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Mechanical neck pain from an upper disc, facet, or musculoligamentous sources may refer to the occiput, but is not classically lancinating or otherwise neuropathic and should not be confused with ON. A crucial step in differentiating ON from other disorders is relief with an occipital nerve block. [1]
The treatment involves the use of mild electrical impulses to stimulate the greater occipital nerve and lesser occipital nerve [1] which are part of the peripheral nervous system and are located at the back of the head just above the neck area.
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 greater occipital nerve is a nerve of the head. It is a spinal nerve , specifically the medial branch of the dorsal primary ramus of cervical spinal nerve 2 . It arises from between the first and second cervical vertebrae , ascends, and then passes through the semispinalis muscle .
The lesser occipital nerve is a small nerve that has additionally been found to be associated with migraine pain. This nerve is found near the sternocleidomastoid muscle and may be decompressed or divided here through a small incision. As this small nerve provides feeling for a small region of the scalp, the minimal numbness resulting from the ...
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