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Images in anesthesiology: three safe, simple, and inexpensive methods to administer the sphenopalatine ganglion block
  1. Danielle Levin1 and
  2. Shaul Cohen2
  1. 1Anesthesiology, St Elizabeth's Medical Center, Brighton, Massachusetts, USA
  2. 2Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
  1. Correspondence to Dr Danielle Levin, Anesthesiology, St. Elizabeth's Medical Center, Brighton, MA 02135, USA; daniellelevinmd{at}


The sphenopalatine ganglion (SPG) block is a simple and valuable technique that was discovered over a century ago, but, unfortunately, very few anesthesiology providers are familiar with this block. After some of our recent publications, physicians from different countries have reached out to us requesting more specifics on how we perform our version of the block. In this report, we provide a brief history of the block and demonstrate our three effective, simple, readily available, and inexpensive methodologies with images. We are proud to share that our three SPG block techniques have so far effectively relieved patients of chronic migraines, acute migraines, tension headaches, moderate-to-severe back pain, and post-dural puncture headaches.

  • obstetrics
  • acute pain
  • post-dural puncture headache
  • back pain
  • anesthesia, local

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  • Contributors DL and SC contributed to the concept, design, data collection/processing, analysis/interpretation, literature search, writing manuscript, and critical review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.