Occipital Nerve Block

What is an Occipital Nerve Block?

An occipital nerve block is a procedure that involves injecting anesthetic and steroid medication into the nerves to reduce inflammation and pain.

What are the benefits of an Occipital Nerve Block?

Occipital nerves are located on each side of the head. These nerves make their way through the muscles at the back of the head. The occipital nerves process pain over the portion of the posterior top of the head. They sometimes reach nearly as far forward as the forehead. People with inflammation of the occipital nerves often describe feeling pain that starts at the base of the skull affecting one side of the head.

Common Indications:
– Occipital Neuralgia
Sharp, shooting, or stabbing pain originating at the base of the skull and radiating toward the scalp.
– Headaches
Headache originating from cervical spine dysfunction or pathology.
– Posterior head pain
After whiplash or head/neck injury with associated occipital pain.

How does an Occipital Nerve Block work?

An occipital nerve block works by delivering anti-inflammatory medication directly around the nerve to reduce inflammation and relieve pain caused by the irritated nerve.

How to prepare for an Occipital Nerve Block?

The first step to determine your eligibility to receive an occipital nerve block is to perform a thorough physical examination and carefully consider your medical and family history.

-Blood thinners (e.g., aspirin, Plavix, Eliquis, warfarin):
You will NOT need to stop them before the procedure
-Diabetes
Steroids can temporarily raise blood sugar levels. Adjustments may be needed.
– Medical Clearance (if needed)
If you have heart conditions, bleeding disorders, or infections, your provider may require clearance from your primary doctor or specialist.

What to expect after the procedure?

Occipital nerve blocks are usually performed in under 20 minutes with the patient’s ability to go home the same day after a short recovery period; you should be able to drive home without issues and resume all normal activities. The anesthetic medicine may produce numbness immediately after the injection but will dissipate in a matter of hours. Patients who have this type of procedure often experience early relief, but this is typically the result of the anesthetics. Once this wears off, it can take 2 to 3 days for the steroids to take effect and provide long-term relief.