helps reduce sympathetic to parasympathetic ratio
And treating cPTSD obvs
1 Like
Have you tried this?
adic
@adic_9
·
6h
Replying to @seanstidston
Iirc stellate ganglion block and LDA made the biggest difference + pacing like crazy
Thought for 6s
- @adic_9
replies to a question about Physics Girl (Dianna Cowern) improving enough to fly after being bedridden with ME/CFS from long COVID, citing stellate ganglion block, LDA, and strict pacing as the main factors.
- Stellate ganglion block is a procedure injecting anesthetic near neck nerves to disrupt sympathetic overactivity, used experimentally for autonomic dysfunction and fatigue in long COVID cases.
- LDA refers to low-dose aripiprazole (Abilify), an off-label antipsychotic that some ME/CFS patients report reduces fatigue and brain fog via dopamine effects, though results vary and lack large-scale clinical trials.
The main downside: SGB is a precision procedure
A stellate ganglion block is near the carotid artery, vertebral artery, recurrent laryngeal nerve, esophagus/trachea area, and sympathetic chain. Serious complications are rare, but a systematic review of reported SGB complications found both medication/systemic and local/procedure-related complications, including very rare catastrophic events.
That does not mean “don’t do it.” It means: you want the doctor using image guidance, monitoring, resuscitation capability, and not treating your neck like a dartboard at a county fair.
Sedation can slightly reduce your ability to give real-time feedback. Not always a dealbreaker, but with a neck block, I’d prefer awake enough to communicate.
SGB also changes heart-rate variability markers in ways consistent with sympathetic inhibition. One 2026 study found ultrasound-guided SGB changed HRV in a pattern suggesting selective sympathetic inhibition of the heart without affecting vagal tone, while another older study found left-sided SGB increased parasympathetic-related HRV measures in head/neck pain patients.