Start with what life feels like now
What should you ask before an injection?
We help people with questions about whether another treatment is worthwhile by explaining evidence alongside individual findings so that they can weigh the options with realistic expectations.
How we look at the whole picture
A treatment may sound promising, but you want to know what has actually been studied and what remains uncertain.
You need room to ask about risks, alternatives and the possibility that an option will not help.
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 seven domains organize the assessment; they do not establish that a particular treatment will work. Each proposed option still needs its own evidence and suitability review.
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 begin with the problem you want help with. After reviewing the findings, we discuss the evidence, risks, alternatives and what would make us reconsider a recommendation.
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 · FAQ
Injection Therapy FAQ
All questions about SGB, image-guided injections, and how precision injection therapies fit a rehabilitation plan.
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
About these therapies
Stellate ganglion block is an ultrasound-guided sympathetic block applied at Neuregen for autonomic dysregulation, POTS, and PTSD within a structured rehabilitation plan. These are not standalone procedures — they are interventional tools applied when the evidence and a patient's clinical course support escalation to that level of care.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
Injection options are discussed after the evaluation. We explain why an option may fit, what the alternatives are, and how its effect would be reviewed.
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.
- Stellate Ganglion BlockEvidence: Established
Established for core anesthesiology indications; emerging for dysautonomia and PTSD.
Where the evidence stands
SGB is established in anesthesiology literature. Applications for dysautonomia and PTSD are emerging — active investigation, not yet standard of care.
How we grade evidence
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.
These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.
See Dr. George’s full credentialsFrequently asked questions
What is Stellate Ganglion Block?
SGB is an interventional procedure that temporarily anesthetizes the stellate ganglion, a cluster of sympathetic nerves in the neck. By quieting the chronic output from these nerves, the procedure helps reset an overactive fight-or-flight response. Neuregen performs the dual-SGB protocol — treating both sides of the neck — under physician supervision.
Who may be a candidate for SGB at Neuregen?
We consider SGB for individuals experiencing treatment-resistant PTSD, acute panic disorder, severe generalized anxiety, and POTS (Postural Orthostatic Tachycardia Syndrome). A Strategy Consultation is the first step to determine whether SGB fits your clinical picture.
How quickly can effects be felt after SGB?
Effects on the fight-or-flight response can be felt the same day of the procedure. How long those effects last varies by person. We review the expected timeline with each patient during the medical consultation.
How does SGB differ from medication for anxiety or PTSD?
Medications for anxiety and PTSD generally work by adjusting neurotransmitter levels over time. SGB works by directly interrupting the sympathetic nerve chain that drives chronic norepinephrine output and amygdala hyperactivity. The mechanism is physiological rather than pharmacological, and the two approaches can complement each other when we determine that is appropriate.
Is a consultation required before scheduling SGB?
Yes. We conduct a medical review of your history before recommending any treatment. The Strategy Consultation is where that process begins. No treatment plan is set before that review.
Does insurance cover SGB at Neuregen?
Neuregen is an out-of-network specialty clinic. Patients are responsible for fees at the time of service. Staff can discuss the specifics of payment during the consultation.
What does the Strategy Consultation involve?
The Strategy Consultation is a real clinical conversation — not a sales call — to understand your history and symptoms, and to determine whether Neuregen is a clinical fit. If it is, we conduct a full medical review and build a personalized treatment plan from there.
What does "image-guided" mean for an injection procedure?
Image-guided means the needle is placed under real-time ultrasound visualization rather than by surface landmark alone. For stellate ganglion block, this allows the physician to confirm needle placement relative to the cervical sympathetic chain and nearby vasculature before and during injection — improving accuracy and reducing procedural variability.
Are injection therapies standalone treatments at Neuregen?
No. Injections at Neuregen are applied within a broader rehabilitation plan. The goal is to use the physiological window that an injection creates to support the larger rehabilitative work. A stellate ganglion block is most useful when it opens space for autonomic rehabilitation, behavioral work, and restoration — not when it is the only intervention.
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