Case study 107 - Dr. Grunch explains diagnosis & treatment of occipital neuralgia

Case study 107 - Occipital neuralgia
Occipital neuralgia is a rare neurological condition that involves shooting, shocking, throbbing, burning, or aching pain and headache that generally starts at the base of the head and spreads along the scalp on one or both sides of the head. It involves the occipital nerves, which run from the area where the spinal column meets the neck, up to the scalp at the back of the head.
Pain is typically felt in the:
* Upper neck
* Back of the head
* Behind the eyes and ears (usually on one side of the head)
* Scalp
* Forehead
The pain usually begins in the neck and then spreads upward. Some people describe the pain as migraine-like. The scalp may become tender and extremely sensitive to the point where a light touch can cause severe pain (allodynia). Causes of occipital neuralgia include injury, pinched nerve, overly tight neck muscles, nerve compression, disc disease, or infection and inflammation.
Diagnosis of occipital neuralgia is usually done through a physical and neurological exam, along with diagnostic imaging. A nerve block (in which a local anesthetic and steroid drug are injected into the area around the nerve) may help with diagnosis. Treatment options include medications, steroid injections, heat, and surgery. (Source: ninds.nih.gov)
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[@kellyr6274]

Wishing Dr. Grunch was my Dr.. After so many failed surgeries and constant pain I'm afraid of my Dr's now 😒

[@katwoman6523]

Very interesting! I’m bookmarking your video to discuss with my neurologist. I’ve had occipital nerve RFAs and they have given me some relief from frequent migraines (2-3 a week now, was 5 days prior to RFA). Thank you.

[@kadenhiggins9338]

I wish I could see you for chronic back pain. It is debilitating. I’ve had so many procedures I can’t even list them. I don’t know what else to do. It’s completely life altering.

[@carellavanden5835]

Thankyou so much, this is so helpful. I love how the info is concise and well explained, so the everyone can understand it. And the pics are excellent. So grateful

[@meghanshea7852]

Can you please do a case study video on trigeminal neuralgia? Thank you! Happy New Year.

[@ladyspinedoc]

I have! Check out my case studies playlist.

[@meghanshea7852]

@@ladyspinedoc thank you!

[@jaymevogl4338]

I love watching your videos, by the way…very educational. And I’m a massage therapist, which is why, in my other comment, I’m asking about these other options of actually changing the structure

[@ljslw]

My orthopedic surgeon diagnosed me with psoriasis arthritis in my knee and my neck. He said there’s nothing to be done except anti inflammatory medication. I’m 62 and my neck has hurt for over 10 years. I don’t get the headaches but I have the constant pain when I turn right but not left. I hear the crunching. Then I see this video and has me think to get a second opinion.
Thank you for your very informative videos and for the funny videos too.

[@atotalchaoshomestead2275]

I remember my first occipital nerve block... it was explained to me and I agreed to have it done in hopes of relief! But I had no idea that needle could go where it did! I had relief for about 6-8 months.. had number 2 done and it still bothers me but not ad often! I Have MS

[@jaymevogl4338]

Wouldn’t decompression and specific strength/flexibility exercises help with repositioning the bones of the atlas, and chiropractic or prolotherapy injections actually solve the problems structurally so she wouldn’t have to go the fusion route?

[@lizasivek7833]

This explains what my neurosurgeon told ne before my recent C5-6 ACDF surgery. He mentioned it was my facet joints causing referred pain but i had no idea what that meant 😂 by facet joints.

[@MICHELLE-gu2qc]

Could this help with Adhesive arachnoiditis symptoms to the head, face, and CSF pressure? Could it help with nerve pain at below the levels?

[@Pixels-xm4sm]

Ive been looking for answers for months severe pain that goes up the right side of my neck to out by my temple its debilitating i can't really deal with it, could thid be what i have? My ct scan came back normal according to my local hospital

[@shaec80ify]

Do you do nerve decompression surgery? Or ligate if necessary?

[@Amaadification]

Hi Dr I had a question, I'm hoping you can answer. Would an upright mri without contrast show any issues with c1/c2?

[@lindaarmstrongjackman9788]

👍😊👍