– 
This procedure specifically targets the sympathetic nerves of the upper extremity
– Fluoroscopy (X-Ray) guidance used to identify the target
– Patient’s are positioned in the supine position (face up)
– An area of skin is cleaned to create a sterile field, sterile equipment is also used for the procedure
– The skin is anesthetized prior to advancing the needle to its target location
– Fluoroscopy views are taken to verify the final needle position
– Contrast dye is used to confirm correct positioning of the needle
– Anesthetic is then injected around the stellate ganglion to block the pain
– The needle is removed and band aid is applied to keep the injection site clean