How Are Occipital Nerve Blocks Used to Treat Migraine?

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Occipital nerve block works by blocking the nerves that are involved in migraine, the occipital nerves come out at the back of the head. We also sometimes we'll do what is called trigeminal nerve block, where the trigeminal nerves are in the temple and in the forehead. We don't inject into the nerve itself.

We inject into the tissue around the nerve, typically just with an anesthetic and numbing medication, for some headache types such as cluster headache, we also give a steroid in the back of the head. What this treatment does surprisingly is after the anesthetic effect wears off which takes about four hours, there is still a pain preventive effect the last for a few weeks and it's not exactly understood why that is and it seems that by giving those nerves a rest, they like it and they stay calm for a few weeks but it can be a very helpful treatment for patients who've had a migraine for say a week that won't go away.

We have them coming to the office we give in the occipital and or trigeminal nerve blocks, it makes the headache go away instantly and it keeps it away for a few weeks.