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Doctor insights on: Can Occipital Neuralgia Cause Ear Pain

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Dr. Mark Khorsandi
78 Doctors shared insights

Occipital Neuralgia (Definition)

This condition is an irritation of one or both branches of the occipital after exiting from the base of the skull at right or left suboccipital regions. It is thought to be primarily a consequence of cranial muscle contracture or ...Read more


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How far up on the head does occipital neuralgia pain go? Does it cause needle like pains in head?

How far up on the head does occipital neuralgia pain go? Does it cause needle like pains in head?

All, of it: The occipital nerves supply sensation to, the skull. Is the greater occipital Nerves are irritated, pain can be experienced over the top and into the eye. Lesser occipitals cause pain in the shape, of a banana over the top, of the ears and sides of, the skull. There are good treatments for this. See your local, pain Doctor.

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My trigeminal, and occipital neuralgia has suddenly jumped to right side, scalp, ear, and jaw. Age 41. Shingles on left at age 27. Age 23 on left?

See a neurologist: Occipital neuralgia (ON) involves the greater and lesser occipital nerves located in the back of the scalp and can produce neck pain as well as headache. The findings suggestive of trigeminal neuralgia -- particularly a younger patient -- should be questioned about other signs or symptoms of a primary neurological disease such as multiple sclerosis. See a neurologist.

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I have occipital neuralgia, ddd & scoliosis. Very likely have eds type iv. Base of head feels like a vice & unexplained bruising behind r ear.? Help? I have ferrous metal clips-mri? Chiari?

I have occipital neuralgia, ddd & scoliosis. Very likely have eds type iv. Base of head feels like a vice & unexplained bruising behind r ear.? Help? I have ferrous metal clips-mri? Chiari?

Need a good doctor: With multiple medical problems like yours, you need to find a good primary care doctor like a family doctor or an internist who can be the captain of your (health) ship!

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It's normal when having occipital neuralgia that the stabbing pain of right part of my head to get worse when bending forward, I get dizzy also.

It's normal when having occipital neuralgia that the stabbing pain of right part of my head to get worse when bending forward, I get dizzy also.

Occipital pain: It sounds like you're informing us of some symptoms you're experiencing. . . But you haven't asked a specific question. If I were in your place, I would see my physician for an evaluation asap.

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I think I might have Occipital Neuralgia due to sharp shooting pains in my head and neck, is there any point seeing a GP?

I think I might have Occipital Neuralgia due to sharp shooting pains in my head and neck, is there any point seeing a GP?

See below: Seeing your GP could be a good start especially if you need a referral to a specialist. Shooting pain in the head/neck could be occipital neuralgia or related to your cervical spine. These are common conditions treated by a spine specialist.

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I've had trigeminal and occipital neuralgia since shingle in my head years ago. Started a week ago, big node came out, never happens. Very painful.?

See your physician: Given your history, there may be a recurrence of shingles. See your physician to discuss your history and to undergo a physical examination. Http://www. Nlm. Nih. Gov/medlineplus/shingles. Html

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If I have occipital neuralgia, can I get headaches on the top of my head?

If I have occipital neuralgia, can I get headaches on the top of my head?

Definitely, yes: Occipital neuralgia involves the greater and lesser occipital nerves located in the back of the scalp and can produce neck pain as well as headache with radiated pain to the top of the head and behind the eye.

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My doctor diagnosed me with occipital neuralgia but I have tingling in the front of head on one side, temple and forehead?

My doctor diagnosed me with occipital neuralgia but I have tingling in the front of head on one side, temple and forehead?

Temporal arteritis?: If your head about 1-1.5 inches off of the midline at the base of the skull on the same side is NOT tender then you likely do not have an occipital neuralgia. If you have a relatively new pain, fever, chills, very tender to pressure over the right temple, I would wonder about a temporal arteritis altho unlikely. I would see your M.D. again ASAP or if unable, see urgent care or E.R. now.

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Occipital neuralgia: can I get headaches on the top of my head, what to do?

Occipital neuralgia: can I get headaches on the top of my head, what to do?

Occipital nerve bloc: Occipital neuralgia can result in headaches on top of your head. I would see a pain physician and explore the possibility of getting an occipital nerve block injection with steroids. Another alternative are botox injections in the occipital area. Finally for patients refractory to such injections, occipital nerve decompression performed by a surgeon can be very effective.

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Is permanent sharp throbbing pain in one side of the head, neck and back pain and scalp sensitive to touch and painful symptoms of occipital neuralgia?

Yes and No: It could be occipital neuralgia, however neck and back pain are not typical symptoms. I would suggest having your neck evaluated as well since many of those nerves can travel to both the neck, back and head to cause the symptoms you describe.

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I have congenital fused cervical vertebrae and occipital neuralgia. Getting dizzy when I turn my head certain ways. (Resting or walking) Typical sx?

Neck pain: Congenial fusion of cervical vertebrae is common and can lead to stress on adjacent segments. One of the most common variants is the Klippel-Feil Syndrome where the second and third vertebral bodies are fused. Occipital neuralgia and dizziness are common symptoms related to this congenital variant. Physical therapy and cortisone injections can relieve the pain.

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Ache (burning) in back right side of head for 3 weeks when I inhale through nose, no pain when I breath through mouth. Occipital neuralgia?

Ache (burning) in back right side of head for 3 weeks when I inhale through nose, no pain when I breath through mouth. Occipital neuralgia?

Unlikely: Although pain in the back of your head sounds like occipital neuralgia the fact that it only occurs when you breath in through your nose does not fit. Breathing should have nothing to do with it. I would see a pain specialist.

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Doctor diagnosed with occipital neuralgia, sore spot on right base of skull, but get tingling in front head and forehead and temple?

Doctor diagnosed with occipital neuralgia, sore spot on right base of skull, but get tingling in front head and forehead and temple?

Pain? Think muscles!: Stresses and work of life causes pain located in micro-scars in muscles of the neck which drive aches, pains and misery. Txmt is a holistic recipe of self-care, wellness, Vits, Magnesium supp, sleep, massage, yoga, stretching, chiropractors. Tub soaking. As a doctor, I’ve rediscovered modified versions of acupuncture/trigger points inj, which roots out the pain.

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I have occipital neuralgia but now have pain in the left side of my neck that radiates down my arm and causes constant pins and needles on my left sid?

More details: Whether the occipital neuralgia and left sided symptoms are related are unclear, but since this seems new, you should be evaluated by your doctor minimally to assess for a neurologic cause of these symptoms.

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What pain/symptoms does occipital neuralgia cause?

Typical: Unilateral occipital head pain, usually of a burning or electrical nature, associated with a pain trigger at base of skull behind mastoid bone, and perhaps local numbness over the distribution of the Greater Occipital Nerve of Arnold. Would further discussion via Concierge visit provide assistance?

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My conditions : Chronic pansinusitis, Occipital Neuralgia, symptomatic dustmite allergy. Which of the 3 is most likely to cause brain fog, con. Tiredness?

My conditions : Chronic pansinusitis, Occipital Neuralgia, symptomatic dustmite allergy. Which of the 3 is most likely to cause brain fog, con. Tiredness?

Likely some or all: I would presume that you have nasal symptoms from dust mite exposure and allergic rhinitis has been associated with memory/cognitive impairment plus fatigue and is thus the most likely suspect. Certainly chronic sinusitis needs be treated.

Dr. Jeffrey Cohen
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Dr. Jeffrey Wint
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