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Doctor insights on: Pinched Occipital Nerve

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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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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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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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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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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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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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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?

Needs attention: Blood in mucus is not normal and you should see you doctor for a full examination and possible tests. Without knowi the exact medications you are taking, there is no way to know if they are related to you cough. However, it seems unlikely for the two to be related. See your doc asap. ...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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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