Start with what life feels like now
What belongs in a plan when your body stays on alert?
We help people with dizziness or a racing heart by examining their symptoms together so that they can work toward standing and walking more confidently.
How we look at the whole picture
Standing in a checkout line or taking a shower can leave you lightheaded, shaky or drained.
You want to do more, but you cannot always predict what your body will tolerate.
You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.
The 7 Domains of Recovery™
Your symptoms may belong in the same conversation.
The autonomic domain looks at responses such as heart rate and tolerance for being upright. We also consider energy, sleep, movement and the other domains that may be affecting your day.
Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.
Explore our clinical framework- 1Brain function & neural networks
What has changed in your memory, concentration, balance or sensory tolerance?
- 2Autonomic & nervous system regulation
What happens when you stand, move, rest or encounter stress?
- 3Immune function & neuroinflammation
What immune history, reactions or symptoms need a closer look?
- 4Brain energy & metabolic health
What affects your energy through the day and after activity?
- 5Structure, stability & body-to-brain signals
How do pain, posture, movement and stability affect what you can do?
- 6Psychological flexibility & behavioral recovery
How are mood, stress and patterns of coping affecting your day?
- 7Life, relationships & environment
What demands, relationships and support shape your recovery?
A plan starts with the things you want to do again.
We ask when symptoms occur, what makes them worse, how long recovery takes, and what has already been checked. Relevant examination and testing help us decide where to begin.
01
Tell us what you want your life to look like
We start with what has changed, what you have tried, and the activities you most want to return to.
02
Answer the questions the history leaves open
We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.
03
Agree on the priorities and the first steps
We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.
04
Check what changes and adjust together
We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.
Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.
Talk through your situationPrecision Injection Therapies · Program
The Autonomic Reset Program
Stellate ganglion block paired with a structured autonomic rehabilitation arc, so the window the injection opens is used, not wasted.
Clinically: A sequenced program combining bilateral SGB with breathing and vagal retraining, graded physiologic loading, vestibular and oculomotor work where indicated, and sleep intervention, for sustained sympathetic overactivity in dysautonomia, POTS, and trauma-related stress.
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
Why the injection and the rehabilitation belong together
Sustained sympathetic overactivity is self-reinforcing. Elevated heart rate and vascular tone, poor sleep, and hypervigilance each keep the others going, and a person in that state finds it difficult to tolerate the very things that would help: slow breathing feels unnatural, graded exercise provokes symptoms, and sleep does not come. Stellate ganglion block interrupts the loop from the top by reducing sympathetic output for a period, which is the window in which those inputs become tolerable.
The rehabilitation arc is what makes the change last. Breathing and vagal retraining, guided by heart-rate variability, teaches the parasympathetic branch to reassert itself. Graded physiologic loading rebuilds orthostatic and exercise tolerance in steps the system can absorb. Where concussion, dizziness, or visual strain are part of the history, vestibular and oculomotor rehabilitation removes a source of ongoing sensory stress. Sleep intervention addresses the period when autonomic recovery is supposed to happen.
The sequence is set by response, not by a fixed package. The block is timed to open the window; the rehabilitation is scheduled into it; a repeat block, if any, is decided by how the system holds between sessions. Trauma-related stress adds the Integrative Psychiatry hub to the plan in the same clinic, so the psychological work and the physiological work run together.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
The program begins with the symptoms and activities you want help with. Any procedure and the work that follows it are selected from the evaluation and adjusted according to your response.
An injection is worth discussing only when the evaluation identifies a problem it may address. We consider that problem alongside sleep, movement, autonomic symptoms and daily function, then explain what rehabilitation would involve with or without the procedure.
We review your history, explain the findings, agree on next steps and check how you respond.
Potential Therapies
We use established medicine where it works, and emerging medicine where it makes sense.
These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.
- Bilateral stellate ganglion blockEvidence: Preliminary
Preliminary evidence for dysautonomia and POTS; established only for selected sympathetically mediated pain.
- Breathing and vagal retraining with HRV monitoringEvidence: Emerging
Parasympathetic retraining tracked against heart-rate variability.
- Graded physiologic loadingEvidence: Established
Structured exercise progression for orthostatic and exercise intolerance.
- Vestibular and oculomotor rehabilitationEvidence: Established
Added when dizziness, visual strain, or concussion history is part of the pattern.
- Sleep interventionEvidence: Established
Behavioral sleep treatment, including CBT-I where indicated.
Where the evidence stands
Each component has its own evidence base: SGB is established as a sympathetic block, graded exercise and behavioral sleep treatment are established for their indications, and HRV-guided breathing has supportive trials. Their combination as a sequenced program for dysautonomia and trauma-related stress is Neuregen's clinical design and carries an emerging evidence level. No outcome is guaranteed.
How we grade evidence
Pricing
| Service | Price |
|---|---|
| The Autonomic Reset ProgramPriced as one sequence: the SGB series plus the autonomic rehabilitation that follows it, not per injection | Confirmed in writing at your Strategy Consultation |
| Maintenance block after a completed programScheduled by response | Confirmed in writing at your Strategy Consultation |
Neuregen is an out-of-network specialty clinic. Most therapies listed here are not covered by insurance; we provide itemized documentation you can submit to your insurer, and we tell you before any therapy which parts, if any, are typically reimbursed.
Financing options are reviewed at your Strategy Consultation before any plan is finalized.
The training behind this care
At Neuregen, the injection discussion sits inside a rehabilitation plan. Our team connects the proposed procedure to findings, practical goals and follow-up instead of treating the procedure as the whole course of care.
Dr. David George: Board certifications and training in functional neurology, integrative psychiatry, and mental health; certified brain injury specialist.
Training most relevant to this area
- Certified Clinical Trauma Professional (CCTP)
- PMHNP-BC
These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.
See Dr. George’s full credentialsRelated pages
modality
Frequently asked questions
What is the Autonomic Reset Program?
A sequenced plan that pairs stellate ganglion block with structured autonomic rehabilitation: breathing and vagal retraining, graded physiologic loading, vestibular and oculomotor work where needed, and sleep intervention. The block lowers sympathetic output; the rehabilitation trains the system to keep the lower set point.
How is this different from getting an SGB on its own?
A standalone SGB quiets the sympathetic system for a period and then the underlying pattern tends to reassert itself. The program uses that quieter period to do the rehabilitation that was not tolerable before, so the change is trained in rather than waiting on the next injection.
Who is it for?
People whose assessment shows sustained sympathetic overactivity as a driver: POTS and other dysautonomias, autonomic symptoms after COVID or concussion, and trauma-related stress with physiological hyperarousal. Candidacy is decided at the Strategy Consultation and our medical review, not from a diagnosis label.
How long does the program take and how many blocks are involved?
Both are set by clinical response. The rehabilitation arc is scheduled into the window after the first block, and whether a repeat block is needed depends on how the system holds between sessions. We lay out the expected sequence for your case at the consultation; the program is not sold as a fixed number of visits.
Start with a Strategy Consultation
If symptoms keep interrupting work, sleep or movement, that disruption is already part of your day. A consultation can help clarify the next question to investigate; it does not commit you to an injection.
8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM