The occipital nerve block (ONB) is a minimally invasive procedure that relieves pain and headaches by targeting the occipital nerves at the back of the head. A quick injection of a steroid and local anesthetic can significantly reduce the frequency and intensity of headaches and neck pain.
An occipital nerve block may help:
Occipital neuralgia
Sharp, shooting pain at the back of the head and scalp.
Migraines
Selected patients with chronic migraines.
Chronic tension headaches
Headaches that start at the base of the skull.
Cervicogenic headaches
Headaches referred from the neck; see neck pain.
The procedure is straightforward and can be performed on an outpatient basis in our office:
Preparation
You are positioned comfortably, and the injection site at the back of the head is cleaned and numbed.
Injection
A small needle delivers a mixture of steroid and local anesthetic around the occipital nerves.
Duration
The process typically takes only a few minutes, and patients can usually leave immediately afterward.
The duration of relief varies from a few weeks to several months. Some patients need repeat injections for sustained relief.
The procedure is generally safe. Rare side effects may include temporary soreness at the injection site or light-headedness.
Most patients return to their usual activities the same day as the procedure.
It may suit people with chronic tension headaches, migraines, or neck pain that starts at the base of the skull. A consultation with a pain management specialist can determine if it is appropriate.
The occipital nerves run from the top of the spinal cord up through the scalp at the back of the head and are often involved in headaches that start there.
Occipital neuralgia is irritation of the occipital nerves that causes sharp, shooting, or electric pain at the back of the head and scalp. Occipital nerve blocks are a common treatment.
The injection itself takes only a few minutes, and patients can usually leave immediately afterward.
For many patients, effective pain relief from the block can decrease the need for oral pain medication. Call (321) 499-4646 to schedule an evaluation.
An occipital nerve block offers:
Most patients return to their usual activities the same day.
Same day
Back to normal
Mild soreness at the injection site may occur.
Following days
Relief builds
The steroid reduces inflammation around the nerves.
Weeks to months
Lasting relief
Relief varies, and injections can be repeated if needed.
Hear our patients share their experience with us, All in their own words.
Expert, ultra-minimally invasive spine and orthopedic care, close to home.
Ultra-minimally invasive and endoscopic techniques
We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.
Same-day, outpatient procedures
Most patients walk in and return home within hours, rather than facing an overnight hospital stay.
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A complimentary MRI review
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Specialists in pain management
Our board-certified physicians provide individualized care for chronic headaches and neck pain.
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Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.
