Occipital Neuralgia Headache: Terrible pain lasting weeks, what helps?

Posted by suszy39 @suszy39, Dec 12, 2025

I suffer from occiptal neuralgia headachs. Three weeks usally @ a time. I do have trigger shots but medicare has cut my time to every
fours months, they do help. Hot Hot showers, massage, $$ on pillows.
Beginning to take VitB2?
A comment on Mayo chat they take Valium/Medrol dose? any other ideas?

Interested in more discussions like this? Go to the Headache & Migraine Support Group.

Profile picture for rnlorena @rnlorena

@suszy39 I had a nerve block and it has made a difference. The purpose of the nerve block is to see if the occipital nerves are the culprit. So having the nerve block I shouldn’t have any issues in my head for now. They will sometimes do up to two or three before they would do an ablation of the occipital nerves. They want to be definitely sure before they do an ablation. When January 17th hits it will be 11 months since I had head pressure and blurry vision and also had seen Doctors and gotten nowhere. Now I finally feel like I am getting somewhere. I will see my Dr. on February 10th and when I find out what is next I will let you know. The nerve block was so easy. I can tell you I had head pressure for many days and it sucks. The ablation would burn the occipital nerves and eventually of course they will regenerate. That could be possibly 6-12 months or more. Everyone might be different. But ablation can be done again. I will keep in touch for sure. It may be a bit but I will let you know. @rnlorena

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@rnlorena I am wishing you a good outcome. In Nov. I had a terrible three week bout. Dr. were
out of town, I want something to help me get through. I plan on asking about Botox?
Amitriptyline for Pain? (Old Depressant w/nerve pain control). I go about two months after
shot and will have :Flair up simply awful Ice pick pain, started one side for long time, now
both sides. My Ice Pack slepted with me. I can't tell you how helpful this sight has been.
One person said a combo dose of Valium/seriod cured him complately? I have a list of questions.

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Profile picture for rnlorena @rnlorena

@suszy39 I had a nerve block and it has made a difference. The purpose of the nerve block is to see if the occipital nerves are the culprit. So having the nerve block I shouldn’t have any issues in my head for now. They will sometimes do up to two or three before they would do an ablation of the occipital nerves. They want to be definitely sure before they do an ablation. When January 17th hits it will be 11 months since I had head pressure and blurry vision and also had seen Doctors and gotten nowhere. Now I finally feel like I am getting somewhere. I will see my Dr. on February 10th and when I find out what is next I will let you know. The nerve block was so easy. I can tell you I had head pressure for many days and it sucks. The ablation would burn the occipital nerves and eventually of course they will regenerate. That could be possibly 6-12 months or more. Everyone might be different. But ablation can be done again. I will keep in touch for sure. It may be a bit but I will let you know. @rnlorena

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@rnlorena I had an ablation no change. They said I could have another. My nerve shot is tomorrow, they usually last three months, but I am adding other tips so here goes, My Pain Dr. is great.

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Profile picture for suszy39 @suszy39

@rnlorena I had an ablation no change. They said I could have another. My nerve shot is tomorrow, they usually last three months, but I am adding other tips so here goes, My Pain Dr. is great.

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@suszy39 When I went to the second Neuro-Opthalmologist she questioned me for quite a bit. I have read all about Occipital Neuralgia. I am not having the symptoms like it calls for. Mine is different. She doesn't think I have Occipital Neuralgia. I don't think so either. This is mind boggling for sure. The Dr. I went to is a pain Doctor. They do more than just pain meds. I really don't know and will just have to wait till and see what is next. It could be another nerve block. @rnlorena

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Hi!
Im 28 years old and have occipital neuralgia for the last 10 years. My symptoms are a-typical, slowly getting stronger until they reach 7-10 on the pain scale and last for 14-30 hours. I have those attacks usualy 2 times per week.
Im getting Oxcarbazepine. That helped me to get it down to 1 time per week. Also, for an attack im currently using morphine. Opioids are the only medication that helped me to be pain-free in an attack.

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Profile picture for sinyaale @sinyaale

Hi!
Im 28 years old and have occipital neuralgia for the last 10 years. My symptoms are a-typical, slowly getting stronger until they reach 7-10 on the pain scale and last for 14-30 hours. I have those attacks usualy 2 times per week.
Im getting Oxcarbazepine. That helped me to get it down to 1 time per week. Also, for an attack im currently using morphine. Opioids are the only medication that helped me to be pain-free in an attack.

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Hi @sinyaale - welcome to Mayo Clinic Connect. The attacks you have sound painful.

Hoping that here you can meet others taking about occipital neuralgia headaches, such as @suszy39 @rnlorena @pierwell @laura1970.

What would you say are you future hopes for your condition and your treatment, sinyaale?

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi @sinyaale - welcome to Mayo Clinic Connect. The attacks you have sound painful.

Hoping that here you can meet others taking about occipital neuralgia headaches, such as @suszy39 @rnlorena @pierwell @laura1970.

What would you say are you future hopes for your condition and your treatment, sinyaale?

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@lisalucier Welcome this is a great place to bring your thoughts, suggestions, to fellow folks
who totally understand where you are out. Many good tips, I am flyiing with all of them.

Concerned ON Person

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