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Occipital Neuralgia

Electric shock-like headache caused by irritation of the occipital nerves innervating the back of the head.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Occipital Neuralgia?

Occipital neuralgia is a condition characterized by sudden and severe pain attacks that begin at the base of the neck and radiate to the back and side of the head, occasionally extending around the eyes, due to irritation or compression of the greater or lesser occipital nerve.

Unlike migraine, the pain is not throbbing but feels like an electric shock or knife stabbing. Spasms of the neck muscles, prolonged forward head posture, or musculoskeletal injuries can be triggers.

Local anesthetic nerve block to the occipital region both supports the diagnosis and can be used therapeutically.

Symptoms

Sudden, sharp, or electric shock-like pain radiating from the base of the neck upward
Tenderness at the back and side of the head
Pain triggered by neck movements
Tenderness on touching the scalp
Pain radiating behind the eye
Nausea (in severe attacks)

Risk Factors

Prolonged neck flexion from computer or phone use
Neck injury or whiplash
Degenerative changes in cervical vertebrae
Diabetic neuropathy
Previous surgery in the occipital region

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe and frequently recurring headaches originating from the back of the neck
  • Routine analgesics provide no relief
  • Neck movement is restricted
  • Arm numbness or weakness accompanies the pain

Treatment Methods

01
Local anesthetic + corticosteroid nerve block
02
Muscle relaxants and NSAIDs
03
Physical therapy and neck exercises
04
Neuromodulators (gabapentin, pregabalin)
05
Pulsed radiofrequency or neurostimulation in resistant cases

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.