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Doctor insights on: Occipital Neuralgia

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Dr. Mark Khorsandi
80 Doctors shared insights

Occipital Neuralgia (Overview)

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 spasm around the nerve.


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Can occipital neuralgia be one sign of multiple sclerosis?

Can occipital neuralgia be one sign of multiple sclerosis?

Very very rarely!: Different types of neuralgia can be seen in ms including occipital neuralgia. Almost all of the time, these occur in patients who have already been diagnosed with ms. It is extremely unlikely for it to be the presenting symptom. Most likely you have already had a brain MRI for your headache. If that is clear, I say chances are very very low that you will go on to develop ms. Hope this helps! ...Read more

Dr. Mark Khorsandi
80 Doctors shared insights

Occipital Neuralgia (Overview)

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 spasm around the nerve.


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Are there any successful treatments for occipital neuralgia complex?

Are there any successful treatments for occipital neuralgia complex?

Many: Medication & therapy are the joint "first line" treatments, as they are with other nerve compression syndromes (like carpal tunnel). However, as the disease progresses, surgical nerve decompression becomes necessary to treat the disease. ...Read more

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I have occipital neuralgia (neck pain, headaches, light sensitvity.) upcoming cataract surgery - any meds or ways to prevent a flair up? L

I have occipital neuralgia (neck pain, headaches, light sensitvity.) upcoming cataract surgery - any meds or ways to prevent a flair up? L

Occipital Neuralgia: Best treatments for ON prior to cataract surgery: Prescription muscle relaxants;Anticonvulsant drugs, such as Tegretol (carbamazepine) and Neurontin (gabapentin);Antidepressant medication; Short-term use of local nerve blocks and steroid injections; more info: eyedoc2020 blogspot com ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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What is occipital neuralgia complex?

Dr. Brian Le Dr. Le
2 doctors agreed:

Occipital neuralgia: Occipital neuralgia is a neurological condition in which the occipital nerves (the nerves run from the top of the cervical spine up through the scalp) are inflamed or injured.

Occipital neuralgia is characterized by severe pain that begins in the upper neck and back of the head as well as chronic headache. ...Read more

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What are symptoms of occipital neuralgia?

Sharp pain in back: Of head at base of neck to scalp and can radaite to behind the eyes, cause unknown but trauma, tight muscles stress, lack of sleep or food bets is to get mri of head to be sure no tumor, then take excedrin, next try gabapentin[antiseizure meds] ice pack and or heat, rolled towel behind neck, let head fall back over towel to ease tension, osteopathic or massage therapy, physical therapy ...Read more

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Can posture improve occipital neuralgia from smartphone use?

Can posture improve occipital neuralgia from smartphone use?

Possibly. Try to: Talk in a comfortable position with your neck not bent at an angle, and see if this helps. ...Read more

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What is the definition or description of: occipital neuralgia?

Nerve irritation: 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 spasm around the nerve. ...Read more

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If left untreated, can bilateral occipital neuralgia resolve on its own?

It is possible: Only if neuralgia is secondary to another condition, it may eventually resolve on its own. ...Read more

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What pain/symptoms does occipital neuralgia cause?

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? ...Read more

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How successful have surgeries been for occipital neuralgia?

How successful have surgeries been for occipital neuralgia?

Highly: I perform this procedure. In my experience, greater occipital nerve decompression is highly effective. Over 95% of patients who I have performed this surgery have complete relief of symptoms, and it is immediate. Occipital neuralgia is very debilitating and commonly a cause of migraine headaches. In reality it is a nerve compression of the greater ; lesser occipital nerves. Nerves cause pain. ...Read more

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I have occipital neuralgia and medications and nerve blocks have stopped working. I have read about surgical options. What would you recommend I do be?

I have occipital neuralgia and medications and nerve blocks have stopped working. I have read about surgical options. What would you recommend I do be?

Nerve pain: Occipital neuralgia may at times be secondary to nerve root irritation in the upper cervical spine. For cases that fail to respond to blocks, I have successfully used peripheral nerve stimulation. It is a form of implanted device and can work extremely well. ...Read more

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Can a TENS unit be bellful to Occipital Neuralgia pain?

Can a TENS unit be bellful to Occipital Neuralgia pain?

Any NERVE: Mediated pain may respond to TENS however Occipital Neuralgia more often responds to interventional injections (steroids/BOTOX)
Hope this is helpful!
Dr Z ...Read more

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Are there any successful treatments for occipital neuralgia complex?

Many: Medication & therapy are the joint "first line" treatments, as they are with other nerve compression syndromes (like carpal tunnel). However, as the disease progresses, surgical nerve decompression becomes necessary to treat the disease. ...Read more

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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. ...Read more

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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. ...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?

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. ...Read more

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Hit head 5 months ago hard on the corner of a locker. Was diagnosed with occipital neuralgia. I just barely hit my head again. Am I OK? Slight HA

Hit head 5 months ago hard on the corner of a locker. Was diagnosed with occipital neuralgia. I just barely hit my head again. Am I OK? Slight HA

Sounds ok: "Barely hit my head" sounds minor enough that nothing should become of it. As they say, "Don't sweat the small stuff, " but do worry if one gets a giant smack on the head. ...Read more

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Can occipital neuralgia be one sign of multiple sclerosis?

Very very rarely!: Different types of neuralgia can be seen in ms including occipital neuralgia. Almost all of the time, these occur in patients who have already been diagnosed with ms. It is extremely unlikely for it to be the presenting symptom. Most likely you have already had a brain MRI for your headache. If that is clear, I say chances are very very low that you will go on to develop ms. Hope this helps! ...Read more

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What do I do for chronic pain for spondylosis & occipital neuralgia...

What do I do for chronic pain for spondylosis & occipital neuralgia...

Pain management: You should see a pain management specialist. He can recommend you a range of options including desensitization, PT, neuropathic pain meds, blocks, radio frequency, stimulator ...Read more

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How do you distinguish between occipital neuralgia and cervical facet syndrome?

How do you distinguish between occipital neuralgia and cervical facet syndrome?

Similar Pains: Sometimes the facet joint nerves can connect with the occipital nerve causing both. Sometimes they are separate issues altogether. Generally speaking extending and rotating your neck with cause facet pain syndrome and pressing on the back of your head may cause occipital neuralgia. See a pain specialist to help you determine the difference between the two. ...Read more

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If I have occipital neuralgia can that be related to the 2 opthalmic aneurysms I have?

No: Both cause pain, but have different origins. The occipital neuralgia is an irritated nerve pinched by a muscle spasm. The aneurysm is a bulging out of a blood vessel wall.
You can treat occipital neuralgia with massage and ice. The aneurysm will need an interventional radiologist. ...Read more

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Occipital Neuralgia best describes my symptoms. Best home remedy's for this? They really throw me off.

Home remedy: Message area gently, Apply ice pack, use very soft pillow. If does not get better, see neurologist. ...Read more

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I am on lyrica (pregabalin) 75mg twice a day for occipital neuralgia, I am finding I get headaches after taking the med. Is this likely to go away?

I am on lyrica (pregabalin) 75mg twice a day for occipital neuralgia, I am finding I get headaches after taking the med. Is this likely to go away?

Please see below: Lyrica (pregabalin) usually doe not cause headaches but sometime blurry vision. If you keep getting headaches, you may want to see your doctor who prescribed it. ...Read more

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Is it normal to have some pressure an pain with occipital neuralgia migraine headaches? Is the something I can do

Occipital neuralgia: Yes. Occipital neuralgia is caused by impingement of the greater occipital nerve from tight muscles in the neck. The result is pain from irritation of the nerve and pressure from tense neck muscles. Physical therapy, massage, injections of the nerve and surgery can relieve the pain. See a neurosurgeon for evaluation and treatment. ...Read more

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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. ...Read more

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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 ...Read more

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Post nerve decompression surg for occipital neuralgia & migraine-now spasms that are electrical, tazer like - very painful-need advice on what to do.

See surgeon: I would recommend that you go back and see your surgeon. If they can't help you then I would recommend that you see an interventional pain management physician. ...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?

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

Dr. Jeffrey Cohen
1,922 Doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


Dr. James Dukelow
842 Doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more