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 jill935 @jill935

Has anyone tried Nerve stimulation for Occipital Neuralgia?

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Hi, @jill935 - welcome to Mayo Clinic Connect. I moved your posts here so that you could talk with others with occipital neuralgia:

- Occipital neuralgia https://connect.mayoclinic.org/discussion/occipital-neuralgia-3/

I'm assuming you have this diagnosis as you were asking about nerve stimulation therapy for this condition and mentioning you've tried everything but are still in pain. I'm sorry to hear that.

Hoping that in this discussion you can connect with members such as @pierwell @queenie2030 @jakedinger @tessie69 who have discussed occipital neuralgia as a diagnosis they or a loved one have, or for which they are being considered/tested.

I'm guessing you are considering nerve stimulation? What have you read or heard about it so far?

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Profile picture for jill935 @jill935

Has anyone tried Nerve stimulation for Occipital Neuralgia?

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Tried everything still in Pain!

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Profile picture for tessie69 @tessie69

I'd like to hear from anyone who suffers from pain from occipital neuralgia.

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Has anyone tried Nerve stimulation for Occipital Neuralgia?

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Profile picture for judic0927 @judic0927

I have self diagnosed. Have severe stabbing pain radiating up the back of my scalp and then onto my left forehead. Currently trying to treat with Advil and gabapentin without much success. I think next step would be to see a neurologist. Interested in hearing from anyone who has experience with this condition and especially someone who has had it treated successfully.

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My husband saw a neurologist for similar head pain. MRI showed two extra bones floating in his forehead area. Dr said it could cause these pains. It is far more painful if he allows his head to bend down at all. No pain when he gets up but starts immediately after getting up on the morning. He prescribed a couple of drugs which he cannot take . He was referred to another headache neurologist which he will see in July. Will ask about occipital neuralgia.

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Profile picture for tessie69 @tessie69

I'd like to hear from anyone who suffers from pain from occipital neuralgia.

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I’ve posted several times about my decade-long battle with it. I take Celebrex and Tylenol, and use ice packs several times a day.

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Profile picture for judic0927 @judic0927

I have self diagnosed. Have severe stabbing pain radiating up the back of my scalp and then onto my left forehead. Currently trying to treat with Advil and gabapentin without much success. I think next step would be to see a neurologist. Interested in hearing from anyone who has experience with this condition and especially someone who has had it treated successfully.

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That sounds like occipital neuralgia. Definitely see a neurologist to be sure. It usually subsides but I’ve suffered ten+ years. Tylenol, Celebrex and ice packs are my salvation.

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Profile picture for tessie69 @tessie69

I'd like to hear from anyone who suffers from pain from occipital neuralgia.

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I have for over 20 years and have done everything from botox, steroid injections, and was on the brink of getting a pain stimulator when I was put on Eliquis for Afib and it helped me like crazy! I was like what?? because I couldnt take anymore advil which was my go to and realized when I had to get off of it for 3 days for a lumbar procedure that it came right back with a vengeance, I even called my neurologist to tell her my conclusion because somehow it helps me??? im thinking its advil x 50 which is why cant take advil?? maybe advil thins the blood? so i am doing much better but have horrible back and every time i have to get off Eliquis i suffer for a week because it takes a while to build back up. I was told by my neurologist that people have occipital nerves running over their skull in 3 different ways depending on how you were born - 1 under muscle (yes muscles on your head) 2 over your muscle and 3 through your muscle so several things cause your pain depending on how you were born. Also, sometimes the two holes that your occipital nerve feeds up to your skull impinges the nerves which is my case and that causes the horrific headaches behind the ears and above and behind.... GET A GOOD NUERO that specializes in migraines. yes i thought that too but headache drs know more than the others about Occipital Neuralgia good luck to because it is a chronic disease unfortunately

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Profile picture for tessie69 @tessie69

I'd like to hear from anyone who suffers from pain from occipital neuralgia.

Jump to this post

I have self diagnosed. Have severe stabbing pain radiating up the back of my scalp and then onto my left forehead. Currently trying to treat with Advil and gabapentin without much success. I think next step would be to see a neurologist. Interested in hearing from anyone who has experience with this condition and especially someone who has had it treated successfully.

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Profile picture for med216 @med216

I, too, was diagnosed with occipital neuralgia after suffering for 2 months with extreme, flaming pain that started at the back of the head and radiated to the crown. The pain was so bad that the crown of my head was tender to the touch. The neurologist prescribed Qlipta, Nurtec, and Ubelvy; none worked. I had to sleep upright with an ice pack. This went on for two months without relief; the night was always worse. I was referred to a headache specialist who identified the symptoms as classic occipital neuralgia. A nerve block was administered, and I had temporary relief for four days, and then the pain returned. I was prescribed a low dose of Gabapentin. Once the dose was increased to 300 mg, I had good pain relief for 3 weeks, and then the pain returned. I have been on 600 mg for 1 month now, and the pain, while still present, is tolerable. I would say it's 2/3 on a scale of 1-10. I am scheduled for another nerve block next month, and I am hoping that, along with the current dose of Gabapentin will eliminate the pain. I also did 4 weeks of PT which has provided some relief.

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I also was diagnosed with Occipital Neuralgia and was prescribed some of the same meds and a couple others which didn't help. My neurologist then prescribed Topiramate 100 MG 2X a day and it has helped tremendously. Every case is different of course but this certainly worked for me.

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I have been to 4 neurologists. 2 said I had ON and 2 said I didn’t. Where is the best place in NYC to go for an answer?

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