More and more people are experiencing insomnia, inability to fall asleep or stay asleep, resulting in sleep deprivation. Various causes cause difficulty in falling asleep, short sleep depth or frequency, early awakening and insufficient or poor quality sleep, which causes a person to feel fatigue, restlessness, general discomfort, lethargy, slow reaction time, headache, poor memory concentration and other symptoms. The biggest impact of insomnia is mental, which can lead to schizophrenia if it is serious. When you can only sleep for 3 hours day after day, your mental state should be very debilitating and exhausting. The pain clinic recently received a 60-year-old woman who started to suffer from insomnia 10 years ago. She was dizzy and weak during the day, easily stressed and very anxious, and needed to take a lot of sleeping pills at night, and recently the effect of medication was getting worse and worse, and her mental state was poor. We performed ultrasound-guided peripheral nerve decompression for her symptoms. Field report First of all, after the preoperative preparation, we took the ultrasound high-frequency probe, performed local anesthesia on the corresponding body surface area, and performed nerve blocks on her left cervical nerve roots sequentially under ultrasound guidance. After that, we treated the nerve entrapment release in the left related area under ultrasound guidance. The left stellate ganglion block was treated under ultrasound guidance. List of insomnia hazards 1.Insomnia causes the body’s immunity to decline and resistance to weaken. 2.Insomnia causes memory loss and headache. 3.Insomnia affects work, study and life. 4.Insomnia can lead to plant nerve disorder. 5.Often insomnia can cause Alzheimer’s disease. 6.Often insomnia makes people age prematurely and shortens life expectancy. 7.Lack of sleep in children can affect the growth and development of the body. Popular Science 1, why insomnia should be treated stellate ganglion Generally speaking, on each side of the cervical spine, there are three sympathetic ganglia, called the upper, middle and lower ganglia (the middle cervical ganglion is sometimes absent); the lower cervical ganglion is often combined with the thoracic 1 sympathetic nerve in the shape of a star, so the name stellate ganglion or cervicothoracic ganglion. 2.What are the physiological functions of stellate ganglion Enhance myocardial contractility and increase heart rate; increase glandular secretion Constrict coronary vessels; dilate pupils; relax ciliary muscle Dilate bronchi; promote adrenal medullary hormone secretion Promote hepatic glycogenolysis and increase blood glucose; increase red blood cells In addition, stellate ganglion has regulatory effects on the autonomic nervous system, endocrine system and immune system. 3.What are the indications of stellate ganglion block? Head and face: migraine, facial nerve palsy, trigeminal neuralgia, postherpetic neuralgia, etc.; neck, shoulder and upper limb disorders: cervical spondylosis, frozen shoulder, postherpetic neuralgia, etc.; respiratory and circulatory system diseases: asthma, bronchitis, angina pectoris, etc.; digestive and urinary system diseases; systemic diseases: insomnia, complex regional pain syndrome, etc. 4.The successful features of stellate ganglion block are the appearance of Horner’s syndrome for a short period of time, i.e. pupil narrowing, eyelid drooping, sunken eyes, nasal congestion, conjunctival congestion, slightly red face and no sweating. By blocking the stellate ganglion, the excessive tension and hyperfunction of the stellate ganglion can be relieved, causing vasodilation of the head, neck, upper limbs and heart, significantly improving the blood flow to the heart and brain, enhancing the anti-disease function and anti-inflammatory effect of the body, regulating the endocrine system and stabilizing the systemic autonomic nervous system, thus improving sleep.