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 anesthe
tic 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

The sphenopalatine ganglion (SPG) is located just deep to the nasal mucosa posterior to the middle nasal turbinate.
The 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

• 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
“Dr. Gropper is hands-down the absolute best. He listens, cares and does the due diligence and protocol for his patients. In addition, The staff is phenomenal ...they are there to service you and do the necessary follow-ups and make you feel part of the family whether your procedure is big or small! They are there and that’s important!!!! I highly highly, highly recommend Dr. Gropper. There are very few like him hands down!!!”
Vitals.com September 23
“Through the years my varicose veins were getting worse. I was getting a lot of pain, cramping, swelling in my legs. And by the end of the day, it was very painful. I watched a movie on an iPad while Dr. Gropper did the procedure. I could feel them working on my leg but no pain, no discomfort. From start to finish it only took 45 minutes. After I couldn’t see those bumps, ugly varicose veins. They are not there anymore. Thank you, Dr. Gropper, for making my legs look good again!”
Clarivein Lunchtime Leg Lift Patient
Before the Procedure: “Dr. Gropper, I want to thank you for your time during my recent consultation. I appreciate your openness and your willingness to answer all my questions. I also thank you for your suggestions. I look forward to planning the procedure soon. Again, thank you for your kindness." After the Procedure: “Dear Dr. Gropper, Thank you so much for doing such a wonderful job! I’m very happy with my results and couldn’t ask for more. You and your staff were so friendly and caring and that is greatly appreciated. You’re the best and I know that if I want anything else done I can always go back. Thanks Again!”
50 Year Old Female
“I love the doctor and staff. All my questions were answered. The procedure was easy, effective and painless. And the office is well located.”
56 Year Old Female
“Dr. Gropper, thank you for the professional care in working to correctly leg’s vascular problem. I will refer my friend to your practice.”
28 Year Old Male
“Spa-like, relaxed atmosphere., and every one of the staff is paying attention to you when you are in the office. So you feel very well taken care of. Everyone is very thorough and everything is explained very well. It is a relief, exciting and low drama situation. And I have lived with varicose veins all my life and am relieved to have them treated.”
40 Year Old Male
“Doctor Gropper and his staff are very helpful and friendly. They answered all my questions. I am happy with my treatment and it was not painful. I recommend it to anyone with varicose veins.”
49 Year Old Male
“Beautiful offices, knowledgeable doctor and staff, just an overall awesome experience. Removed a varicose vein from my left leg that has bothered me for years. Now you can’t even tell it was there. Insurance paid for everything.”
- 33 Year Old Female
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.