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Chapter Six
Published in Eugene Fukumoto, Advanced ICD-10 for Physicians Including Worker’s Compensation and Personal Injury, 2017
Occipital neuralgia is a medical condition characterized by chronic pain in the upper neck, back of head, and behind the eyes. These areas correspond to the locations of the lesser and greater occipital nerves.M54.81 Occipital neuralgiaFor back pain due to trauma see S30–S39.
Orofacial Pain Syndromes and Other Facial Neuralgias
Published in Gary W. Jay, Clinician’s Guide to Chronic Headache and Facial Pain, 2016
The headache secondary to occipital neuralgia is characterized by piercing, throbbing, or electric-shock-like chronic pain in the upper neck, back of the head, and behind the ears, usually on one side of the head. Frequently, the pain of occipital neuralgia begins in the neck and then spreads upward. A patient can also experience pain in the scalp, forehead, and behind their eyes. Their scalp may also be tender to the touch, and their eyes especially sensitive to light. The location of pain is related to the areas supplied by the greater and lesser occipital nerves, which run from the area where the spinal column meets the neck, up to the scalp at the back of the head.
The Gallbladder (GB)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Lesser occipital nerve: The lesser occipital nerve may receive communicating branches from the greater occipital nerve. Both occipital nerves pierce the trapezius at the base of the skull and are consequently subject to compression by cervical muscle tension, causing occipital neuralgia. When this occurs, it may worsen cervical tension and perpetuate pain in the occiput.
Occipital osteomylelitis and epidural abscess after occipital nerve block: A case report
Published in Canadian Journal of Pain, 2018
Sean D. Christie, Nelofar Kureshi, Ian Beauprie, Renn O. Holness
Occipital neuralgia was first described by Beruto Lentijo and Ramos in 1821. The International Headache Society defines occipital neuralgia as a paroxysmal jabbing pain in the distribution of the greater or lesser occipital nerves accompanied by diminished sensation or dysesthesia in the affected area.1 This is often accompanied by tenderness over the affected nerve. Occipital neuralgia is considered to be a subset of cervicogenic headache, in which there is unilateral, occipitofrontal head pain associated with changes in neck position or pressure and tenderness of cervical and paraspinal tissues.2,3 Although most patients have idiopathic occipital neuralgia, a wide array of causes secondary to structural nerve injury have been identified. These include congenital malformations, neoplasms of C2 and C3 nerve roots, degenerative disease of the spine, and disorder of the peripheral nervous system. Trauma or compression of greater and/or lesser occipital by degenerative cervical spine changes also contributes to the etiology of occipital pain.
Dry needling as a novel intervention for cervicogenic somatosensory tinnitus: a case study
Published in Physiotherapy Theory and Practice, 2022
Aaron Womack, Raymond Butts, James Dunning
A 41-year old female was referred to physical therapy by her neurologist with a diagnosis of occipital neuralgia. She presented to the clinic with complaints of headaches, cervical pain and tinnitus. The headache pain was located in the occipital region. While the symptoms in the cervical spine spanned from C1-C7, the patient reported the worst pain in the suboccipital region, which she rated as 10/10 per numeric pain rating scale (NPRS) (Farrar et al., 2001). Moreover, the head and neck pain were accompanied by 10/10 tinnitus, bilaterally, per numeric rating scale (NRS) (Landgrebe et al., 2012).
Cervical myelitis presenting as occipital neuralgia
Published in International Journal of Neuroscience, 2018
Occipital neuralgia refers to a unilateral headache associated with the greater occipital nerve, lesser occipital nerve or third occipital nerve [1]. Although occipital neuralgia is often idiopathic, it can be induced by external injury, nerve compression or nerve pathway inflammation [2,3]. We describe an elderly patient with episodic occipital neuralgia for 10 years, who was eventually diagnosed with cervical myelitis presenting as occipital neuralgia.