Tests and treatments
Occipital nerve injection
What is it?What is it?
Occipital nerve neuralgia (occipital nerve pain) is neck pain and headache that presents at the back of the head. It is usually a stabbing or pressure pain that radiates from the back of the head over the entire head.
There can be continuous pain in-between the stabs of pain. Symptoms are usually only on one side. Besides a headach, there can also be problems with vision/eye pain, ringing in the ears, dizziness and nausea. The skin where the nerve is located may feel sensitive or numb.
The occipital nerve (N. occipitalis) has two branches - a large one (major) and a small one (minor). Due to damage (neuropathy) or nerve tingling (neuralgia), symptoms can arise along the spinal cord to the nerve tips. Either one or both of the branches may be affected. The cause of the tingling can be an abnormality in the blood vessels or tingling due to muscle tension, bones or neck joints.
Treatment procedureTreatment procedure
Come to the hospital on the day of treatment.
You do not need to be fasting for the treatment. You may eat and drink.
By law, you may not drive any vehicles or operate machinery the morning after the treatment. Therefore, make sure that somebody can take you to and from the hospital. The physician or nurses can provide you with certificates, if required. If you wish, the nurses of the Pain Centre can order a taxi for you.
Always inform the physician if:
- you have diabetes or a heart condition
- you are (or could be) pregnant
- you are allergic to certain medications, contrast agents or iodine (disinfectant), latex, etcetera
- you take blood thinners
If you have reduced kidney function, have recently experienced thrombosis or a heart attack or have had a stent implanted, you must contact your attending physician first.
|Stop if >500 mg/day|
|Seven days before the procedure||Replace with injections (see Clexane, for example)|
Anticoagulation before the procedure
|Ticlid®||Ten days before the procedure|
|Seven days before the procedure|
|48 hours before the procedure|
|24 hours before the procedure|
See the leaflet below for more information about:
- course of the procedure
- the possible side effects and complications
Centres and specialist areasCentres and specialist areas
Latest publication date: 17/05/2023