Miami Migraine Treatment Doctor (786) 500-LEGS - Headache Clinic Aventura SphenoCath Sphenopalatine Ganglion (SPG) Block
Vivid Vascular provides patients with the highest quality vascular care – whether that’s through our state-of-the-art cath lab and vascular surgery suite, or staying abreast of the newest treatments and equipment.
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Chronic Migraine Therapy
with Sphenopalatine Block

Chronic Headache Relief with SPG Block

Sphenopalatine ganglion block is a revolutionary procedure for chronic headache relief from migraines, cluster headaches and others. The treatment is performed without needles by administering a small amount of anesthetic into each nostril, and takes about 5 minutes.  The anesthetic can “turn off” or “reset” the nerve pathways that keep headaches going and can work for people that have not responded to other treatments and medications.


The sphenopalatine ganglion is a collection of nerve cells located just under the tissue lining the back of the nose. By applying a local anesthetic to the area, nerve impulses can be temporarily blocked, providing relief from various types of pain.


Using our state-of-the-art cath lab, pictured here, Dr. Gropper is able to precisely deliver the anesthevivid vascular miamitic without pain.   We start by applying a small amount of topical anesthetic to the inside of each nostril.  Then we carefully guide a small, soft catheter about 3 cm into the nose.  Once we confirm that the catheter is properly positioned, we administer a small amount of lidocaine through the catheter.  The catheter is removed and the patient lies still for 20 minutes.  That’s it!





• Painless non-invasive procedure

• High success rate in patients  with poor response to medications

• 5 minute procedure

• Covered by most insurances

• Stops headaches AND prevents headaches for weeks



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The sphenopalatine ganglion (SPG) is located just deep to the nasal mucosa posterior to the middle nasal turbinate. SPG diagramThe SPG can be blocked by diffusion of local anesthetic through the overlying mucosa. Sensory, sympathetic and parasympathetic fibers pass through or synapse in the SPG, making it a key structure in various types of head pain, or cephalgia. Most types of facial or head pain can be treated with an SPG block.  Temporarily blocking function of the SPG can provide prompt, and sometimes sustained, relief of pain. It is theorized that an SPG block provides sustained relief by disrupting dysfunctional neuronal activity, allowing restoration of normal function.


The procedure is covered by most insurance companies and may be more reliable and economical than many prescription medications.


Click here to see the American Migraine Foundation website information on SPG block




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• Can stop a headache in as little as 15 minutes

• Good for Cluster Headaches, Migraine Headaches, even Trigeminal Neuralgia

• Extremely safe.  Rare complications include mild, temporary numbing of throat and congestion


Make An Appointment Online

For your convenience, we now make it even easier for you to schedule your visit to Vivid Vascular by booking your appointment online. Simply select a date and time that is convenient for you and provide us with the requested information. One of our friendly patient care coordinators will reach out to you via your preferred contact method to confirm your appointment.