CONDITION OVERVIEW
Occipital neuralgia is a distinct type of headache disorder characterized by piercing, electric shock-like pain that radiates along the occipital nerves from the base of the skull up the back of the head. These nerves run from the top of the spinal cord through the scalp, and when they become inflamed or irritated, they can cause severe, debilitating pain that's often mistaken for migraines or tension headaches. At Spine and Nerve Center Riverview, we specialize in accurately diagnosing occipital neuralgia and providing targeted nerve blocks, radiofrequency ablation, and other advanced treatments to interrupt pain signals and provide lasting relief.
ROOT CAUSES
Occipital neuralgia occurs when the occipital nerves become irritated, inflamed, or damaged. Understanding the underlying cause helps determine the most effective treatment approach.
Tight muscles in the neck, particularly where the occipital nerves pass through, can compress and irritate the nerves, leading to inflammation and pain.
Whiplash from car accidents, falls, or direct blows to the back of the head can damage the occipital nerves or surrounding structures.
Arthritis in the upper cervical spine, herniated discs, or bone spurs can irritate the C2 nerve root where the occipital nerves originate.
Diabetes, gout, blood vessel inflammation, infections, or tumors can affect the occipital nerves. Sometimes the cause remains unknown (idiopathic).
RECOGNIZING THE SIGNS
Occipital neuralgia has distinct symptoms that differentiate it from other types of headaches. The pain typically affects one side of the head but can be bilateral.
Sharp, shooting, electric shock-like pain that starts at the base of the skull and radiates over the scalp, often described as "zaps" or "jolts."
Continuous aching, burning, or throbbing pain along the path of the occipital nerves, often between the sharp attacks of pain.
Extreme tenderness to touch (allodynia) where even light brushing of hair or laying on a pillow can trigger severe pain.
Photophobia (sensitivity to light) and sometimes pain behind the eyes, which can be confused with migraine symptoms.
Specific tender points where the occipital nerves emerge, typically felt when pressing at the base of the skull near the neck muscles.
Pain typically affects one side of the head, though it can be bilateral. Often follows the distribution of the greater or lesser occipital nerves.
Don't let occipital neuralgia keep you from enjoying life. Our targeted nerve blocks can provide immediate relief, while procedures like radiofrequency ablation offer long-lasting results. Schedule your consultation with Dr. Fura to develop a personalized treatment plan that addresses your specific triggers and pain patterns.