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Occipital neuralgia is caused by damage to the occipital nerves, which can arise from trauma (usually concussive or cervical), physical stress on the nerve, repetitive neck contraction, flexion or extension, and/or as a result of medical complications (such as osteochondroma, a benign bone tumour).
She experienced partial relief of symptoms after recovery. Examination of the resected nerve fibers showed loss of both myelinated and unmyelinated nerve fibers, this is a possible explanation for the symptoms associated with NTS, however, further study is needed for a definitive answer. [ 14 ]
Local anesthetic is applied to the back of the neck and a Tuohy needle is advanced towards the location of the greater occipital nerve and lesser occipital nerve under fluoroscopic guidance. [8] [9] [10] When the location is confirmed, a temporary lead is placed through the needle before the needle is carefully removed.
Occipital nerve block is a procedure involving injection of steroids or anesthetics into regions of the greater occipital nerve and the lesser occipital nerve used to treat chronic headaches. These nerves are located in the back of the head near in the suboccipital triangle along the line between the inion and the mastoid process .
The symptoms of nerve injury in the early 1900s were called nerve palsy (today neuropathy or neuritis are more common terms). [50] The concept of injuries causing nerve palsy was understood at that time. [49] For example, wrist fractures were known to be a cause of nerve palsy through compression, and this could be treated by liberating the nerve.
Occipital cryoneurolysis is a procedure used to treat nerve pain generated by peripheral nerves (nerves located outside of the spinal column and skull) commonly due to the condition occipital neuralgia. [1] A probe (no larger than a small needle) is carefully placed adjacent to the specific nerve.