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D- Occipital Neuralgia

Occipital neuralgia is a painful condition resulting from the compression or irritation of occipital nerves located at the back of the head. The occipital nerves extend upward from the back of the head and spread out towards the top of the head.

The symptoms of occipital neuralgia may include:

  • Severe Pain: Generally one-sided, located near the root of the neck, described as a stabbing sensation, intensifying upon touch. Along with the pain, a burning sensation is also felt. The pain, sharp or piercing, typically starts at the back of the head on one side and may spread to the eye, temple or neck area.
  • Tenderness: Tenderness in the affected area may be observed while combing hair, washing, or upon touch.
  • Headache Attacks: Occipital neuralgia often manifests as focused pain attacks in certain areas of the head.
  • Vision Problems: Rarely, irritation of the occipital nerves may lead to vision disturbances or blurry vision.
  • Occipital neuralgia can be triggered by trauma, neck movements, pinched nerves, or muscle spasms. Diagnosis usually relies on symptoms and medical history. Physicians may conduct thorough evaluations to distinguish this condition from other potential headache causes.

The treatment primarily aims at alleviating symptoms and reducing nerve irritation. Treatment options may include:

  • Medications: Pain relievers, nonsteroidal anti-inflammatory drugs (NSAIDs), or special medicines used for relieving nerve pain may be prescribed.
  • Physical Therapy: Exercises to strengthen neck and shoulder muscles, massage, and physical therapy may help in reducing nerve irritation.
  • Nerve Blocks: Physicians may administer local anesthetic injections or corticosteroid injections directed at the occipital nerves.