD Trauma Chronic stress Anxiety Hot flashes

How SGB works

A short, guided procedure with a focus on comfort and safety.

Consult and review

We confirm it is a good fit for you and answer every question first.

Guided injection

A precise, ultrasound-guided injection near the nerve, usually completed in about 15 minutes.

Rest and reset

You rest briefly while we monitor you, then head home and give your body time to settle.

How a stress response gets stuck, and how SGB helps

Trauma is not just in your head. It lives in the nervous system. Here is the simple version of what SGB is actually doing.

01

Your alarm hub

The stellate ganglion is a hub for the fight-or-flight nerves that speed your heart and release adrenaline.

02

Stuck on high

After trauma or long-term stress, that system can stay switched on, keeping you tense, alert, and unable to settle.

03

A temporary quiet

A local anesthetic briefly calms the hub. For many people, the nervous system resets to a calmer baseline that outlasts the numbing.

What the research shows, honestly

We will always be straight with you. SGB is promising, and for some people it is life-changing, but the science is still catching up. Here is where it stands.

~73%

In the largest case series of 166 people, about 73% had a meaningful drop in PTSD symptoms at three to six months.

2019

A multisite military randomized trial found SGB reduced PTSD symptoms more than a sham injection over eight weeks.

~15 min

The injection itself, performed under ultrasound for precision, followed by a short rest afterward.

The honest caveat: not every study agrees. Some trials show a clear benefit over a placebo injection, while others show little difference, and most are small. That is why we see SGB as one tool used alongside therapy and the rest of your care, not a standalone cure. We will help you weigh whether it makes sense for your situation.

Sources: multisite randomized trial in active-duty service members (JAMA Psychiatry, 2019); Mulvaney et al. case series (2014); systematic reviews of SGB for PTSD. Evidence is still developing.

Who SGB may help

SGB is often considered when the body stays on high alert long after a stressful or traumatic time.

You feel keyed up or on edge much of the time.

Trauma or PTSD symptoms keep your body tense.

Chronic stress has been hard to shake.

You startle easily or struggle to relax.

Sleep is disrupted by a racing nervous system.

You want an option beyond daily medication.

What to expect

The visit is short and focused on your comfort. You are awake, the injection is guided by ultrasound for precision, and you rest briefly afterward. It is a brief procedure, not a daily routine.

Be first to know when we launch

SGB is launching at our clinics soon. Join the waitlist and we will reach out the moment scheduling opens.

Join the waitlist

Where you will find us

SGB will be offered at all three of our clinics. Join the waitlist to be matched with the location nearest you.

SGB questions, answered simply

What is a stellate ganglion block?
A stellate ganglion block (SGB) is a quick, ultrasound-guided injection of local anesthetic near a cluster of nerves in the side of the neck. It can calm an overactive stress response.
What is SGB used for?
SGB is often used for trauma, PTSD, and chronic stress, when the body stays stuck in fight-or-flight long after the danger has passed.
How long does the procedure take?
The injection itself takes about 15 minutes. You rest and are monitored for a short time afterward.
When will SGB be available?
We are bringing SGB to our Bellevue, Seattle, and Tacoma clinics soon. Join the waitlist and we will let you know the moment scheduling opens.
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Northwest Healing & Wellness is a mental health and wellness practice with clinics in Bellevue, Seattle, and Tacoma. We offer Spravato®, psychiatric medication management, deprescribing, and NAD+ and IV vitamin therapy, with TMS and stellate ganglion block coming soon. We're in-network with Regence and Cigna.

Serious medicine. Human care.

Call (206) 309-2302
Monday to Friday, 9:00 AM to 6:30 PM
Bellevue
1750 112th Ave NE, Suite C228-A
Bellevue, WA 98004
Seattle
600 Broadway, Suite 130-F
Seattle, WA 98122
Tacoma
1901 S Union Ave, Building B, Suite 4001-B
Tacoma, WA 98405
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