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Neuregen · Scottsdale, Arizona · 866-999-1177
Providers – Refer Your Patient

Start with what life feels like now

If your nervous system feels stuck in fight-or-flight — even when nothing’s wrong — this may be for you.

We help people with a body that stays on alert by connecting physical symptoms with their recovery needs so that they can work toward easier sleep and daily routines.

How we look at the whole picture
Illustrative portrait of a fit man pausing in a sunlit kitchen.

You know you are safe, yet your heart races, your muscles tighten or a small sound puts you on edge.

It can be hard to sleep, concentrate or feel present with the people you care about.

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.

Stress responses, sleep, concentration and physical symptoms can overlap. The seven-domain approach considers those connections without reducing every symptom to a psychological explanation.

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
  1. 1Brain function & neural networks

    What has changed in your memory, concentration, balance or sensory tolerance?

  2. 2Autonomic & nervous system regulation

    What happens when you stand, move, rest or encounter stress?

  3. 3Immune function & neuroinflammation

    What immune history, reactions or symptoms need a closer look?

  4. 4Brain energy & metabolic health

    What affects your energy through the day and after activity?

  5. 5Structure, stability & body-to-brain signals

    How do pain, posture, movement and stability affect what you can do?

  6. 6Psychological flexibility & behavioral recovery

    How are mood, stress and patterns of coping affecting your day?

  7. 7Life, relationships & environment

    What demands, relationships and support shape your recovery?

A plan starts with the things you want to do again.

We discuss your current symptoms, what feels safe to talk about, and the support you already have. The evaluation helps us agree on priorities and a pace you can participate in.

  1. 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.

  2. 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.

  3. 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.

  4. 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 situation

Precision Injection Therapies · SGB

Stellate Ganglion Block (SGB)

A five-minute injection at the base of your neck that can turn down a nervous system stuck in fight-or-flight — often within hours.

Clinically: An ultrasound-guided sympathetic block used to interrupt sustained sympathetic overactivity, applied within a structured autonomic-regulation program rather than as a standalone anesthesiology procedure.

Conceptual illustration highlighting nerves near the neck; not procedural guidance.

Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.

What a stellate ganglion block is, why we use it inside a full autonomic rehabilitation program rather than as a standalone fix, and what the visit is like.
Read the full transcript

If your nervous system feels stuck, even when nothing's wrong, then this is for you. A stellate ganglion block is a simple injection around the C6 on the neck that is located around a bundle of nerves responsible for your fight-or-flight response. We typically use the stellate ganglion block inside a full autonomic rehabilitation program, very seldom as a standalone fix. So while this procedure has been around for some time, it's actually an emerging therapy for the treatment of PTSD and dysautonomia. Most patients are in and out within the hour. You're awake the whole time, comfortable, and we're right there with you. A lot of people notice a difference almost immediately. I find that I recommend this procedure with confidence based on what I've seen in patients and the changes that it can make. We're learning more and more about just how many conditions and how many symptoms are promoted by an overactive sympathetic nervous system, that fight-or-flight nervous system. If you're curious whether this is right for you, let's talk about it.

Stellate ganglion block in Scottsdale

SGB for the mind as well as the body

Stellate ganglion block began as a pain procedure, so it is most often performed by anesthesiology and pain physicians, for pain. At Neuregen we use it mainly for its effect on the stress response: for PTSD, anxiety, sleep and a nervous system that stays stuck in fight-or-flight.

That is why our SGB care is led by clinicians trained in psychiatry and trauma, and why SGB is never a stand-alone injection here. It is one step in a coordinated recovery plan.

  • Psychiatry-trained oversight

    Board-certified, psychiatry-trained clinicians who understand trauma oversee your care before, during and after the procedure.

  • Part of a plan, not a one-off

    SGB sits inside a coordinated plan that can include psychotherapy, medication management, ketamine therapy and autonomic rehabilitation, so the window it opens is used well.

  • Ultrasound-guided

    The block is placed with ultrasound guidance, after a clinical evaluation and a discussion of the evidence for your situation.

How SGB calms the stress response

A short animated explainer: how the nervous system can stay locked in a fight-or-flight state long after a threat has passed, and where the stellate ganglion sits in that system.

Read the full transcript

When you face a sudden threat, your nervous system triggers an automatic, high-energy biological state designed exclusively for acute survival. It floods the body with the resources needed to survive a crisis. Under normal conditions, the nervous system initiates a deliberate cooldown once the threat has passed, deactivating the alarm and returning the body to a state of rest. But extreme trauma or physiological stress can cause this alarm to permanently jam in the on position. The biological circuit is interrupted, leaving the system caught in a continuous loop of high alert. When this system gets stuck, the body exhausts its own cellular resources, fighting a ghost threat. A life-saving evolutionary tool becomes a chronic physical disease. This permanent hyperarousal loop drives symptoms of treatment-resistant PTSD, severe panic disorders, and dysautonomia like POTS. Standard medical responses often rely on cognitive therapies or psychiatric medications to influence the mind's chemistry and thought patterns. These conventional treatments frequently stall because they attempt to resolve a physical hardware blockage in the nervous system using software-level chemical adjustments. Until the physical nervous system is forced out of chronic hyperarousal, the patient's baseline adaptive capacity, their biological ability to heal, remains paralyzed. To address the physical hardware, interventional psychiatry targets the stellate ganglion. This bundle of sympathetic nerves in the lower neck carries fight or flight signals. The stellate ganglion block involves applying targeted anesthetic directly to these nerves, neutralizing the cluster and turning the overactive signaling off. Numbing this nerve chain provides a window for the system to complete a biological reboot. This intervention physically restarts a malfunctioning biological mainframe from the outside in. The sequence begins when the anesthetic blocks the sympathetic nerve chain's output of norepinephrine, easing the body's chronic adrenaline flood. In step two, silencing this nerve bundle severs the faulty distress signal traveling back to the brain. This lack of incoming distress signals forces the amygdala, the brain's fear center, out of hypervigilance. Third, the brain registers that the central alarm is now off, allowing heart rate variability and baseline blood pressure to normalize. As the alarm quiets, the body's baseline cardiovascular rhythm has room to settle. For people who respond, that can mean healthier heart rate variability, though no timing or outcome is guaranteed. Step four involves the calming of chronic neurogenic inflammatory loops throughout the body. This widespread inflammation is fueled and sustained by continuous sympathetic stress. By neutralizing a single physical node in the neck, a paralyzing biological loop is dismantled through a chain reaction of relief. Because SGB targets the physical nervous system, the dampening effects on the fight or flight response can often be felt the same day as the procedure. This interventional procedure addresses the biological source of the symptoms, rather than the perpetual management required by daily prescription regimens. Removing chronic hyperarousal is the vital first step in a larger healing process, which is mapped through the seven domains of recovery. This biological reset is the foundation for what follows. The brain can begin to rebuild resilience once it is no longer fighting for survival. This restoration of adaptive capacity gives the patient back the inherent power to adapt, heal, grow, and thrive in the face of life's challenges.

What SGB may be considered for

Each use has its own evidence, and a label describes SGB for that condition only. These are options to discuss after your evaluation, not promises of a result.

SGB for PTSD and trauma

Evidence: EmergingPTSD and trauma-related symptoms

Trauma can leave the body on high alert: hypervigilance, a strong startle, poor sleep and emotional overwhelm that outlast the event itself.

SGB is being studied for these hyperarousal symptoms because it quiets sympathetic, fight-or-flight activity. Trials so far are mixed, and VA/DoD guidance found insufficient evidence to recommend for or against it, so we consider it alongside trauma-focused psychotherapy and psychiatric care, not in place of them.

SGB for PTSD and trauma

SGB for anxiety and panic

Evidence: PreliminaryAnxiety and panic

When anxiety or panic attacks keep returning despite good care, the body’s stress response may be part of the pattern.

SGB has been explored for anxiety because of its effect on the fight-or-flight system. The evidence is limited to small reports, so we discuss it as one option inside a broader mental-health plan, never as a replacement for it.

Integrative psychiatry at Neuregen

SGB for insomnia and sleep

Evidence: PreliminaryInsomnia

Sleeplessness often travels with a nervous system that will not settle at night.

Early studies have explored SGB for insomnia, and the evidence is still preliminary. Where sleep is the barrier, SGB can be considered alongside established sleep care such as cognitive behavioral therapy for insomnia (CBT-I).

Psychotherapy and CBT-I

SGB for POTS and dysautonomia

Evidence: PreliminaryPOTS, dysautonomia and Long COVID

When heart rate, blood pressure and energy swing with posture, the sympathetic system may be over-firing.

Reports of SGB for POTS, dysautonomia and Long COVID are early and largely uncontrolled. Where it is considered, it sits inside a structured autonomic rehabilitation plan.

SGB for POTS and dysautonomia

For referring clinicians

Referring a patient for SGB?

We perform SGB as part of a coordinated plan, with psychiatry-trained clinicians who understand trauma, and we keep you in the loop. Your patient keeps their relationship with you.

Refer your patient

The mechanism: what SGB does in the sympathetic nervous system

The stellate ganglion is a collection of sympathetic nerve cell bodies in the lower cervical spine. It acts as a relay hub for sympathetic tone throughout the thorax, head, neck, and upper extremities. When the sympathetic nervous system is chronically overactivated — as in prolonged hypervigilance after trauma, POTS, or autonomic dysfunction from long COVID — the stellate ganglion contributes to that sustained high-output state.

SGB works by temporarily interrupting that output. A local anesthetic injected under ultrasound guidance anesthetizes the ganglion, reducing sympathetic nerve firing. The effect on downstream physiology — heart rate, vascular tone, hypervigilance, cortisol reactivity — can begin within hours of the procedure.

Neuregen uses the bilateral SGB protocol: treating both sides of the neck allows a more complete reset of the sympathetic chain. The number of blocks in a series is set by clinical response, not a fixed package.

SGB at Neuregen is not an anesthesiology procedure or a standalone pain injection. It is an autonomic and psychiatric tool, used as one step in a rehabilitation plan. The block opens a window; the weeks after it are where the work happens: breathing and vagal retraining, graded physical loading, sleep restoration, and, where trauma is part of the picture, psychiatric care in the same clinic.

Every plan starts from the same map: the 7 Domains of Recovery.

How it fits your plan

SGB is considered after a clinical evaluation and a discussion of the evidence for your situation. If it belongs in the plan, we agree on what to monitor and how follow-up care will be coordinated.

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.

  • Ultrasound-guided bilateral SGBEvidence: Established

    Established for selected sympathetically mediated pain; for PTSD, anxiety, sleep and POTS see the grades above. The bilateral protocol is applied at physician discretion based on clinical presentation.

  • Orthostatic vitals and HRV monitoring

    Used pre- and post-procedure to quantify autonomic response.

Where the evidence stands

SGB is an established sympathetic block for selected sympathetically mediated pain conditions. For PTSD and trauma-related symptoms the evidence is emerging; for POTS, dysautonomia, Long COVID and other neuropsychiatric uses such as anxiety and insomnia it is preliminary. These uses are under active investigation and are not yet a standard of care.

Sources and what they support

How we grade evidence

Pricing

ServicePrice
Stellate ganglion block, single (unilateral)Confirmed in writing at your Strategy Consultation
Stellate ganglion block, bilateralConfirmed in writing at your Strategy Consultation
SGB series within an autonomic-regulation programNumber of blocks set by response, not a fixed packageConfirmed 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 credentials

Frequently 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.

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