Dr. Shapira's Chicago Headache Blog

Neuromuscular Dentist in Chicago, IL Accepting Patients Nationwide & Worldwide

Sphenopalatine (Pterygopalatine) Ganglion Block for Treatment of Chronic and Episodic Chronic Headache, Severe Headache, Tension Headache, Migraine, Cluster Headache, Trigeminal Autonomic Cephalgias

May 02, 2020

Reprinted from Dr Shapira's website:

www.sphenopalatineganglionblocks.com

Sphenopalatine (Pterygopalatine) Ganglion Block for Treatment of Chronic and Episodic Chronic Headache, Severe Headache, Tension Headache, Migraine, Cluster Headache, Trigeminal Autonomic Cephalgias

Sphenopalatine Ganglion Blocks: A Game Changer in the treatment, management and elimination of chronic headaches and migraines.
Chronic migraine and severe headaches are common conditions that adversely affect all aspects of Quality of Life (QOL). No available treatments are universally effective and many carry risks of side effects. Sphenopalatine Ganglion Blocks… Read Full Post

NEW Study in Pediatric Neurology: Intranasal Ketamine Reduces Pain in Children Hospitalized for Migraine

March 18, 2020

Self-Administered (Parent Administered) Sphenopalatine Ganglion (SPG) Blocks should be considered as a First line Approach for Pediatric Migraine!

A new study in Pediatric Neurology looks at the use   of Intranasal Ketamine Reduces Pain in Children Hospitalized for Migraine.

This is exciting as children should never have to suffer debilitating pain.  However, due to the high efficacy of Sphenopaltine Ganglion Blocks in treating and preventing migraine a prudent step would be to compare the use of Trans-Nasal cotton-tipped catheters to deliver 2% lidocaine prior to use of Ketamine.

This author… Read Full Post

Severe Chronic Headache Patient Finds Relief with Sphenopalatine Ganglion Blocks

March 14, 2020

Gene has had severe chronic headaches that have been resistant to treatment for over 20 years.  He drove in from Indiana.  He has a history of TMJ disorders and severe wear of his dentition.

He came to Chicago for a consultation visit.  He presented with moderate to severe headache and it could be demonstrated that the pain was exacerbated by pressure on Myofascial Trigger Points as defined by Dr Janet Travell.

Trigger point deactivation eliminated the headache.  The was done utilizing Travell Spray and Stretch with Vapocoolant Spray confirm that much of the pain was referred from Myofascial Trigger points.

The patient reported complete relief… Read Full Post

Burning Facial Pain: Difficult Pain is final piece of puzzle.

October 13, 2019
Authored by:

Burning facial pain is often one of the most difficult pains to address.  Clara discusses in Video how she has used a Neuromuscular orthotic to address her TMJ and Bite issues.

SPG Blocks have been amazing in decreasing stress and anxiety and pain brought on by anxiety.

Her Burning Facial Pain was relieved wiith trigger point injections in taut banda in her right Sternocleidomastoid muscle.

 

Watch her Video:  https://www.youtube.com/watch?v=VTJmnhwfKKI

Burning Facial Pain: Difficult Pain is final piece of puzzle.

October 12, 2019

Burning facial pain is often one of the most difficult pains to address.  Clara discusses in Video how she has used a Neuromuscular orthotic to address her TMJ and Bite issues.

SPG Blocks have been amazing in decreasing stress and anxiety and pain brought on by anxiety.

Her Burning Facial Pain was relieved wiith trigger point injections in taut banda in her right Sternocleidomastoid muscle.

 

Wattch her Video:  https://www.youtube.com/watch?v=VTJmnhwfKKI

Sphenopalatine Ganglion Blocks for Trigeminal Neuralgia

September 13, 2019

A new article August 5, 2019 details the use of Self-Administered SPG Blocks (Sphenopalatine Ganglion Blocks) for treating Trigeminal Neuralgia of the maxillary division of the Trigeminal Nerve.   The article "Intranasal self-administration of local anesthetic (ropivacaine) for sphenopalatine ganglion block, for treatment of second trigeminal branch neuralgia secondary to maxillary sinus curettage: A case report."

Dr Shapira has been the leading advocate of… Read Full Post

The Diagnostic Neuromuscular Orthotic: The First Step In Long-Term Corrections of Headaches and Migraines

August 17, 2019

The Diagnostic Neuromuscular Orthotic is the keystone to Neuromuscular elimination of headaches, migraines and TMJ disorders.  It is designed to find a healthy 3 dimensional position for the mandible relative to the maxilla where there is minimal nociceptive input to the central nervous system and minimal adaptation needed from the  myofascial system. 

This is a reversible treatment that precedes permanent treatment.

To learn more about of the Science of  Neuromuscular Dentistry visit Sleep and Health Journal and read Dr Shapira's published article on the subject.  https://www.… Read Full Post

Management of Cluster Headaches with Sphenopalatine Ganglion Blocks. What is the Best Mode of Administration of SPG Blocks for Cluster Headaches.

March 01, 2019
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What is the best method of delivering a SPG Block?  There are many alternatives for delivering SPG Blocks, I personally feel that self-administration is the best approach for the majority of patients.  I utilize a wide variety of methods in some circumstances.

An excellent new article "Sphenopalatine Ganglion Block (SPG) in the Management of Chronic Headaches" in Current Pain and Headache Reports by Jeffery Mojica, Bi Mo & Andrew Ng does an excellent job in discussing both pathogenesis and treatment of Cluster Headaches utilizing Sphenopalatine Ganglion Blocks.

This article will discuss only that portion of their article dealing with Cluster… Read Full Post

Chicago Pediatric Headache and Migraine: Self-Administered Sphenopalatine Ganglion (SPG) Blocks and Neuromuscular Dentistry are Key

February 28, 2019
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An article in Neurology advisor (see link below)  discusses the use of SPG Blocks to treat pediatric headaches and migraines.  The study included 310 procedures on 200 children ranging from 7 to 18 years of age.  In 10 minutes after the block a significant number of children reported a 2 point drop in pain levels.

Th e use of SPG blocks for treating pediatric headaches is a blessing for both children and parents.  The video below is of a 12 year old who presented with severe migraine and was able to find relief and learn how to Self-Administer and SPG Block.

Dr Shapira has a new paper on Sphenopalatine Ganglion (SPG) Blocks  published in CRANIO:… Read Full Post

Sphenopalatiine Ganglion (SPG) Blocks: Most Comprehensive information on the Miracle Blocks featured in "MIRACLES ON PARK AVENUE"

February 22, 2019
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The Sphenopalatine Ganglion Block (SPG) was featured in the book "Miracles on Park Avenue" 

SPG Blocks are considered a first line treatment for Headaches, Migraines, Trigeminal Autonomic Cephalgias and all types of headaches.

There are numerous posts on this sitee oon thee topic but the most comprehensive information based on peer reviewed journals, pubmed and many other sources is at the website http://www.sphenopalatineganglionblocks.com.

It has the top rated blog site on SPG Blocks also known as Pterygopalatine Ganglion Blocks, Nasal Ganglion Block, Sluder's Ganglion Block and Meckel's Ganglion  Block.

There is a reddit page on these blocks… Read Full Post