Quick Answer: What Happens After Occipital Nerve Block?

Is a nerve block the same as an epidural steroid injection?

An epidural injection is administered in the epidural space, the outer space of the spinal canal that contains blood vessels and fatty tissue.

A nerve block is injected at a specific nerve root, where the nerve exits the spinal column..

How effective is occipital nerve block?

More than 82 percent of participants in the study reported having moderate or significant pain relief from the treatment. A 2018 review of studies published in the journal Clinical Neurology and Neuroscience also concluded that occipital nerve blocks can significantly reduce pain intensity for people with migraines.

How long does a greater occipital nerve block last?

The local anesthetic will wear off in 4 hours. At that time, your usual level of pain may return until the steroid starts working. This can take up to 2 weeks. Pain relief from an occipital nerve block usually will last for several months, but this may vary from patient to patient.

Can occipital nerve block make headaches worse?

Even if the needle were to hit the nerve which would cause worse pain, the anesthetic in these injections rapidly shuts the pain signal off and so these injections rarely worsen headache pain.

Can you drive after an occipital nerve block?

After an occipital nerve block, a patient can usually drive home and return to normal daily activities the following day. The effects of the local anesthetic may wear off in a few hours, but the effects of the steroid begin to increase over the next several days.

Can occipital nerve blocks cause hair loss?

Risks and complications are rare but can include infection, nerve or blood vessel injury, and allergic reaction to medications. You may also feel dizzy for a short period of time. Sometimes, thinning of the scalp at the injection site and hair loss may also occur.

Can you walk after a nerve block?

You cannot control foot or leg movement until the nerve block wears off. You will not be able to tell if your leg is twisted or if anything is pushing against it. Protect your foot and leg from hot and cold temperatures.

Does occipital nerve block cause weight gain?

Potential side effects include but not limited to elevated glucose levels, altered menstrual cycle, fluid retention, bruising, insomnia, sweats, hot/cold flashes, flushing of the face, weight gain, or osteoporosis. Alternatives to the procedure include oral medications, physical therapy, or acupuncture.

How do you relax the occipital muscles?

Apply gentle pressure from your fingertips at the base of your skull. This massage can help calm tight muscles and release tension. You can also place a rolled towel under your head and neck as you lie down on your back. The pressure from the towel can provide a gentle massage.

How do you stop occipital neuralgia pain?

Non-surgical TreatmentsHeat: patients often feel relief when heating pads or devices are placed in the location of the pain. … Physical therapy or massage therapy.Oral Medication: … Percutaneous nerve blocks: these injections can be used both to diagnose and treat occipital neuralgia.More items…

What are the side effects of occipital nerve block?

Are there any side effects caused by an occipital nerve block?The most common side effect is pain at the site of injection.Other side effects include infection, bleeding, dizziness, weakness, numbness and lightheadedness. These effects are temporary and often last only six to eight hours.

What steroid is used for nerve block?

What is dexamethasone? Dexamethasone is a steroid that may reduce pain and the inflammatory response to tissue damage after surgery (heat, pain, redness and swelling).

What is the best muscle relaxer for occipital neuralgia?

What medications can you use to treat occipital neuralgia?Prescription muscle relaxants.Antiseizure drugs, such as carbamazepine (Tegretol) and gabapentin (Neurontin)Antidepressants.Nerve blocks and steroid shots. The nerve block that your doctor might do to diagnose your condition can be a short-term treatment, too.

What happens if occipital nerve block doesn’t work?

If the occipital nerve block doesn’t work, it is likely that the pain is coming from somewhere else. We have encountered patients with cervical facet disease who have pain resembling ON.

Can you drive after a nerve block?

Please arrange to have someone drive you home after the nerve block, as you will not be able to drive or operate machinery for at least 24 hours after the procedure.

What triggers occipital neuralgia?

What causes occipital neuralgia? Occipital neuralgia may occur spontaneously, or as the result of a pinched nerve root in the neck (from arthritis, for example), or because of prior injury or surgery to the scalp or skull. Sometimes “tight” muscles at the back of the head can entrap the nerves.

Does occipital neuralgia show up on MRI?

Radiographic imaging is of limited utility in the diagnosis of occipital neuralgia but is primarily concerned with excluding structural pathology of the cord, the spine, the occipital nerves or adjacent structures. As such, MRI is best suited to this task 1,4.

How do you sleep with occipital neuralgia?

The best way to sleep with occipital neuralgia is in a position that does not place more pressure on the nerves. Following are some guidelines: Sleep on your back. Use a pillow that supports the neck and keeps the head aligned with the body (neutral position)