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Doctor insights on: Occipital Nerve Block For Headaches

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Is a stellate ganglion block appropriate for postherpetic neuralgia along the trigeminal nerve.

Is a stellate ganglion block appropriate for  postherpetic neuralgia along the trigeminal nerve.

Yes indicated: Herpes zoster ' shingles' after blisters healed in some will have severe disabling pains will lost for months and months which most likely you have involving one of the trigeminal nerve branch, the virus stays in nerve root for ever. Image guided cervicothoracic sym. Ganglion block along with t.N block most likely will help your pain , is relatively low risk procedure in trained hands. ...Read more

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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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Can the trigeminial nerve cause cluster headaches.?

Can the trigeminial nerve cause cluster headaches.?

Cluster-Tic Syndrome: This term is used to describe patients with cluster headache and trigeminal neuralgia. In this syndrome, the characteristic paroxysmal pains of trigeminal neuralgia are superimposed over a cluster headache. In some cases, the two conditions occur independently for years and then meld together into a common syndrome. Cluster is part of trigeminal autonomic cephalgias. ...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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Is a stellate ganglion block appropriate treatment for post herpetic neuralgia, along the trigeminal nerve. ?

Is a stellate ganglion block appropriate treatment for post herpetic neuralgia, along the trigeminal nerve.  ?

Possibly: Stellate nerve blocks are often used to treat peripherial nerve problems caused by injuries or trauma. They are designed to block sympathetic nerves. The trigeminal nerve is a cranial nerve, that does not go through the spine or neck, so i don't know if the stellate block would help. The sympathetic nerves do contribute to eyelid motion and facial flushing, so it may be worth a try. ...Read more

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Can the trigeminial nerve cause pressure headaches?

Can the trigeminial nerve cause pressure headaches?

Trigeminal neuralgia: Trigeminal nerve pain can definitely cause pain and or headaches. Whether or not is is a pressure headache is difficult to say. No doubt it causes pain. Pressure headaches could be from other cause such as sinuses or tension. ...Read more

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Trigeminal neuralgia lasted only 1 day. can MS or brain tumor cause trigeminal neuralgia to last for 1 day?

Trigeminal neuralgia lasted only 1 day. can MS or brain tumor cause trigeminal neuralgia to last for 1 day?

Comments: You do NOT have trigeminal neuralgia, unless it recurs, as unfortunately, once it starts, it can be unbearably frequent. Do not think you have MS or a brain tumor if you had just one day of facial pain. But might see a dentist, and check for jaw or tooth issues. ...Read more

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Can the trigeminial nerve cause a pressure headache?

Possible: But other causes including local causes, migraine and problem inside the head may need to be ruled out Please see a physician ...Read more

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Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read more

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Can a Vitrectomy cause Trigeminal Neuralgia?

Can a Vitrectomy cause Trigeminal Neuralgia?

Generally no: A vitrectomy generally does not cause trigeminal neuralgia. If you are having symptoms consistent with trigeminal neuralgia please speak with your physician or make a virtual appointment for further discussion. ...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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Could acupressure cause facial pain from the trigeminal nerve?

Could acupressure cause facial pain from the trigeminal nerve?

Possibly: It is possible if the nerve is irritated. You may need to go to the doctors to be evaluated to make sure you have normal nerve function. ...Read more

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I have a brain tumor also trigeminal neuralgia . I'm planning on the brain surgrey tumor on the trigeminal neuralgia nerve. Can they remove the tnnerv?

Usually No: It sounds like you have a tumor (usually a meningioma or schwannoma) attached to the trigeminal nerve. This can cause the facial pain that you note. When surgery is done for this, the neurosurgeon can usually peel the tumor away from the nerve. Some fibers of the nerve can be sacrificed hopefully with minimal neurologic sequelae. This is a big nerve and it controls facial sensation and chewing. ...Read more

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Does transcutaneous electrical nerve stimulation for mummular headache or other head pain work?

Does transcutaneous electrical nerve stimulation for mummular headache or other head pain work?

Temporarily: Tens or transcuteous nerve stimulation is a usefull modality for temporary relaxation of certain muscles associated with headaches, and neck and shoulder pain. ...Read more

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Trigeminal neuralgia lasted only 1 day. Can MS or brain tumor cause trigeminal neuralgia to last only 1 day?

Trigeminal neuralgia lasted only 1 day. Can MS or brain tumor cause trigeminal neuralgia to last only 1 day?

Last one day ?: Could you describe what exact was the symptom? Did you experience it continuously for one day ? MS can be cause of trigeminal neuralgia many in young patients... Brain tumor can cause pain the face, but it is usually accompanied by some findings in the neuro exam ...Read more

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Can a brain tunor cause jaw nerve pain?

Can a brain tunor cause jaw nerve pain?

Rare: A very specific brain tumor on the 5th cranial nerve can cause jaw pain. The 5th cranial nerve or trigeminal nerve gives sensation to the the face. Its lower branch goes to the jaw. A tumor (such as a schwannoma or meningioma) on this nerve can lead to the pain. Treatment is neurosurgery or gamma knife radiation depending on the size. ...Read more

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What nerve blocks/anesthetic blocks work the best for bilateral leg neuropathic pain?

Depends: on where the problem lies... If epidural steroid injections are not helpful, then injections like sympathetic blocks can be helpful. Other options include spinal cord stimulation as well. ...Read more

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Dr. Paul Grin Dr. Grin
2 doctors agreed:
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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?

Dr. Paul Grin Dr. Grin
2 doctors agreed:
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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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

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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?

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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Had a concussion 4 yrs ago.How would a doctor determine if I can qualify for occipital nerve decompression surgery to reduce chronic severe headaches?

Had a concussion 4 yrs ago.How would a doctor determine if I can qualify for occipital nerve decompression surgery to reduce chronic severe headaches?

Concussion: Hi Kayleigh:
it's probably best for your to see or talk to a neurologist who may be better answering this questions for you, to see if surgery recommended, and if so, if you will quality for it. ...Read more

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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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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

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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How does a pterygopalatine nerve block work to treat cluster headache?

Possibly vascular: Although the answer is unknown, the vascular dilation components of headaches, especially cluster headaches, are well known. The pterygopalatine ganglia of nerves primarily affects vascular and secretory functions. Congested vessels, runny nose, are some of the functions. Dilation of blood vessels has long been thought to be part of the pain of headaches. ...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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I have back pain that's very painful in the top an very center of my back. Is this because I suffer from Occipital Neuralgia Nerve Migraine headaches?

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. The most common symptom is suboccipital pain radiating to the back of the head and occasionally down the back of the neck. This is treatable condition. Rec. see orofacial pain or pain management specialist. ...Read more

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I have occipital neuralgia nerve migraine headaches. Still wondering why I have numbness an it look like I have bell palsy on the right side of my fac?

Occipital neuralgia.: This is difficult situation to give a simple answer and I would suggest seeing a neurologist for complete evaluation and explanation. ...Read more

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Received permanent nerve damage on back of head and suffer severe headaches would nerve decompression work for this, medicine doesn't.

Received permanent nerve damage on back of head and suffer severe headaches would nerve decompression work for this, medicine doesn't.

Possibly: I would recommend seeing a neurosurgeon first. If they can't help, then I would recommend a pain management specialist or a palliative medicine specialist. Hope that helps. ...Read more

Dr. Sandra Lora Cremers
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