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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Profile picture for lakesofdelray @lakesofdelray

I thought caffeine is a no no. Have you tried a nerve block or medicinal marijuana? I feel like I lost my old life. It’s awful. Thanks for the suggestions

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It is like we lost our old lives. Can’t go for a walk, or dance, even cleaning the house is monumental.

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Profile picture for Amanda Roe @amandajro

Hello @lakesofdelray and welcome to Mayo Clinic Connect. I see that member @oliverony has come in to share some information with you.

Since there was an existing discussion on the topic, you will see that I have moved your post here:
- Occipital Neuralgia: https://connect.mayoclinic.org/discussion/occipital-neuralgia/

I did this so you may connect with more members such as @patsy5 @lisa2022 and @rwinney. How long have you suffered from these episodes?

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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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Profile picture for lisa2022 @lisa2022

I've had the ON for a little over a year now... before it was Trigeminal Neuralgia ( which comes and goes) but the Occipital Neuralgia is always present. It can be very mild and extreme... I do my best not to let it get extreme. I am using many methods to manage muscle tension and pain. Latest is Botox... still not sure if it's helping. I will do a second round in about a month.

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Hi @lisa2022 - Ah yes, Botox....it was questionable for me too. I tried it for ON and migraine for well over a year, then finally had enough. The only thing to do is try. Give it time. Some people swear by it. I seem to recall my Neurologist said 3 rounds before you know.

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Profile picture for Amanda Roe @amandajro

Hello @lakesofdelray and welcome to Mayo Clinic Connect. I see that member @oliverony has come in to share some information with you.

Since there was an existing discussion on the topic, you will see that I have moved your post here:
- Occipital Neuralgia: https://connect.mayoclinic.org/discussion/occipital-neuralgia/

I did this so you may connect with more members such as @patsy5 @lisa2022 and @rwinney. How long have you suffered from these episodes?

Jump to this post

I've had the ON for a little over a year now... before it was Trigeminal Neuralgia ( which comes and goes) but the Occipital Neuralgia is always present. It can be very mild and extreme... I do my best not to let it get extreme. I am using many methods to manage muscle tension and pain. Latest is Botox... still not sure if it's helping. I will do a second round in about a month.

REPLY
Profile picture for lakesofdelray @lakesofdelray

Has anyone found a solution to the pain and burning each episode brings

Jump to this post

Hello @lakesofdelray and welcome to Mayo Clinic Connect. I see that member @oliverony has come in to share some information with you.

Since there was an existing discussion on the topic, you will see that I have moved your post here:
- Occipital Neuralgia: https://connect.mayoclinic.org/discussion/occipital-neuralgia/

I did this so you may connect with more members such as @patsy5 @lisa2022 and @rwinney. How long have you suffered from these episodes?

REPLY
Profile picture for oliverony @oliverony

It is horrible isn't it. I found a mix of things has really helped. Hope some of these are useful.

Meditation - For pain and mindfulness. I have found the Calm app amazing, especially Tamara.
Breathing exercises - very, very good with pain. Lots on youtube.


Keep breathing - a nurse taught me this one. When things are painfull, keep breathing. Also breathe out with something painful, eg Spinal Tap.
Coffee - caffeine is good.
Fresh orange juice - think it must be the sugar.
Almost zero sugar diet.
No alcohol.
Drugs - Oxy is ok but not really strong enough.

Jump to this post

I thought caffeine is a no no. Have you tried a nerve block or medicinal marijuana? I feel like I lost my old life. It’s awful. Thanks for the suggestions

REPLY
Profile picture for lakesofdelray @lakesofdelray

Has anyone found a solution to the pain and burning each episode brings

Jump to this post

It is horrible isn't it. I found a mix of things has really helped. Hope some of these are useful.

Meditation - For pain and mindfulness. I have found the Calm app amazing, especially Tamara.
Breathing exercises - very, very good with pain. Lots on youtube.


Keep breathing - a nurse taught me this one. When things are painfull, keep breathing. Also breathe out with something painful, eg Spinal Tap.
Coffee - caffeine is good.
Fresh orange juice - think it must be the sugar.
Almost zero sugar diet.
No alcohol.
Drugs - Oxy is ok but not really strong enough.

REPLY

Has anyone found a solution to the pain and burning each episode brings

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I’m not sure yet. I got the first round about 4 months ago, and started sleeping through the night again! However, the headaches did not completely go away, so I got another round just recently. It’s definitely better, but I don’t know how long it will last yet.

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Profile picture for patsy5 @patsy5

Hello, I hope you have found relief by now. Mine is also positional, just when I lie down. I have received some relief by taking two rounds of two steroid shots in the back of my head. It’s almost completely gone, and now I can sleep through the night again.

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@patsy5 Wow, that is great news! What a blessing to feel relief after the steroid shots, and sleeping through the night. About how long do the shots provide relief before needing another round?

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