Neuromuscular Dentist in Chicago, IL Accepting Patients Nationwide & Worldwide

Posted: June 21, 2020

Trigeminal Neuralgia is one worst pains known to man and unfortunately it does not respond well to medical treatment and surgical results are varied and carry high risks.

Sphenopalatine Ganglion (SPG) Blocks can be the answer patients are looking for but there is no universal answers.  The use of Self-Administered SPG Blocks (SASPGB) is life changing for many patients.

This link is to a youtube video where Toni describes the instantaneous relief from an SP{G Block and how he learned to Self-Administer SPG Blocks.

Tony came in at 8:30 this morning in the middle of a SEVERE TRIGEMINAL Neuralgia attack on his right side and received a Suprazygomatic Sphenopalatine Ganglion Block. He had almost immediate relief of the severe trigeminal neuralgia on the right side of his face.

He was also experiencing severe dizziness and was being seen at 10:00 for an Atlas/Orthoganol Adjustment. The dizziness was also greatly improved by the SPG Block.

The initial black was an injection utilizing 2% lidocaine into the Pterygopalatine Fossa that houses the Maxillary Division of the Trigeminal Nerve and the Sphenopalatine Ganglion.

This video was taken approximately 5 hours later. 90% of the Trigeminal Neuralgia pain was still gone but a small amount had returned. He was taught at this afternoon visit how to Self-Administer and SPG Block (SASPGB) utilizing Cotton-Tipped catheters through his nose to deliver 2% lidocaine to his sphenopalatine ganglion bilaterally.

The Self-Administration of SPG Blocks (SASPGB) technique does not require any injections. Due to the extremely severe nature of his attack we initially did do an injection into the Pterygopalatine Fossa that houses both the Sphenopalatine ganglion, the maxillary division of the trigeminal nerve and the maxillary artery.

 The injection approach typically do gives almost instantaneous relief of the facial pain electrical shooting pains etc. Self-Administration is taught to patients so they can relieve and prophylactically prevent Trigewminal Neuralgia (TN) attacks. It is especially successful with Type Two or Atypical Trigeminal Neuralgia but also works for Classical Tic Dolereaux the most severe form of TN (Trigeminal Neuralgia)

Long-term management of trigeminal neuralgia usually best associated with self administered SPG blocks at home initially are usually have patients do this twice a day but they can gradually decrease the frequency as their symptoms subside. Self-Administered SPG Blocks are also utilized for severe migraines, tension headaches, sinus pain, TMJ pain, TMD, Anxiety and Depression.


Past Chair, Alliance of TMD Organizations 

Diplomat, Academy of Integrative Pain Management  

Diplomate,American Board of Dental Sleep Medicine

Diplomate, American Board Sleep and Breathing Regent,

Master & Fellow, International College of CranioMandibular Orthopedics

Board Eligible, American Academy of CranioFacial Pain

Dental Section Editor, Sleep & Health Journal

CranioFacial Pain Section Editor, CRANIO: Journal of Craniomandibular and Sleep Practice

Member, American Equilibration Society

Member, Academy of Applied Myofunctional Sciences

Member, Academy of Cosmetic Dentistry

Life Member, American Dental Association

Youtube channel has over 150 patient videos: