Doctor insights on:
Occipital Nerve Block Cpt
I'm going tomorrow for an occipital nerve block. I'm very nervous. What should I know or do to have the best outcome?
No worry: Routine and safe procedure. 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. Although there is no epidemiological data available, ON is regarded as a common cause of protracted or severe headache. Management of ON includes local blockade of the greater occipital nerve. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Hello, I had an occipital nerve block a week ago. The past two days I have had migraines and it is very painful in the region where shot was?
Occipital nerve block 2days prior. Rapid upper right eyelid twitching, brusing, firm, pain, pink at inj. Site. Random neuralgia on R of Head. Any Clue?
Rapid Eyelid itching:
Allergic reaction to the medications may occur after the injection such as itching, rash, etc. Depending on the medications used. Usually they are mild/moderate, and can be treated with anti-pruritic medication.
The pink at the injection site may be due to the needle injection and fade over a period of time unless it is severe. If the above symptoms persist, you need to contact your physician. ...Read more
Nerve blocks: In a study by afridi, et al., it was shown that greater occipital nerve blocks provided a partial response in 17 of 54 patients with migraine and a complete resonse in 9 of 54 patients studied. Their study showed a mean duration of complete response for a period of 20 days and a partial reponse for a period of 45 days. This is a procedure I use frequently in our practice. ...Read more
I've had 2 bilateral occipital nerve blocks for migraines and the first one worked wonderful the 2nd one however is not helping, the headache is worse?
Migraine Treatment: There are many good medications for migraine treatment. Botox has been approved by the FDA to treat chronic migraine. Today effective management of migraine involves three specific strategies: 1) patient education 2) non-pharmacological management (diet, sleep hygiene, acupuncture, MRI and 3) pharmacological (triptans, topamax, (topiramate) etc) See headache or orofacial pain specialist for treatment. ...Read more
Hi IV been experiencing a dull ache to the right side of my occipital nerve, could you explain why I could be experiencing this please. Thanks?
ON: Well defining the precise location and quality of pain is most important to answer this question. Noting your occipital nerve, most people have two (right and left) greater, two lesser, -'d sometimes two others. It may be muscle that is inflamed or tender but still possible the nerves are the issue. ...Read more
Had occipital nerve pain for the last year. For the past month I've also had tingling in both temples. Could they be related?
Yes: These can be related and can also be related to a disc herniation in your neck. You should probably see a neurologist. ...Read more
My upper left greater occipital nerve tingles it feels like bugs walk, it happens when I got high BP or tension or stetch my head, no other symptoms?
Occipital nerve: That occipital nerve may be impinged upon by muscle tension or a spur as it exits the spine at the neck level. This generally causes Sharp pain but in your case milder irritability may occur. An X-Ray of the neck may show a spur or abnormal curvature. Lifestyle changes and medication can control blood pressure and stress management therapy is helpful for chronic stress. Discuss with your physician ...Read more
I have blood in mucus that I hack up, I had a severe head injury not to long ago and they put me on meds 4 occipital nerve damage. Wat does this mean?
Maybe nothing: Severe head injury is defined by loss of function. Occipital nerve damage can & usually does occur without severe injury. Coughing up blood in mucus is common, usually unrelated to injury. What medicine are you taking? You are confused--is it a result of your injury? If so, you need to be re-evaluated by a neurologist--not because you cough or the back of your head hurts. ...Read more
I have several chronic pain conditions (Fibromyalgia, CFS, DDD and occipital nerve damage) and my PCP tells me he just wants me to get more sleep and control my stress. While I agree that those things are imperative to controlling chronic pain, they are n
I understand your distress.
Feel good about yourself; feel good about your achievements.
Feel Blessings of 3 Million air sacs in your lungs due to which you are alive.
Go to a National park and Feel the Wonders of Creation!
Be Captain of your thoughts, feelings and symptoms.
Do Breathing and Music Relaxation, Yoga, Meditation and Tai Chi.
See a Psychiatrist for Therapy for stresses in your life. ...Read more
Had nerve block shot in back of head for migraine. 1 wk. Now a thumb size depression in my head where they gave shot. Worrisome?
Probably not: They likely injected botox since it was for migraine. Botox paralyze the muscke so previously tensed or spasmiic muscle are relaxes now and hence you may be feeling a depression at that area. If it wasn't botox, then I assume iys a combination of nsaid and steriod shot and that should cause depression. I would ask the doctor in next visit. But, if no pain or not increasing in size then don't worry ...Read more
Depends: Nerve blocks are commonly performed for many types of pain. The specific details of the block depend on the nerve being injected. Usually local anesthetics and sometimes steroids and other medications may be injected. The injection is usually performed with some sort of imaging modality, either ultrasound or fluoroscopy. ...Read more
Facet Injection: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The Medial Branch Block is mostly an anesthetic injection for diagnostic purposes to determine candidacy for radiofrequency ablation. ...Read more
nerve root injection is is an injection of local anaesthetic and steroid under X-ray guidance for precision and safety. The procedure is performed under local anesthetic and conscious sedation could be also used. Almost painless procedure. It may take up to a few weeks to see the full benefit of the procedure.
Good luck. ...Read more
Wrong question!: Fluoroscopic guidance helps quide the needle for accurate placement and injection. I do not agree with the "apin treatment" priciple that you need as course of three. If no benefit is achieved with the first injection, subsequent ones will not deliver. Keep in mind, old-time anesthiologists did nerve blocks without fluoroscopic guidance! ...Read more
24-48 hours: Usually a couple of days. If you do not feel beter after 5 days, the block failed. ...Read more
Nerve root block: I believe you are talking about a c-arm or fluoroscopy x ray and a nerve root block? This should have minimal pain involved. It will be a quick injection after the team takes a couple xrays to see where exactly they are going based on bony landmarks. Once there, they will place the needle, check a couple more images and then give you an injection of meds. You should have pain relief afterwards. ...Read more
It varies: Marcaine is a local anesthetic (numbing medicine) that can be used for spinal or epidural anesthesia, or injected into an area to numb it. Depending on which technique is used, the numbing effect can last for several hours or more. Sometimes it's used in a continuous infusion to provide ongoing pain relief for 2 or 3 days. It stays in your system for a few hours after injection, then wears off. ...Read more
CRPS: If the nerve block (sympathetic block) is done early then it mahy be quite helpful. The longer the symptoms the less likely the block will help. ...Read more