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Saturday, August 22, 2015

Treatment With Sphenopalatine Ganglion Block: Courses in Chicago by Dr Ira L Shapira

SPG Block: Miracle Cure of Prevention for Migraines. Courses for Patients and Physicians on SPG Block Administration Techniques by Dr Ira Shapira



SPG Block are often considered Miracle Treatments for Migraines and other chronic pains. The Book "Miracles on Park Avenue" was published in the late 1980's and Dr Shapira learned the technique shortly after by his friend Dr Jack Haden. Dr Shapira later learned several other methods of utilizing the SPG Block from Dr Larry Lockerman, Dr Barry Glassman, Dr Lawrence Robbins, Dr Brendan Stack. He also trained with TX360 and Spenocath techniques.


Dr Shapira is one of very few doctors around the world who teaches patients to self administer Sphennopalatine Ganglion Blocks. He is currently working on Patents which will vastly improve the range of treatments that can be directed toward this autonomic ganglion.
Dr Shapira is a Diplomate of the American Academy of Pain Management and is well known for his courses on Dental Sleep Medicine.
The following was originally published at NorthShoreSleepDentist.com
PATIENTS WHO ARE INTERESTED IN EXPERIENCING SPHENOPALATINE GANGLION BLOCKS AND LEARNING HOW TO SELF ADMINISTER THE BLOCKS CAN CONTACT DR SHAPIRA THRU HIS WEBSITE.
WWW.THINKBETTERLIFE.COM
TREATMENT OF CHRONIC MIGRAINES, TENSION HEADACHES AND AUTONOMIC CEPHALGIAS AS WELL AS OTHER CHRONIC PAIN CONDITIONS CAN BE IMPROVEd WITH UTILIZATION OF SPHENOPALATINE GANGLION BLOCKS.
There are several testimonials on SPG Blocks at ICCMO:
http://occlusiontmjauthority.com/dr-ira-shapira-testimonials/
WHERE DO YOU LEARN TO ADMINISTER SPG BLOCKS? Dr Shapira now offers classes in Highland Park!
It is well established that the Sphenopalatine Ganglion Block is one of the most effective treatments for preventing migraine and chronic daily headaches available but it is often difficult to learn the procedures. I teach Sphenopalatine Ganglion Administration in my Highland Park, Illinois office to doctors want to incorporate this into their practice and to patients wanting to learn self administration of SPG Blocks.
I teach a variety of trigger point injection techniques in the jaw, head, neck and shoulder regions to both dentists and physicians. I invite doctors to bring their patients with them to the course. The primary area of interest of many doctors is learning to do the Sphenopalatine Ganglion Blocks. I teach doctors several methods of administering SPG Blocks. Doctors are invited to bring their team and their patients to the course as well.
The Sphenopalatine Ganglion Block was made popular in the late 1980's by the book "Miracles on Park Avenue". I strongly suggest that patients with chronic pain, migraines, tension headaches or TMJ Disorders read this book.
The Spenopalatine Ganglion, also called Meckels Ganglion, the Nasal Ganglion or the Pterygopalatine Ganglion is the largest of four Parasympathetic Ganglions in the head and neck and has both sympathetic and parasympathetic fibers running throught it. It is found in the Pterygopalatine fosa. The SPG is associated with the branches of the maxillary nerve,one of the three major branches of the Trigeminal Nerve.
The SPG supplies the lacrimal gland, paranasal sinuses, glands of the mucosa of the nasal cavity and pharynx, the gingiva, and the mucous membrane and glands of the hard palate. It communicates anteriorly with the nasopalatine nerve, also part of the Trigeminal Nerve. The SPG receives a sensory, a parasympathetic, and a sympathetic root.
The sensory root of the Sphenopalatine Ganglion comes from two sphenopalatine branches of the maxillary division of the Trigeminal Nerve and the fibers pass into the palatine nerves.
The Parasympathetic root is derived from the nervus intermedius a branch of the facial nerve.
The SphenoPalatine Ganglion also carries fibers from the superior cervical ganglion, SCG. These are sympathetic efferent (postganglionic) fibers from the SCG that travel through the carotid plexus and then through the deep petrosal nerve, which joins with the greater petsal nerve to form the pterygoid canal nerve.
​Learning to work with SphenoPalatine Ganglion blocks will allow practitioners to handle difficult cases that were often resistant to treatment because of their autonomic components. All classes are by by appointment. I will teach individual doctors or small groups.

A Small list of recent articles on use of SPG Blocks

Elahi F, Reddy CG.
Pain Physician. 2015 May-Jun;18(3):E403-9.

2.
3.
Kent S, Mehaffey G.
Am J Emerg Med. 2015 Mar 14. pii: S0735-6757(15)00168-0. doi: 10.1016/j.ajem.2015.03.024. [Epub ahead of print] No abstract available.

4.
Schaffer JT, Hunter BR, Ball KM, Weaver CS.
Ann Emerg Med. 2015 May;65(5):503-10. doi: 10.1016/j.annemergmed.2014.12.012. Epub 2015 Jan 7.

5.
Elahi F, Ho KW.
Case Rep Neurol Med. 2014;2014:923516. doi: 10.1155/2014/923516. Epub 2014 Sep 29.
6.
Cohen S, Ramos D, Grubb W, Mellender S, Mohiuddin A, Chiricolo A.
Reg Anesth Pain Med. 2014 Nov-Dec;39(6):563. doi: 10.1097/AAP.0000000000000172. No abstract available.

7.
Cady R, Saper J, Dexter K, Manley HR.
Headache. 2015 Jan;55(1):101-16. doi: 10.1111/head.12458. Epub 2014 Oct 23.

8.
Grant GJ, Schechter D, Redai I, Lax J.
Int J Obstet Anesth. 2014 Aug;23(3):292-3. doi: 10.1016/j.ijoa.2014.04.010. Epub 2014 May 10. No abstract available.

9.
Miller S, Matharu M.
Curr Pain Headache Rep. 2014;18(8):438. doi: 10.1007/s11916-014-0438-z. Review.

10.
Kastler A, Cadel G, Comte A, Gory G, Piccand V, Tavernier L, Kastler B.
Neuroradiology. 2014 Jul;56(7):589-96. doi: 10.1007/s00234-014-1354-y. Epub 2014 Apr 26.

11.
Prakash S, Patell R.
Curr Pain Headache Rep. 2014 Apr;18(4):407. doi: 10.1007/s11916-014-0407-6. Review.

12.
Zarembinski C, Graff-Radford S.
Pain Med. 2014 Feb;15(2):329-32. doi: 10.1111/pme.12302. Epub 2013 Dec 17.

13.
Shimizu T.
Rinsho Shinkeigaku. 2013;53(11):1131-3. Review. Japanese.

14.
Candido KD, Massey ST, Sauer R, Darabad RR, Knezevic NN.
Pain Physician. 2013 Nov-Dec;16(6):E769-78.

15.
Tepper SJ, Stillman MJ.
Headache. 2013 Jul-Aug;53(7):1183-90. doi: 10.1111/head.12148. Epub 2013 Jun 28. Review.

16.
Rodman R, Dutton J.
Int Forum Allergy Rhinol. 2012 Jul-Aug;2(4):325-30. doi: 10.1002/alr.21035. Epub 2012 Apr 5.

17.
Ebbeling MB, Oomen KP, de Ru JA, Hordijk GJ, Bleys RL.
Am J Rhinol Allergy. 2012 Jan-Feb;26(1):e40-5. doi: 10.2500/ajra.2012.26.3697.

18.
DeMaria S Jr, Govindaraj S, Chinosorvatana N, Kang S, Levine AI.
Am J Rhinol Allergy. 2012 Jan-Feb;26(1):e23-7. doi: 10.2500/ajra.2012.26.3709.
19.
Cho DY, Drover DR, Nekhendzy V, Butwick AJ, Collins J, Hwang PH.
Int Forum Allergy Rhinol. 2011 May-Jun;1(3):212-8. doi: 10.1002/alr.20040. Epub 2011 Apr 13.

20.
Treatment Guideline Subcommittee of the Taiwan Headache Society, Chen PK, Chen HM, Chen WH, Chen YY, Fuh JL, Lee LH, Liao YC, Lin KC, Tseng HP, Tsai JJ, Wang PJ, Wang SJ, Yang CP, Yiu CH, Wu ZA.
Acta Neurol Taiwan. 2011 Sep;20(3):213-27. Review. Chinese.


Pipolo C, Bussone G, Leone M, Lozza P, Felisati G.
Neurol Sci. 2010 Jun;31 Suppl 1:S197-9. doi: 10.1007/s10072-010-0325-2.

22.
Rodman R, Dutton J.
Int Forum Allergy Rhinol. 2012 Jul-Aug;2(4):325-30. doi: 10.1002/alr.21035. Epub 2012 Apr 5.

24.
Varghese BT, Koshy RC.
J Laryngol Otol. 2001 May;115(5):385-7.

25.
Saade E, Paige GB.
Reg Anesth. 1996 Jan-Feb;21(1):68-70.

26.
Murty PS, Prasanna A.
Indian J Otolaryngol Head Neck Surg. 1998 Jan;50(1):99-105. doi: 10.1007/BF02996789.

27.
Saberski L, Ahmad M, Wiske P.
Headache. 1999 Jan;39(1):42-4.

28.
Ferrante FM, Kaufman AG, Dunbar SA, Cain CF, Cherukuri S.
Reg Anesth Pain Med. 1998 Jan-Feb;23(1):30-6.

29.
Manahan AP, Malesker MA, Malone PM.
Nebr Med J. 1996 Sep;81(9):306-9.

30.
Silverman DG, Spencer RF, Kitahata LM, O'Connor TZ.
Reg Anesth. 1993 Nov-Dec;18(6):356-60.

31.
Peterson JN, Schames J, Schames M, King E.
Cranio. 1995 Jul;13(3):177-81.

32.
Lebovits AH, Alfred H, Lefkowitz M.
Clin J Pain. 1990 Jun;6(2):131-6.

33.
34.
Prasanna A, Murthy PS.
J Pain Symptom Manage. 1997 Jun;13(6):332-8.

35.
36.
Prasanna A, Murthy PS.
Clin J Pain. 1993 Jun;9(2):135-7. No abstract available.

37.
Spencer RF.
Reg Anesth. 1997 Sep-Oct;22(5):483-4. No abstract available.

38.
Morelli N, Mancuso M, Felisati G, Lozza P, Maccari A, Cafforio G, Gori S, Murri L, Guidetti D.
Cephalalgia. 2010 Mar;30(3):365-7. doi: 10.1111/j.1468-2982.2009.01882.x. Epub 2010 Feb 1.

39.
Prasanna A, Murthy PS.
Reg Anesth. 1993 Mar-Apr;18(2):139-40. No abstract available.

40.
Hwang JH, Liu CM, Liu TC, Hsu MC.
Laryngoscope. 2003 Aug;113(8):1423-4. No abstract available.

42.
Prasanna A, Murthy PS.
J Pain Symptom Manage. 1993 Apr;8(3):125. No abstract available.

43.
Cohen S, Trnovski S, Zada Y.
Anaesthesia. 2001 Jun;56(6):606-7. No abstract available.

44.
Waldman SD.
Reg Anesth. 1993 Sep-Oct;18(5):274-6. No abstract available.

45.
46.
Yang lY, Oraee S.
Pain Physician. 2006 Apr;9(2):131-4.

47.
Henneberger JT, Menk EJ, Middaugh RE, Finstuen K.
South Med J. 1988 Jul;81(7):832-6.

48.
Felisati G, Arnone F, Lozza P, Leone M, Curone M, Bussone G.
Laryngoscope. 2006 Aug;116(8):1447-50.

49.
Narouze S, Kapural L, Casanova J, Mekhail N.
Headache. 2009 Apr;49(4):571-7. doi: 10.1111/j.1526-4610.2008.01226.x. Epub 2008 Sep 9.

50.
Olszewska-Ziaber A, Ziaber J, Rysz J.
Otolaryngol Pol. 2007;61(3):319-21. Polish.
51.
Varghese BT, Koshy RC, Sebastian P, Joseph E.
Palliat Med. 2002 Sep;16(5):447-8. No abstract available.

52.
Ciammitti B, Tesoro S, Carloni D, Bifarini G.
Minerva Anestesiol. 1991 Sep;57(9):538-9. Italian. No abstract available.

54.
Tepper SJ, Stillman MJ.
Headache. 2013 Jul-Aug;53(7):1183-90. doi: 10.1111/head.12148. Epub 2013 Jun 28. Review.

55.
Quevedo JP, Purgavie K, Platt H, Strax TE.
Arch Phys Med Rehabil. 2005 Feb;86(2):335-7.

57.
Grégoire A, Clair C, Delabrousse E, Aubry R, Boulahdour Z, Kastler B.
J Radiol. 2002 Sep;83(9 Pt 1):1082-4. French.
59.
Devoghel JC.
Acta Anaesthesiol Belg. 1981;32(1):101-7.
60.
Vallejo R, Benyamin R, Yousuf N, Kramer J.
Pain Pract. 2007 Mar;7(1):44-6. No abstract available.


Brown CR.
Pract Periodontics Aesthet Dent. 1997 Jan-Feb;9(1):99-100. No abstract available.
62.
Shuster MA, Natsvlishvili VI, Aleksandrov EN.
Vestn Otorinolaringol. 1979 Nov-Dec;(6):45-9. Russian. No abstract available.
63.
Janzen VD, Scudds R.
Laryngoscope. 1997 Oct;107(10):1420-2.
64.
Miller S, Matharu M.
Curr Pain Headache Rep. 2014;18(8):438. doi: 10.1007/s11916-014-0438-z. Review.
65.
Shimizu T.
Rinsho Shinkeigaku. 2013;53(11):1131-3. Review. Japanese.
66.
Yarnitsky D, Goor-Aryeh I, Bajwa ZH, Ransil BI, Cutrer FM, Sottile A, Burstein R.
Headache. 2003 Jul-Aug;43(7):704-14.
67.
Treatment Guideline Subcommittee of the Taiwan Headache Society, Chen PK, Chen HM, Chen WH, Chen YY, Fuh JL, Lee LH, Liao YC, Lin KC, Tseng HP, Tsai JJ, Wang PJ, Wang SJ, Yang CP, Yiu CH, Wu ZA.
Acta Neurol Taiwan. 2011 Sep;20(3):213-27. Review. Chinese.
69.
Levin M.
Neurotherapeutics. 2010 Apr;7(2):197-203. doi: 10.1016/j.nurt.2010.03.001. Review.
70.
Spacek A, Hanl G, Groiss O, Koinig H, Kress HG.
Wien Med Wochenschr. 1998;148(19):447-9. German.
71.
Robiony M, Demitri V, Costa F, Politi M, Cugini U.
Br J Oral Maxillofac Surg. 1998 Oct;36(5):389-91.

72.
Grégoire PC.
Can Nurse. 1991 Oct;87(9):33-5. French.
73.
Kanai A, Suzuki A, Kobayashi M, Hoka S.
Br J Anaesth. 2006 Oct;97(4):559-63. Epub 2006 Aug 1.


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posted by Dr Shapira at 11:02 AM

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