Occipital Neuralgia: What treatments work for you?

Posted by jmb73 @jmb73, Sep 11, 2019

I have been having headaches on one side of my head and have recently been diagnosed with occipital neuralgia. They recommend a nerve bloc but I wonder anyone else has this and how they handle it.. I don't want a nerve bloc. The headaches are usually mild but occasionally the pain wakes me up. They got worse after I had my Gamma surgery. Any ideas would be appreciated. Thank you.

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Had my first nerve block yesterday. I hope it works. I couldn’t tolerate gabapentin side effects. Too many meds I will keep you posted

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Profile picture for SusanEllen66 @SusanEllen66

Hello! I was diagnosed with ON a few months ago. I started physical therapy two weeks ago. That helps for a few hours.
Now I believe that the pillow I bought about 6 months ago is the culprit. I wake up with headaches, shoulder pain and scalp pain.
I bought a new pillow today that is supposed to be good for someone with ON.
Praying for some relief.

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How did the pillow work out?

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Hello! I was diagnosed with ON a few months ago. I started physical therapy two weeks ago. That helps for a few hours.
Now I believe that the pillow I bought about 6 months ago is the culprit. I wake up with headaches, shoulder pain and scalp pain.
I bought a new pillow today that is supposed to be good for someone with ON.
Praying for some relief.

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Profile picture for mary45 @mary45

I think whatever the problem is the headache sounds like Occipital Neuralgia that might be due to the Occipital never compression. I have heard that Occipital Nerve decompression surgery is a very promising fix to that problem as well as the Trigeminal Neuralgia. Sometime that would help your neck and possibly shoulder pain and muscle spasm. Good luck

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@mary45. I only had occipital neuralgia for 3 months but platelet rich plasma injections and occipital nerve blocks have stopped it for about 4 months now. Not sure if this would be helpful to you or not but thought I’d share.

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Profile picture for lisa2022 @lisa2022

Hello Jennifer, I read your comments and they are similar ( but different) than mine. I have pain in the back off my head when laying down and my scalp is sensitive to touch, but its much worse than that, I also have face pain, jaw pain, pain behind my ear. I just did a nerve ablation of c1,c2,c3,c4 and I'm three weeks in, however, I have not seen any improvement. I know this pain I have I is related to my cervical spine, as movement can light up the nerves and I cannot lay on my right or left side for that matter. Sleeping is difficult and my pain ranges from day to day. I have started to get pain when eating now... so, I have symptoms of both Occipital Neuralgia and Trigeminal Neuralgia. Do you have a doctor that has experience with upper cervical spine issues and treating people with ON/TN? I'm 58 and I don't want to be on a lifetime of anticonvulsants ( which fail over time) not to mention the side effects. Any help is appreciated.

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I think whatever the problem is the headache sounds like Occipital Neuralgia that might be due to the Occipital never compression. I have heard that Occipital Nerve decompression surgery is a very promising fix to that problem as well as the Trigeminal Neuralgia. Sometime that would help your neck and possibly shoulder pain and muscle spasm. Good luck

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In reply to @lakesofdelray "I will try anything" + (show)
Profile picture for lakesofdelray @lakesofdelray

I will try anything

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Life certainly does change. I'm not thrilled about how my life has changed either. Sometimes acceptance is difficult to come by but with every change in life we have two choices - we either make the most of what we do have by working on stress-management, coping skills and finding joy, or we stay where we are and let our negative mindset keep us stagnant. It takes work, but can be worth it. Treatments, procedures and medications may help, but they can't do it all.

Have you scheduled an acupuncture appointment yet? Do you mind sharing a bit more about what you have tried and how long you have been on your pain journey?

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Profile picture for Rachel, Volunteer Mentor @rwinney

Thank you. Yes, but it did not work for me. I ended by being diagnosed with Central Sensitization Syndrome.

Are you thinking of trying acupuncture?

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I will try anything

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Profile picture for lakesofdelray @lakesofdelray

Sorry nothing helped. Did you try acupuncture

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Thank you. Yes, but it did not work for me. I ended by being diagnosed with Central Sensitization Syndrome.

Are you thinking of trying acupuncture?

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Profile picture for Rachel, Volunteer Mentor @rwinney

Hello @lakesofdelray, welcome.

Isn't it awful, the burning pain? I'm sorry you're struggling . As you'll find, self-management can play a pretty big role in addition to medication and treatments. Calming the CNS was a whole new task I needed to learn as complimentary therapy.

I tried Botox, nerve blocks and ablations to no avail. What types of treatment are you currently receiving? Are they helping?

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Sorry nothing helped. Did you try acupuncture

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Profile picture for bumble81 @bumble81

I have it. It actually got better and stayed better for years and then I had surgery to remove my uterus. As soon as I woke up I asked for pain meds because my head hurt so bad. And then it stayed that way for a year. Now it just hurts when it gets aggravated by being touched. I suspect the base of my head was resting on something during surgery and that is why it came back after surgery.
I believe my ON was caused by a fall off a horse.

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How did it get better ❤️‍🩹

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