Question 1

Am I A Candidate for NSR?

Accepted Answer

You may be a candidate for Neuro Sympathetic Reset (NSR) if you are experiencing symptoms related to an overactive stress response, such as PTSD, anxiety, feeling constantly on edge, poor sleep, or ongoing fatigue, especially if these have not fully improved with traditional treatments. Because NSR targets the nervous system directly, it may offer a different path to relief for those who feel stuck despite therapy or medication. The first step is completing our free assessment and speaking with our team, who can help determine whether this approach may be appropriate for you and guide you through the next steps.

Question 2

How does the NSR procedure work?

Accepted Answer

Chronic stress and trauma can cause the body’s stress response to become overactive. The sympathetic nervous system, which controls the “fight, flight, or freeze” response, can become stuck in a heightened state, contributing to symptoms such as anxiety, hypervigilance, poor sleep, and a constant feeling of being on edge. This is often seen in conditions like PTSD and chronic anxiety, where the nervous system has difficulty returning to a calm baseline.

Neuro Sympathetic Reset (NSR) is a refined approach to the stellate ganglion block (SGB), a procedure that targets the sympathetic nervous system. By temporarily blocking part of this system, NSR creates a brief interruption in the stress response, allowing the nervous system to reset and move toward a more balanced state. As this regulation improves, many patients experience relief from PTSD and anxiety symptoms and find it easier to engage in therapy and daily life. For some individuals, the benefits of stellate ganglion block (SGB) and NSR can last for months or longer.

Question 3

Do I need a referral to have the NSR treatment?

Accepted Answer

No referral is needed; just complete our free online mental health assessment.

Question 4

Do I need to stop or hold any medications before the NSR procedure?

Accepted Answer

Certain medications, including blood thinners and specific supplements, may need to be paused as they can increase the risk of bleeding. Our medical staff will review this with you before the procedure, and we will consult with your doctor to obtain permission to hold these medications if necessary.

Question 5

What type of medicine is used for the NSR procedure?

Accepted Answer

We use a long-acting anesthetic called Ropivacaine to block the cervical sympathetic nerves. Similar to lidocaine or Novocaine, Ropivacaine is a numbing agent commonly used for various types of anesthesia. Ropivacaine typically lasts about 8-12 hours. While the block is temporary, its benefits can last for months or even years, promoting healthy neural connections in your brain.

Question 6

Are there any restrictions after the NSR procedure?

Accepted Answer

You will need a driver to and from the procedure, as driving is restricted on the day of the procedure. We recommend taking it easy on the day of the procedure as well. Everyone responds differently, but many take a nap after the procedure. The following day, you can resume your usual activity without restriction.

Question 7

What are the side effects or risks of the NSR procedure?

Accepted Answer

As with any medical procedure, there are potential risks and side effects, although stellate ganglion block (SGB) and Neuro Sympathetic Reset (NSR) are generally considered safe when performed by an experienced physician.

Common, temporary effects may include numbness in the neck or arm, nasal congestion, a drooping eyelid (known as Horner’s syndrome), or mild hoarseness. These effects are expected and typically resolve within 8–12 hours as the local anesthetic wears off. Some patients may also experience mild soreness at the injection site, which can usually be managed with ice or over-the-counter medications such as acetaminophen.

At Reset Medical & Wellness Center, we use ultrasound guidance to precisely target the treatment area, which helps improve accuracy and minimize risk. More serious complications, such as bleeding, infection, nerve injury, or seizures, are extremely rare.

Question 8

What is the evidence that NSR will work for me?

Accepted Answer

Each patient experiences the procedure differently, with varying effects. Many patients have seen remarkable symptom relief lasting from months to years. Evidence indicates that those with moderate to severe conditions, particularly anxiety and PTSD, benefit the most. Additionally, this procedure has shown promising benefits for treating depression, ADHD, long COVID symptoms, and menopausal hot flashes. A comprehensive list of resources and evidence can be found on our News and Resources page.

Question 9

Will I need more than one NSR treatment?

Accepted Answer

Treatment needs can vary based on your individual condition and response. Some patients experience meaningful, lasting relief after a single Neuro Sympathetic Reset (NSR) treatment, especially with our refined approach to stellate ganglion block (SGB), which is designed to optimize outcomes.
In other cases, particularly for individuals such as first responders or those with ongoing exposure to stress or trauma, additional treatments may be helpful over time to maintain results. To support these individuals, we offer a discount for military veterans and first responders.

Question 10

Do I need to have someone drive me to get the NSR procedure?

Accepted Answer

Yes, you will need a driver on the day of your procedure, but ride-share services such as Uber or Lyft are acceptable.

Neuro Sympathetic Reset

ADHD

Adrenal Fatigue

Anxiety

Chronic Pain

Clarity and Focus

Depression

Eating Disorders

Grief

Hair Trigger Temper

Hormonal Imbalance

Irritability

Brain Fog

Fight Fatigue

Impulsivity

Insomnia

Mental Clarity

Long Covid

Restless Sleep

Panic or Panic Attacks

Autonomic Dysfunction

Substance Abuse

Suicidal Thoughts and Ideation

Treatment-Resistant Depression

PTSD/PTSI

OCD

Pricing

Dual Side Treatment

Single Side Treatment

Intake Fee

20% Discount Available to Qualifying Individuals

Credentialed with Enthea Insurance

Enthea offers employers an innovative way to support employee mental health with cutting-edge, evidence-based therapies like Ketamine, NSR or Stellate Ganglion Block (SGB).

Before the Procedure

During the Procedure

After the Procedure

Follow-Up