What are possible treatments for unilateral occipital neuralgia when combined with very tight muscles all over?

Please read below: Nonsurgical treatment the goal of treatment is to alleviate the pain. Often, symptoms will improve or disappear with heat rest physical therapy including massage, anti-inflammatory medications and muscle relaxants. Oral anticonvulsant medications such as Carbamazepine and Gabapentin may also help alleviate pain. Percutaneous nerve blocks. Microvascular decompression occipital nerve stimulations.

Many options: Occipital neuralgia can be treated many ways from conservative: rest, heat, altering the way you sleep on a pillow, to massage, osteopathic manipulation, chiropractic options, medications such as anti-inflammatories or muscle relaxants. If any or all of these fail, in my opinion the two best ways to treat it is with occipital injections or decompressive greater occipital nerve surgery.