Occipital Nerve Block Injections

In Maryland, Pennsylvania, Florida and Virginia


Occipital nerve block injections are a minimally invasive and effective injection therapy for a variety of chronic head and neck pain conditions. The treatment works by injecting a local anesthetic and steroid medication around the occipital nerve located in the back of the head, blocking pain signals from reaching the brain. Don't let chronic pain define your life. Reach out to our team of injection specialists to start your journey toward pain relief. 

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Occipital Nerve Block Injections

Occipital nerve blocks offer a safe, simple, and effective treatment method for patients with occipital neuralgia, cluster headaches, and migraines. The injections contain a local anesthetic that numbs the occipital nerves, resulting in immediate pain relief. It is also a non-surgical procedure, which means you avoid the risks and recovery time associated with other surgical interventions.

If you're curious to learn more about occipital nerve block injections, use the navigation buttons below to find more information about candidates for this treatment, how the procedure works, and answers to many other frequently asked questions.

If you are ready to speak with one of our specialists, you can schedule a new patient consultation by submitting a contact form or give us a call. We are here to help you regain control of your life and find relief from chronic pain. 


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

Jenny Martins / google review

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Occipital Nerve Block Treatment Guide

Occipital Nerve Block Digital Guide

Looking for comprehensive information on occipital nerve block injections? Look no further than our digital guide! With details about the procedure, provider information, treatment locations, and FAQs, this guide is a must-read for anyone seeking relief from chronic migraine or headache pain.

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Understanding Occipital Nerve Blocks

If you are one of the millions of individuals who suffer from chronic head and neck pain, an occipital nerve block could be the solution you're seeking.

An occipital nerve block injection is a type of interventional treatment. It involves the injection of a local anesthetic and a steroid into the area around the occipital nerves just above the neck. This procedure aims to numb these nerves and reduce inflammation, providing relief from chronic headaches and neck pain.

Occipital nerve block injections fall under the category of minimally invasive interventional treatments. Unlike conventional methods that rely on oral medications, or alternative methods such as acupuncture or chiropractic adjustments, interventional treatments directly target specific nerves or areas of the body. This targeted approach often results in faster, more effective pain relief.

Benefits and Stats of ONB Injections:

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

ONB showed an average decrease of 84% in pain severity in one study. - NIH

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

ONB had an average success rate of 78% according to a study. - NIH

50%
Of Patients

reported at least a 50% reduction in headache frequency after receiving ONB. - NIH


What Are Occipital Nerves?

Occipital nerves run from the top of your spinal cord up through your scalp, affecting the back of your head and potentially your upper neck. Inflammation or irritation of these nerves often results in pain that starts from the base of the neck and moves to the base of the skull. Pain can also radiate and settle in the temple, top of the head, or the eyes. In some Nerves, occipital nerve pain can reside in a combination of these locations. Other pain symptoms may include sensitivity to light or sound, nausea, vomiting, and trouble concentrating. This discomfort can significantly impact your quality of life, especially if the condition is left untreated.

A medical diagram of a human head showing occipital neuralgia regions

Pain Conditions That Can Be Treated With Occipital Nerve Blocks

Occipital nerve blocks are effective for treating various types of occipital nerve pain conditions, including:

  • Occipital neuralgia: Occipital neuralgia is a type of headache that results from the irritation or injury of the occipital nerves. This kind of headache typically causes a sharp, shooting pain that radiates from the back of the head to the neck and scalp.
  • Cluster headaches: Cluster headaches occur in cyclical patterns or clusters. These headaches are characterized by intense pain that is focused around one eye and may be accompanied by tearing, swelling, and nasal congestion. To diagnose cluster headaches, doctors typically take a patient's medical history and perform a physical exam. They may also order imaging tests and perform nerve studies to rule out other potential causes of the headache.
  • Migraines: Migraines are a type of headache that can cause extreme throbbing or pulsing pain on one or both sides of the head. This type of headache is often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light or sound. Diagnosing migraines requires careful consideration of patient history, physical examinations, and a review of other potential causes of the headache. Doctors may also order imaging studies and other tests as needed.A neurological condition, often caused after injury or surgery, that results in severe chronic pain in the extremitie. Spinal cord stimulation can help manage the severe and debilitating pain associated with CRPS by interrupting the pain signals before they reach the brain.

Other Conditions That May Benefit

While the direct effect of these injections is on the occipital nerves, they can also indirectly provide relief from other related conditions.

  • Fibromyalgia: Patients with fibromyalgia often experience widespread pain, including in the neck and head region, which can be alleviated by this treatment.
  • Arthritis, Bulging Discs, and Failed Back / Neck Surgery Syndrome: These conditions often result in secondary headaches due to referred pain. In these cases, Occipital Nerve Block injections can be part of a comprehensive pain management plan.

Common Causes of Head and Neck Pain

There are numerous causes and circumstances that may lead you to consider this form of treatment:

It is important to note that while a occipital nerve block for neck pain can provide significant relief for these conditions and causes, they may not be suitable for all listed pain conditions or causes. Treatments should always be personalized to your specific needs and overall health status, which our specialists at Pain and Spine Specialists are ready to help you with.

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Diagnosing Occipital Pain Conditions

Properly differentiating between these types of headaches is essential for both proper treatment and management of symptoms. Diagnosing occipital neuralgia, cluster headaches, and migraines involves a comprehensive approach that takes into account a patient's medical history, physical symptoms, and, in some cases, diagnostic tests.

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  1. 1
    Review of Medical History: Your journey begins with a detailed review of your medical history. We delve into your past and present health conditions, surgeries, and treatments. Understanding your previous experiences with pain and how you have managed it provides us with essential information to guide the diagnosis and treatment plan.
  2. 2
    Physical Examination: Next, a physical examination takes place. Our doctors check your general health and focus on the area causing discomfort. They assess your reflexes, muscle strength, and sensation, looking for any signs that could point toward the source of your pain.
  3. 3
    Diagnostic Imaging: To gain a more in-depth understanding of your condition, diagnostic imaging may be required. This could include an X-ray, MRI, or CT scan. These imaging tests provide detailed pictures of your internal structures, allowing our doctors to identify any abnormalities that could be causing your pain.
  4. 4
    Nerve Tests: In some cases, nerve tests may be necessary to pinpoint the exact source of your pain. These tests evaluate the electrical activity in your nerves and can help our doctors determine whether a nerve is functioning correctly.
A neurologist review of patient xray of patients head and brain.

What to Expect During an Occipital Nerve Block Procedure

Navigating a new medical procedure can feel daunting. At Pain and Spine Specialists, we want you to feel prepared and comfortable every step of the way. Here is what you can expect during an occipital nerve block procedure.


Before the Procedure

Preparation is crucial for a successful procedure. You should arrive at the clinic in comfortable clothing. Our doctors will provide you with specific instructions regarding eating, drinking, and medication use before the procedure. They will also discuss any allergies or previous reactions to medications. For instance, Those who are allergic to steroids or other medications included in the injection should not have an ONB. People who are also on blood thinners or may have an active infection are also not appropriate candidates for this procedure. Finally, they may also ask that you arrange for someone to drive you home after the procedure.


During the Procedure

Our doctors will have you lay on your stomach while they numb the surrounding skin with a local anesthetic. This will help reduce pain and discomfort during the procedure.

Our doctors will then insert, with fluoroscopic guidance, a needle to the occipital nerves located above the neck area of the back of your head. The fluoroscopic guidance provides real-time imaging of the injection site so that the needle can precisely reach the target area.

Overall, the procedure takes a few minutes, and you will be awake the entire time. You may feel some pressure or a slight sting, but you should not feel severe pain.


Immediately After the Procedure

Once the procedure is complete, you rest in the recovery area for a short period. Your doctor monitors you for any immediate side effects. You may experience numbness or tingling in the back of your head and neck due to the anesthetic. This is normal and should wear off within a few hours.

It is important to note that the relief from an Occipital Nerve Block injection can be immediate due to the local anesthetic, but it is temporary. The steroid starts to work in about 3 to 5 days and provides longer-term relief.

Occipital nerve block injection

Recovery from Occipital Nerve Blocks

After an ONB injection, you are encouraged to take it easy for the rest of the day. In most cases, you will be able to resume your normal daily activities the next day.

The administered medication will begin working within three to five days, and you may even experience immediate pain relief from the anesthetic that turns into longer-lasting pain relief from symptoms.

The medication can be effective for weeks to months. If you have a positive result from your ONB injection, your doctor may recommend utilizing these injections again if the symptoms return. In some cases, we recommend a series of injections depending on the severity of your occipital nerve pain.


occipital nerve block side effects

Some tenderness at the injection site may be expected. This procedure blocks the nerve pain through its numbing effect. The steroid injection reduces swelling and inflammation, relieving pressure from the pain originating from the occipital nerves. Treating this irritation and inflammation can also relieve the associated pain symptoms.

While your pain physician may recommend more than one occipital nerve block injection, receiving more than three ONBs in six months is rare. The more steroid injected, the greater the chance of potential side effects.

Occipital nerve blocks are a minimally invasive procedure that is generally considered safe. There are some medical side effects to be aware of:

  • No improvement in symptoms
  • Magnified head pain
  • Stronger headaches
  • Dizziness
  • Light-headedness
  • Infection at the injection site
  • Numbness
  • Potential nerve damage (minimal risk)

If the first occipital nerve block does not provide a successful result in relieving patient pain within the first week or two, it may be necessary to have a second injection.


More FAQ's

In addition to occipital nerve pain and inflammation, Pain and Spine Specialists is able to successfully treat other sources of nerve pain with progressive injection procedures such as ESIs and RFAs. We offer multiple modalities that can be incorporated collaboratively in your pain treatment such as medication management, injections, and alternative therapies.  

What types of doctors Typically offer Occipital Blocks?

Pain management specialists, anesthesiologists, neurologists, and some types of surgeons (such as neurosurgeons or orthopedic surgeons) may offer Occipital Nerve Block treatments.

Is Occipital Nerve Blocks covered by insurance?

Generally, yes. Most insurance companies cover Occipital Nerve Block, but it can vary based on your specific plan and provider. It's recommended to contact your insurance company for confirmation.

What are the alternatives to Occipital Injections treatment?

Alternatives could include medication management, physical therapy, acupuncture, lifestyle changes like stress management and avoidance of trigger factors, other types of nerve blocks, or surgical interventions.

How do I find a Head Nerve Block treatment center near me?

You can use online search engines or medical directories to find treatment centers near you that offer Occipital Nerve Block. You could also ask for recommendations from your primary care physician or a local hospital.

How do I find a Occipital Nerve Block specialist near me?

Similar to finding a treatment center, you can use online resources or ask for recommendations from healthcare professionals to find a specialist who offers this treatment.

Is Occipital Blocks considered a minimally invasive treatment?

Yes, Occipital Nerve Block is considered a minimally invasive procedure as it involves only a small injection in the occipital region of the head.

How much do Occipital Injections cost?

The cost can vary greatly depending on your location, the specific healthcare provider, and whether or not you have insurance. It's best to contact potential providers directly for an accurate quote.

Do Medicare and Medicaid cover Occipital Nerve Blocks?

Coverage for this procedure under Medicare and Medicaid can vary, so it's best to check with your specific plan.

Followup consultations and on-going Treatments

At Pain and Spine Specialists, we understand that each patient is unique. Therefore, once you receive a diagnosis and begin your occipital nerve block injection treatment, our pain management doctors will closely monitor your progress.

Monitoring Your Progress

Our team remains committed to ensuring a safe, personalized, and ethical treatment process. They will regularly assess the effectiveness of your treatment through follow-up appointments. During these sessions, they will evaluate your response to the injections and make any necessary adjustments to your treatment plan. This active monitoring allows us to provide you with the best possible care, tailored to your specific needs.

Informing You About Different Treatment Options

We believe in patient empowerment, which includes informing you about all available treatment options. These more minimally invasive treatments may include:

  • Cutting of specific nerves
  • Small doses of radiofrequency administered to the nerve cells
  • Inserting an occipital nerve stimulator (which works like a pacemaker in the heart)

It is also essential to evaluate if there is a lack of positive results from occipital nerve treatments. If a patient is unable to find relief from their symptoms, it may be a sign that the occipital nerves are not the source of the pain.

If this is the case, our comprehensive pain management specialists will work with you to determine your pain's source and a new treatment course.

How to Get Started with Us

Starting your journey toward pain relief with us is simple and straightforward. You can reach out to us by submitting the contact form provided below or by calling us using the contact information listed below. One of our friendly staff members will guide you through the process, answer your questions, and schedule your initial consultation.

Remember, at Pain and Spine Specialists, you are not alone in your fight against pain. We stand beside you, offering comprehensive, personalized treatment plans designed to help you reclaim your life from chronic neck pain.

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About Us

We are a comprehensive pain management practice with board-certified doctors in Maryland, Pennsylvania, and Virginia that specialize in innovative treatments like occipital injections.

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Candidates For Treatment

Patients with the following disorders, injuries, diseases, or infections may be candidates for an ONB injection.

Related Pain Regions

Occipital Nerve Block are often used to treat pain in the following regions:

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Suffering from chronic pain? Let our specialists help with Occipital Nerve Block. Contact us today for personalized treatment options.

Appointment FAQ's

Billing / Insurance Questions

We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

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Patient Portal / Policies

At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.

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We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.

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Meet Our Team

Occipital Nerve Block Specialists in Maryland, Pennsylvania, Florida and Virginia


At Pain and Spine Specialists, our occipital nerve block specialists understand that living with chronic pain can be challenging and impact your quality of life. Our team of highly experienced board-certified doctors has been providing effective nerve pain treatments for over two decades. Your trust is important to us, and it is why we prioritize patient-centered care that is focused on building a long-lasting relationship with you. 

MEET OUR PARTNER

OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

MEET OUR PARTNER

MEET OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

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