How to Get an Occipital Nerve Block

Speak to your doctor., Outline your symptoms., Learn about the potential risks., Apply a topical anesthetic., Inject steroids and/or anesthetic into the nerve., Experience numbness and pain relief., Keep a "pain log.", Return for additional...

9 Steps 4 min read Medium

Step-by-Step Guide

  1. Step 1: Speak to your doctor.

    If you suffer from head pain, head aches, or tender scalp consult your doctor to decide whether or not an occipital nerve block is right for you.

    There are several reasons why your doctor may not recommend a nerve block (or not right away).An occipital nerve block, may not be right for you if:
    You are allergic to any of the injected medications You currently take blood thinning medication You have an active infection You have diabetes (depending on a number of factors) You have heart disease (depending on a number of factors)
  2. Step 2: Outline your symptoms.

    The occipital nerve governs specific areas of the head and scalp.

    As such, an occipital nerve block may be able to relieve very specific types of a head pain.

    When you speak to your doctor, you will need to explain all of your symptoms, in as much detail as possible.

    This will help your doctor decide if an occipital nerve block might help.Occipital nerve blocks are generally used to treat:
    Migraines Cluster headaches Spondylosis Tender scalp (with may be a sign of an irritated nerve) Pain on one side of the head or the back of the head (usually zapping, shooting, or burning pain). , An occipital nerve block is a simple, minimally invasive procedure that is considered safe.

    However, like all medical procedures, it does carry some risks.Though rare, these include:
    Infection Bleeding Damage to the nerve Swelling, itching, or pain at the injection site Raised blood sugar levels (from steroid injections) , When you go in to have your occipital nerve block, a topical anesthetic will be applied to the base of neck, where your doctor will insert the needle.

    This may in the form of a cream, gel, or spray.

    You will then wait several minutes for the topical anesthetic to take effect., You will then lay down on your stomach.

    Your doctor will carefully insert a very small needle into the base of the occipital nerve, which is at the back of the head just above the neck.

    Through this needle, your doctor will inject steroid medication and/or anesthetic that will block the signals coming from your occipital nerve.Your doctor may opt to inject only anesthetic to numb the nerve, or a mix of steroids and anesthetic to reduce inflammation while numbing.

    There may be some discomfort as the needle goes in, but it will be minimized with the topical and local anesthetic used as well as the very small needle., For most people, the effects of the injection should occur very quickly, often within moments.

    For others, noticeable pain relief may require up to one week to take effect.If you do not experience relief within 1-2 weeks, it is possible that your occipital nerve is not the source of your pain.

    Your doctor may opt to do a second injection and/or explore alternative treatment options , The length of time that occipital nerve block pain relief lasts can vary greatly from person to person.

    The way the nerve block effects you can give your doctor clues about the best long-term treatment plan for you.

    As such, it is a good idea to maintain a "pain log," where you briefly jot down your level of pain (as well as any other symptoms) each day.

    Try using a number system (such as 1-10) to describe your level of pain., If your pain is severe, your initial treatment plan may include doing a secondary injection 1-2 weeks after your initial occipital nerve block.

    Furthermore, if the injections seem to be working, you will likely need to return for another injection when the pain relief begins to wear off.

    You and your doctor will work out a treatment plan for if/when you will return for follow-up injections.For some people, a single injection quells the pain.

    However, most people will return for follow-up injections at some point.

    The amount of time the pain relief can last will vary widely from person to person.

    It is rare to do more than three occipital nerve blocks over the course of six months (as this increases the risk of side-effects and complications).

    If you need more than three injections within the span of six months, your doctor may suggest alternative treatment options. , If the injections do not provide sufficient or long-enough lasting pain relief, your doctor may wish to explore alternative treatment options.Some of these include:
    Cutting a nerve Relieving pressure on a nerve Administering small doses of a poison or radiofrequency energy, to slowly kill nerve cells Inserting an occipital nerve stimulator
  3. Step 3: Learn about the potential risks.

  4. Step 4: Apply a topical anesthetic.

  5. Step 5: Inject steroids and/or anesthetic into the nerve.

  6. Step 6: Experience numbness and pain relief.

  7. Step 7: Keep a "pain log."

  8. Step 8: Return for additional injections.

  9. Step 9: Explore other treatment options.

Detailed Guide

If you suffer from head pain, head aches, or tender scalp consult your doctor to decide whether or not an occipital nerve block is right for you.

There are several reasons why your doctor may not recommend a nerve block (or not right away).An occipital nerve block, may not be right for you if:
You are allergic to any of the injected medications You currently take blood thinning medication You have an active infection You have diabetes (depending on a number of factors) You have heart disease (depending on a number of factors)

The occipital nerve governs specific areas of the head and scalp.

As such, an occipital nerve block may be able to relieve very specific types of a head pain.

When you speak to your doctor, you will need to explain all of your symptoms, in as much detail as possible.

This will help your doctor decide if an occipital nerve block might help.Occipital nerve blocks are generally used to treat:
Migraines Cluster headaches Spondylosis Tender scalp (with may be a sign of an irritated nerve) Pain on one side of the head or the back of the head (usually zapping, shooting, or burning pain). , An occipital nerve block is a simple, minimally invasive procedure that is considered safe.

However, like all medical procedures, it does carry some risks.Though rare, these include:
Infection Bleeding Damage to the nerve Swelling, itching, or pain at the injection site Raised blood sugar levels (from steroid injections) , When you go in to have your occipital nerve block, a topical anesthetic will be applied to the base of neck, where your doctor will insert the needle.

This may in the form of a cream, gel, or spray.

You will then wait several minutes for the topical anesthetic to take effect., You will then lay down on your stomach.

Your doctor will carefully insert a very small needle into the base of the occipital nerve, which is at the back of the head just above the neck.

Through this needle, your doctor will inject steroid medication and/or anesthetic that will block the signals coming from your occipital nerve.Your doctor may opt to inject only anesthetic to numb the nerve, or a mix of steroids and anesthetic to reduce inflammation while numbing.

There may be some discomfort as the needle goes in, but it will be minimized with the topical and local anesthetic used as well as the very small needle., For most people, the effects of the injection should occur very quickly, often within moments.

For others, noticeable pain relief may require up to one week to take effect.If you do not experience relief within 1-2 weeks, it is possible that your occipital nerve is not the source of your pain.

Your doctor may opt to do a second injection and/or explore alternative treatment options , The length of time that occipital nerve block pain relief lasts can vary greatly from person to person.

The way the nerve block effects you can give your doctor clues about the best long-term treatment plan for you.

As such, it is a good idea to maintain a "pain log," where you briefly jot down your level of pain (as well as any other symptoms) each day.

Try using a number system (such as 1-10) to describe your level of pain., If your pain is severe, your initial treatment plan may include doing a secondary injection 1-2 weeks after your initial occipital nerve block.

Furthermore, if the injections seem to be working, you will likely need to return for another injection when the pain relief begins to wear off.

You and your doctor will work out a treatment plan for if/when you will return for follow-up injections.For some people, a single injection quells the pain.

However, most people will return for follow-up injections at some point.

The amount of time the pain relief can last will vary widely from person to person.

It is rare to do more than three occipital nerve blocks over the course of six months (as this increases the risk of side-effects and complications).

If you need more than three injections within the span of six months, your doctor may suggest alternative treatment options. , If the injections do not provide sufficient or long-enough lasting pain relief, your doctor may wish to explore alternative treatment options.Some of these include:
Cutting a nerve Relieving pressure on a nerve Administering small doses of a poison or radiofrequency energy, to slowly kill nerve cells Inserting an occipital nerve stimulator

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Isabella Palmer

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