Occipital Neuralgia Treatment
Treatment for occipital neuralgia includes cold compresses, warm compresses, and nonsteroidal anti-inflammatory medications for pain. Additional treatment for severe occipital neuralgia may include surgery to reduce pressure on the occipital nerve.
Specific treatment for occipital neuralgia includes:
- Cold compresses:
- Apply for 20 minutes at a time, 2 to 3 times per day
- Warm compresses may be helpful if cold compresses fail to relieve symptoms.
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Celecoxib (Celebrex)
- Narcotic pain medication:
- Corticosteroid medication injections
- Local nerve blocks:
- Medication is injected near the nerve to dull the pain signals that are relayed to the brain.
- Surgery for occipital neuralgia:
- Rarely performed only for severe cases
- Deadens the nerve, but results in permanent scalp numbness
Occipital Neuralgia Specialist
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- Ashkenazi A, Levin M. Three common neuralgias. How to manage trigeminal, occipital, and postherpetic pain. Postgrad Med. 2004 Sep;116(3):16-8, 21-4, 31-2 passim. 
- Martelletti P, van Suijlekom H. Cervicogenic headache: practical approaches to therapy. CNS Drugs. 2004;18(12):793-805.