Ultrasound-Guided Stellate Ganglion Block for the Treatment of Tinnitus

Nick47

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Jun 16, 2022
2,327
UK
Tinnitus Since
2015
Cause of Tinnitus
Viral/noise
Conclusion:

Ultrasound-guided stellate ganglion block demonstrates superior efficacy in managing tinnitus compared to conventional drug therapy. This study underscores the potential of integrating advanced ultrasound technology into healthcare to optimize treatment outcomes for auditory disorders.


The effects are modest. It involved a moderately sized group. This is not the full paper, so it lacks detail.
 
The results seem impressive to me.
  • There were 80 participants, and 100% showed improvement. The results were statistically significant compared to the control group, which received a standard Lidocaine injection.

  • The average THI score dropped from around 63 to about 38, which means a shift from Severe Disability to the borderline between Moderate and Mild Disability.

  • The average SAS score went from roughly 56 to 39, moving from Mild Anxiety to the Normal range.
I would go in for a shot once a week for results like that, without hesitation.
 
The results seem impressive to me.
  • There were 80 participants, and 100% showed improvement. The results were statistically significant compared to the control group, which received a standard Lidocaine injection.

  • The average THI score dropped from around 63 to about 38, which means a shift from Severe Disability to the borderline between Moderate and Mild Disability.

  • The average SAS score went from roughly 56 to 39, moving from Mild Anxiety to the Normal range.
I would go in for a shot once a week for results like that, without hesitation.
@withintention, now that I can see the full paper, I agree.
 
This looks great, but I have a few questions if anyone knows the answers.

My first question is: how is this different from the treatment that was offered in Korea, which some members here tried?

The article mentions that the group that didn't receive the treatment also improved by, I think, 75%. How do they explain that?

Does anyone know where someone can try this treatment if they wanted to?
 
The difference appears to be the use of ultrasound to better target the stellate ganglion. I am not sure what treatment was offered in Korea. Can you provide a link?

Looking back through the forums, it seems that the few people who have tried this may not have received the injection from someone using ultrasound for guidance. That is the key point of this study — to demonstrate the benefits of using ultrasound to guide the injection.

I asked my doctor, and they said that pain specialists and anesthesiologists can offer this treatment. I am going to find one in my area and give it a try. I will report back after I do.
 
I asked my doctor, and they said that pain specialists and anesthesiologists can offer this treatment. I am going to find one in my area and give it a try. I will report back after I do.
A short follow-up period of six days after treatment may not be sufficient to properly assess the long-term efficacy of ultrasound-guided stellate ganglion block for tinnitus.

It may be challenging to find a doctor who is willing to give it a try. Keep us updated if you find a doctor, along with the cost of treatment, whether it was done on both sides, and any long-term benefits you experience.
 

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