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Neuro Sympathetic Reset

Neuro Sympathetic Reset (NSR/SGB) is a physician-performed treatment designed to help calm an overactive nervous system and interrupt the cycle of constantly feeling stuck in "fight, flight, or freeze." Built on the foundation of the stellate ganglion block (SGB), NSR targets the body's stress response to help restore a calmer, more regulated state.

When the nervous system is no longer stuck in survival mode, many people experience better sleep, reduced anxiety, improved emotional regulation, and a renewed ability to engage in therapy, relationships, work, and everyday life.

At Reset Medical & Wellness Center, NSR is part of our advanced trauma & nervous system recovery model.  By combining a refined two-level, ultrasound-guided technique with trauma-informed care and structured follow-up, our goal is to help patients move beyond symptom management and create the opportunity for lasting recovery and post-traumatic growth.

How It Works

CBS News Interview

Full NSR Procedure

Mock Procedure with Dr. Louwers

NSR / SGB may be considered for people experiencing symptoms associated with an overactive stress response, including:
Post Traumatic Stress (PTSD/I)
Anxiety or Panic
Depression
Irritability/Short Temper
Stuck Fight-or-Flight Feeling
Difficulty Concentrating / Brain Fog
Difficulty Relaxing or Feeling Safe
Chronic Pain
Menopause-Related Symptoms
Poor or Disrupted Sleep
Long-COVID Symptoms
Substance Abuse
Hypervigilance

What Makes NSR Different?  The Evolution of the Sympathetic Block. . .

While NSR is rooted in the stellate ganglion block (SGB), what sets it apart is not just the technique; it is the entire care model surrounding it. Refined Dual-Level Approach: We utilize a precise, ultrasound-guided technique targeting two levels of the cervical sympathetic chain at C4 and C6. This refined approach, referred to as dual SGB or DSGB is designed to more effectively regulate the nervous system compared to traditional single-level procedures. Trauma-Informed Care Model: From the first interaction through recovery, every step is designed with psychological safety in mind. Clear communication, a calm environment, and a predictable process help reduce anxiety and build trust, which can directly impact outcomes for patients with trauma-related symptoms. Physician-Performed, Specialized Care: All procedures are performed by Dr. Michael Louwers, a board-certified physician with extensive experience in interventional pain medicine and autonomic nervous system treatments. Dr. Louwers has performed thousands of stellate ganglion blocks and is among a select group of physicians experienced in the advanced dual-level technique used at Reset. He also teaches and lectures on stellate ganglion block and its role in treating trauma-related autonomic dysregulation, bringing a high level of experience, precision, safety, and consistency to every procedure. Structured Integration and Follow-Up: NSR is not approached as a one-time procedure. Patients are guided through next steps, including integration with psychotherapy and other supportive modalities, to help reinforce and extend the benefits of treatment. ​ Ongoing Research and Clinical Experience: Our approach is informed by both clinical experience and active research focused on autonomic nervous system regulation and trauma-related conditions, allowing us to continuously refine and improve patient care.

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Doctor's Desk

Pricing

Most Common & Recommended

Dual Side Treatment

$2350

Discount available to qualifying individuals

Ongoing follow-up by our Patient Engagement Team

Typically Right Only

Single Side Treatment

$1375

Discount available to qualifying individuals

Ongoing follow-up by our Patient Engagement Team

New Client Comprehensive Evaluation

Intake Fee

$150

Discount available to qualifying individuals

Ongoing follow-up by our Patient Engagement Team

Payment Options

✓ Military & First Responder Discount – We proudly offer a 10% discount for active-duty military, veterans, their spouses, and first responders, including law enforcement, firefighters, EMTs, paramedics, and 911 dispatchers.

 

✓ Enthea Insurance – Employer-sponsored Enthea plans provide coverage for NSR and ketamine therapy.

 

✓ FSA/HSA Accepted – Use eligible Health Savings or Flexible Spending Account funds.

 

✓ Advanced CareCredit Financing & Major Credit Cards – Flexible payment options are available

What to Expect

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Frequently Asked Questions

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