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Doctor insights on: Occipital Nerve Block Cpt

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I'm going tomorrow for an occipital nerve block. I'm very nervous. What should I know or do to have the best outcome?

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

Nerve (Definition)

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


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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?

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?

Headaches: I would consult with the individual who performed the nerve block. You may have some residual swelling and inflammation associated with the injection causing residual pain. ...Read more

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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?

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

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How well do occipital nerve blocks work for migraines?

How well do occipital nerve blocks work for migraines?

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

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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?

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

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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?

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

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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

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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?

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

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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?

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

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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 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

Chronic Pain: 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

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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?

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

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Could a nerve block have more success?

Yes,: A nerve block can be used instead of general or topical anesthesia, depending on the type of surgery and patient or purpose. ...Read more

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What do they do for a nerve block for pain?

What do they do for a nerve block for pain?

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

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What is the definition or description of: nerve block?

Nerve block: Just means injecting a nerve with a local anesthetic, like lidocaine, to temporarily cause the nerve to stop working. It's usually done in order to do a procedure painlessly, but can also be done as a therapeutic measure to rest a nerve that's inflamed. ...Read more

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What's a facet nerve block procedure?

What's a facet nerve block procedure?

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

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Do most surgeries utilize a nerve block?

No: Nerve blocks are mostly used for surgery on the extremities and sometimes lower abdominal soft tissue. Spinal and epidural blocks can also be used for lower abdominal and perineal procedures. ...Read more

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Is it safe to have a nerve block administered?

Is it safe to have a nerve block administered?

Yes.: I have done thousands without\ serious issues to my patients, except for bleeding from a punctured deep blood vessell. If properly done, great pain relief can be obtained. ...Read more

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How long does a steroid nerve block last?

How long does a steroid nerve block last?

It varies: Steroid injections can relieve pain for 2 weeks or 2 years. It varies tremendously. I mostly offer epidural steroids. Some people never get better. Some get one treatment very 3 mo the to two years. ...Read more

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Does anyone know about the pudendal nerve block?

Does anyone know about the pudendal nerve block?

Sure: Pudendal nerve blocks can be done by anatomic landmarks, ie internally by palpation, or by using fluoroscopy or ultrasound to see the landmarks. The physician will likely inject local anesthetic and/or steroids for pain relief in the rectum, perineum, or genitals. ...Read more

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Could a cervical facet nerve block take pain away forever?

Could a cervical facet nerve block take pain away forever?

Consider RFA: Facet Nerve Blocks provide temporary pain relief since they are diagnostic injections generally. Radiofrequency Ablation is a procedure that eliminates the nerve to these facet joint and can give you up to 1-2 years of pain relief. ...Read more

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What is a root nerve block xray and how much do they hurt?

Fluoroscopy-guided: 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

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How often is it safe to have a nerve block with fluoroscopy?

How often is it safe to have a nerve block with fluoroscopy?

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

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What is this root nerve block xray like and how much do they hurt?

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

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What can I do for this pain in site of nerve block injection at the dentist?

What can I do for this pain in site of nerve block injection at the dentist?

Block Inj pain: Take some nsaids if you can, apply moist hot compresses\rinses, soft diet, gentle exercises, massage the area and mostly give it time to heal. ...Read more

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The nerve block meds they use, such as marcaine, stay in my system for how long?

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

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How effective is a nerve block for treating complex regional pain syndrome (CRPS)?

How effective is a nerve block for treating complex regional pain syndrome (CRPS)?

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

Dr. Oscar Novick
2 Doctors shared insights

Nerve Block (Definition)

Just means injecting a nerve with a local anesthetic, like lidocaine, to temporarily cause the nerve to stop working. It's usually done in order to do a procedure painlessly, but can also be done as a therapeutic measure to rest ...Read more