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 procedure

Preparation

On the day of the treatment, you will come to the hospital.
The physician will inform you beforehand whether or not you need to be fasting for the procedure.

MedicationStopComments
Asaflow®, Aspégic®
Cardioaspirin®, Aspirin®
Dispirl®, Sedergin®
Stop if >500 mg/day
Marcoumar®, Sintrom®
Marevan®
Seven days before the procedureReplace with injections (see Clexane, for example)
Anticoagulation before the procedure
Ticlid®Ten days before the procedure
Plavix®, Clopidogrel
Brilique®, Efient®
Seven days before the procedure
Xarelto®, Eliquis®
Lixiana®, Pradaxa®
48 hours before the procedure
Fraxiparin®, Clexane®
Fraxodi®
24 hours before the procedure
  • Restart 6 hours after the treatment
  • 3 days afterwards, take together with regular blood thinners
  • After a week, anticoagulation follow-up with your GP

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.

Latest publication date: 28/06/2021