Occipital Neuralgia: What treatments work for you?

Long-time ON sufferer with dry eyes also. I just want to let you know that nerve blocks can be miraculous, so if you have a big event coming up you might want to get the shot. I had high hopes for Duloxitine but couldn’t tolerate even the lowest dose.

Hello all. I have been suffering with headaches and neck pain ever since a ski crash about 2 years ago. Have been on meds like gabapenting for over a year now. I was finally diagnosed with ON Dec of 2024 and have tried nerve blocks, trigger point and botox a few times (only the numbing part of the nerve block has worked, the steroids not so much). I have also been on Physical therapy, have tried chiro, acupuncture, massage.. Only PT, acupuncture and massage has given me some relief that last for days..

Severity of my headaches depends on the day but I get worse with physical exertion or concentrating. I have unabated headaches non stop 24/7. Scalp is very sensitive and feels burning to the touch along with other symptoms like dizziness, nausea etc. The worse part of my pain started in the left occipital side but since April of this year has progressed to the left side of my head right around the top of my ears and also feel it in my left shoulder. I'm desperate and want my life back. I want to be aggressive and ask if I can do more invasive treatments but idk what.. I have looked in to nerve decompression surgery(done by plastic surgeon), cryoneurolysis, RFA, prolotherapy or nerve hydrodissection and idk what else. I trust my neuro and grateful I was diagnosed early but I need something else. Having pain every single day along with other symptoms taking a toll on me