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Doctor insights on: Occipital Neuralgia Nerve Block

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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

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

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

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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?

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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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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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 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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What is occipital neuralgia complex?

What is occipital neuralgia complex?

Pain at back of head: Occipital neuralgia is pain from the occipital nerve which is felt along the back of the head, sometimes radiating to the top of the head and sometimes to the forehead- usually on just one side of the head. The occipital nerve is most likely irritated as it passes through the muscles at the back of the head, at the base of the skull. Less commonly, the nerve can be pinched in the upper neck (c2). ...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

Dr. James Marx
1,055 doctors shared insights

Neuralgia (Definition)

Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more


Dr. Warren Foster
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