Occipital Neuralgia

Occipital Neuralgia is a painful condition that affects the nerves running from the top of the spinal cord to the scalp. This nerve irritation or inflammation can cause sharp, shooting pain in the back of the head, neck, or behind the eyes. At Covenant Spine and Neurology, our team of board-certified specialists combines advanced technology with compassionate, personalized care to accurately diagnose and effectively manage this condition.

Understanding Occipital Neuralgia

Occipital Neuralgia occurs when the occipital nerves—located in the upper neck and back of the head—become irritated or compressed. Patients often describe the pain as sudden, severe, and electric-like. It may occur on one or both sides of the head and can be triggered by simple movements such as turning the neck or touching the scalp.

 

Common symptoms include:

 

  • Sharp or throbbing pain starting at the base of the skull

  • Sensitivity to light or touch

  • Pain radiating to the scalp, forehead, or behind the eyes

  • Tenderness along the upper neck

  • Muscle tension or spasms in the shoulders and upper back

Because the symptoms can mimic migraines or other headache disorders, accurate diagnosis is essential for successful treatment.

Expert Diagnosis and Evaluation

At Covenant Spine and Neurology, we use advanced diagnostic imaging and nerve studies to identify the root cause of occipital nerve pain. Our specialists perform a comprehensive neurological evaluation, including:

 

  • Detailed medical history and symptom review

  • Physical examination of the cervical spine and scalp

  • Diagnostic nerve blocks to confirm occipital nerve involvement

  • Imaging such as MRI or CT scans to rule out structural causes

This thorough approach ensures an accurate diagnosis and forms the foundation of a customized care plan.

Personalized Treatment Options

Our multidisciplinary team develops a treatment plan tailored to each patient’s needs and lifestyle. We focus on both symptom relief and long-term nerve health using evidence-based techniques, which may include:

 

1. Conservative Therapies

 

Many patients find significant relief through non-invasive options such as:

 

  • Rest and gentle neck stretching exercises

  • Physical therapy to reduce muscle tension

  • Heat or cold therapy for pain management

  • Medications to reduce inflammation or nerve irritation

2. Targeted Injections

 

When conservative methods aren’t enough, occipital nerve blocks can provide fast and lasting relief. These minimally invasive injections use a local anesthetic—sometimes combined with a steroid—to calm the irritated nerve and reduce pain.

 

3. Advanced Interventions

 

For chronic or severe cases, our specialists may recommend:

 

  • Radiofrequency Ablation (RFA): Uses targeted heat to disrupt pain signals from the nerve.

  • Peripheral Nerve Stimulation (PNS): Delivers gentle electrical impulses to the occipital nerve, reducing pain perception.

  • Botulinum Toxin (Botox) Injections: Helps relax overactive muscles that may be contributing to nerve irritation.

Each treatment option is carefully discussed with the patient to ensure comfort, safety, and the best possible outcome.

Comprehensive, Ongoing Care

Managing Occipital Neuralgia often requires more than a one-time procedure. Our team provides ongoing monitoring and follow-up to track your progress and adjust your plan as needed. We also collaborate closely with referring physicians and family members to ensure a seamless, supportive care experience.

Why Choose Covenant Spine and Neurology

  • Board-Certified Specialists with expertise in complex nerve and spine conditions

  • State-of-the-art diagnostics for precise evaluation

  • Compassionate, patient-centered care focused on long-term relief

  • Multidisciplinary collaboration to address every aspect of your health

Our mission is to not only treat pain but to restore your comfort, confidence, and quality of life.

Take the First Step Toward Relief

Don’t let chronic head or neck pain control your life. Our experienced specialists are here to help you find real answers and lasting relief.

Click here to schedule an appointment or find one of our locations near you to get started with Covenant Spine and Neurology today.

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For more information or to schedule an appointment call us at 336-761-4020.

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