WHERE CAN I LEARN TO SELF ADMINISTER SPHENOPALATINE GANGLION BLOCKS?
Dr ira L Shapira teaches patients to Self-Administer SphenoPalatine Ganglion Blocks in his Highland Park, Il office.
CONTACT DR SHAPIRA THRU HIS WEBSITE: WWW.THINKBETTERLIFE.COM
LEARN MORE ABOUT SPG BLOCKS: WWW.SPHENOPALATINEGANGLIONBLOCKS.COM
Sphenopalatine Ganglion Blocks were first decribed by Sluder in 1903.
Hiram Byrd wrote "Sphenopalatine Phenomena" in 1930 which was published in 1930 and reported phenomenal success in 10,000 SPG Blocks in 2000 patients
Forgotten Medicine: New Medications and procedures become available and marketed but sometimes valuable medical procedures are forgotten in the process..
DR SHAPIRA'S STORY
In 1986 I learned about Sphenopalatine Ganglion Blocks from a patient who brought me the book, "Miracles on Park Avenue" and wanted me to find him a doctor who did the procedure in Chicago. I was amazed when I read the book and was dismayed when I could not find anyone in the Chicago area who did the procedure.
I learned the procedure from Dr Jack Haden in Kansas city that same year and I have used it ever since. Initially I did a lot of intra-oral injections through the greater palatine foramen because it was a "comfortable" injection for me to give in an area I routinely gave anesthetic. Later, I learned techniques for extra-oral injections which were initially outside my comfort zone. I have embraced them over the years for their ease and predictability.
My Blog at www.SphenoPalatineGanglionBlocks.com has a wide range of information about Sphenopalatine Ganglion Block including indications and history of this "Miracle Block".
I also took a while to be comfortable with doing the trans-nasal block because it was outside my aera of comfort. I have done thousands of these over the years and have adapted my techniques. In the beginning I always brought the patients in to my office for me to do the SPG blocks.
I have always had long-distance patients who traveled to see me for TMJ treatment and neuromuscular treatment and UI would teach my patients how to treat and eliminate their pain between visits with Travell Spray and Stretch techniques. This was life-changing for my patients who could now turn off severe head, neck and facial pain as well as migraine without a trip to my office. This was initially difficult because pharmacies did not understand the prescriptions and vapocoolant spray was often hard for patients to buy.
Over time, it became routine for me to automatically offer this to all patients. I would also teach them the basic principles so they could relieve pain anywhere in their body.
Empowering patients to take control of their pain without prescription medications resulted in better patient care, fewer visits both to my office and to other physicians and emergency rooms in hospitals.
I later began utilizing home ULF-TENS (Myomonitor) units to my patients for home use rather than just in my office and againfound a tremendous improvement in my ability to care for my patients and in their quality of life. The Myomonitor also acts as an at home on demand Neuromodulation device for the Sphenopalatine Ganglion. The Myomonito has over a 50 year safety record.
Every time I empowered patients to self-care I was rewarded with great patient appreciation for my efforts. The same level of pain relief with fewer doctor visits improved the quality of thei lives. Truth is, "Quality of Life Sucks when you are in a Doctor's office or waiting in an ER.
Success rates for treatment improved with fewer visits and lower costs. This link is to videos of patients who have experienced SPG Blocks.
https://www.youtube.com/playlist?list=PL5ERlVdJLdtlk8PbufsI0l_MzHo4oOb6g
I used the Sphenopalatine Ganglion Block initially only as a measure of last resort, when other treatments were not working well. My patients who received SPG Blocks taught me that they did better when I did the blocks and the number of visits decreased while their quality of life increased. I remember when I first began to teach patients how to self-administer it was with great trepidation and I did blocks twice a day in the office for two days before teaching them to self-administer because I was worried about adverse reaction, even though they never occurred. Twice a day administration drastically improved the positive effects of the blocks as the blocks appeared to have a cumulative action and increased exposure in frequency and duration increased effectiveness.
I no longer reserved these for patients with TMJ and Facial pain but began to use them for Anxiety, depression and for problems like dental phobias and that were either difficult to treat or resistant to treatment. Gradually, I began to teach self administration to all my patients and found they appreciated having control.
Recently several devices have received FDA approval for delivering anesthetic to the area of mucosa overlying the Sphenopalatine Ganglion and physicians began to bring patients in for a series of 10 treatments (every two weeks) for $750.00 per treatment or $7500 for a course of treatment. (Blue Cross / Blue Shield recently stopped paying for these blocks calling them experimental but in reality I think they became too expensive) These devices are the Sphenocath, the Allevio and the TX 360. All devices are expensive and a single use device costs a physician about $75.00.
When I teach patients to self-administer SPG Blocks I no longer use the cotton-tipped applicators but have switched to cotton-tipped catheters that supply continual capillary feed to the mucosa over the Sphenopalatine Ganglion. This has, in my opinion increased the effectiveness far beyond any of the commercial catheters.
The Sphenocath, the Allevio and the TX 360 are all basically "squirt guns" that shoot a small amount of anesthetic over the mucosa covering the Sphenopalatine Ganglion. Ideally patients will remain supine for 10-20 minutes to increase absorption time.
The cotton-tipped catheter in contrast delivers a continual flow of anesthetic to the mucosa and can be kept in place for 20 minutes to several hours and can be refilled as needed. Due to the continual flow there is no reason to stay supine (on back) but with acute severe pain an initial supine position may increse speed of onset. The size of the cotton-tipped nasal catheter is larger than the other devices and there is certainly cases where I use a Sphenocath or TX360 in my practice. If I teach self-administration I have my patients use the Sphenocath because it is reusable at home. The TX360 can esily be utilized for self administration but is a single use device only.
The cost to the patient of doing a bilateral SPG block with cotton-tipped nasal catheters after initial appointments is less than $1.00. This is an enormous cost saving to the patient and to insurance companies and makes it far less expensive than almost any of the prescription medications available for treating migraine and chronic daily headaches.
In addition there are virtually no side effects from medication. I generally use 2% lidocaine that is extremely safe and has anti-inflammatory properties.
The biggest savings is in time and medical expenses as patient no longer have to leave work for medical visits or suffer long ER waits and thousands of dollars of expense. The biggest savings is TIME. It is the one thing that if we spend it we can never get it back.
I usually will start the self-administration protocol as twice daily for multiple reasons. The two main reasons is it offers better immediate control of even severe pain and secondly if a patient is doing it twice daily they rapidly develop a high level of expertise and can do it without problems in the future. In patients with tight nasal passages they tend to become easier to navigate over time with repeated applications.
I have taught patients from across the United States as well as International patients how to Self-Administer Sphenopalatine Ganglion Blocks.
This link is to over 100 videos of patients treated with Neuromuscular Dentistry, Trigger Point Injections, Sleep Apnea Appliances and SPG Blocks: https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg/videos
I used to use SPG Blocks only for patients with the most difficult problems, I was wrong. I now believe it should be part of the diagnostic work-up for all headache patients before they receive medications and injections like BOTOX.
Chicago Metropolitan area has three airports: O'hare Airport, Midway Airport and Mitchell Field just south of Milwaukee. O'hare and Mitchell are the most convenient to my office. The office is also located on the North Line of Metra (Union Pacific to Kenosha) at the Fors Sheridan Train Station.
#spgblocks, #spgblockstrigeminalneuralgia, #spgblockmigraine, #spgblockclusterheadache, #selfadministrationspgblock, spgblocksideeffects, spgblockindications
Showing posts with label SPG Block Specialist. Show all posts
Showing posts with label SPG Block Specialist. Show all posts
Tuesday, March 20, 2018
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
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/
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 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.
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
A Small list of recent articles on use of SPG Blocks
#SPB, #SPGBLOCK, #SPHENOPALATINEGANGLIONBLOCK, #meckel'sganglion, #pterygopalatineganglion, #autonomicblocks, #parasympathetic , #parasympatheticblocks, #adrenylsyndrome, #SPGBlockMigraine, #SPGBlockChronicDailyHeadache, #WheretolearnSPGBlocks, #WhodoesSPGBlocks ##Wheretolearnsphenopalatineganglionblocks,
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