Targeting Occipital Headache Pain

  title={Targeting Occipital Headache Pain},
  author={Stephanie Vanterpool and R. Eric Heidel and Lina Riad Rejoub},
  journal={The Clinical Journal of Pain},
  pages={289 - 295}
Supplemental Digital Content is available in the text. Background and Objectives: Occipital nerve block (ONB) is an effective procedure for treating occipital headache pain. However, traditional suboccipital approaches to ONB remain underutilized in acute and chronic settings. An alternative location for ONB is the superior nuchal line, where anatomic studies show a reliable relationship between the occipital artery (OA) and greater occipital nerve. This study evaluated the efficacy and… 
1 Citations

Nonsurgical Treatment of Neuralgia and Cervicogenic Headache: A Systematic Review and Meta-analysis

The nonsurgical treatment of patients with neuralgia or cervicogenic headache is challenging, and injection therapy in patients with these types of headaches achieved good pain relief but only for a limited time.



Occipital nerve blocks in the treatment of headaches: safety and efficacy.

Ultrasound-guided greater occipital nerve block for patients with occipital headache and short term follow up

The parameters measured in this study should be useful for GON block and ultrasound-guided blockade is likely to be a more effective technique than blind blockade in occipital headache treatment.

Anatomical Variations of the Occipital Nerves: Implications for the Treatment of Chronic Headaches

The course of these two nerves differs in several critical aspects from that described in classic anatomical reports, which has direct implications for application of nerve blocks and surgical decompression of these nerves.

Greater Occipital Nerve Block for Acute Treatment of Migraine Headache: A Large Retrospective Cohort Study

Greater occipital block seems to be an effective option for acute management of migraine headache, with promising reductions in pain scores.

Occipital Nerve Blockade for Cervicogenic Headache: A Double‐Blind Randomized Controlled Clinical Trial

The nerve stimulator‐guided occipital nerve blockade significantly relieved cervicogenic headache and associated symptoms at two weeks following injection.

Occipital neuralgia: Anatomic considerations

Several etiologies have been identified in the cause of occipital neuralgia and include, but are not limited to, trauma, fibrositis, myositis, fracture of the atlas, and compression of the C‐2 nerve root.

Neuralgias of the Head: Occipital Neuralgia

Occipital neuralgia is defined by the International Headache Society as paroxysmal shooting or stabbing pain in the dermatomes of the greater or lesser occipital nerve. Various treatment methods

The Anatomy of the Greater Occipital Nerve: Implications for the Etiology of Migraine Headaches

An anatomic study of the greater occipital nerve to determine its usual course, potential anatomic variations, and possible points of potential entrapment or compression has enhanced further development of techniques designed to address these points ofEntrapment/compression and potentially lead to relief of migraine headaches caused by this mechanism.

Efficacy of the greater occipital nerve block in recurrent migraine type headaches.