Bellevue Long Covid & Fatigue Relief: Stellate Ganglion Block Treatment Update

To help patients suffering from Long Covid symptoms, Interventional Orthopedics of Washington recently updated their services to offer the Stellate Ganglion Block (SGB) procedure. The outpatient procedure is minimally invasive and can relieve symptoms like fatigue, brain fog, insomnia, and loss of taste and smell, among others.

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The newly updated service involves an injection of anesthetic into a bundle of nerves located in the neck called the stellate ganglion, and employs modern ultrasound technology that allows Dr. Silva to visualize the target area clearly. The relief for most is almost immediate and the effect can last for months or in some cases, permanently.

SGB treatment aids in “rebooting” the autonomic nervous system and is also a treatment option for those suffering from other conditions, such as dysautonomia, PTSD, and generalized anxiety. Incorporating ultrasound technology during the SGB procedures enables precision, allowing the doctor to steer clear of any sensitive structures in the neck. This also ensures the medication properly reaches the stellate ganglion.

While post-SGB treatment may manifest temporary side effects like Horner’s Syndrome, studies emphasize the procedure’s high tolerance among patients, often showcasing minimal side effects. Managing these effects requires resting at home after the procedure and avoiding certain stressors.

Originating from the 1920s, the SGB procedure has a long history of effectiveness. Aside from its use for alleviating the symptoms of Long Covid, it has also been used for managing symptoms of other ailments that can result from autonomic dysfunction such as sweating, and irregular blood pressure associated with conditions like POTS, explains Dr. Silva.

About Otono Silva, MD

Dr. Silva, the founder of Interventional Orthopedics of Washington, helps empower patients to regain their quality of life using regenerative medicine interventions and holistic approaches to common pain problems.

He is board-certified in Physical Medicine and Rehabilitation and specializes in non-surgical regenerative injection therapies like image-guided prolotherapy, PRP (Platelet Rich Plasma), and stem cell therapy.

“Dr. Silva spent over an hour with me, doing a full assessment, and explaining everything he found and what options might work for me. I truly appreciate the time he took to explain things and how he may be able to help me,” a satisfied patient said.

Interested parties who want to know more about Interventional Orthopedics of Washington may visit

Interventional Orthopedics of Washington
1515 116th Ave NE
Suite 202

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